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Court upholds nurse aid's 65-year sentence
The Ohio Supreme Court upheld a 65-year prison term on a former nurse's aide who pleaded guilty to stealing valuables from dozens nursing homes, The Columbus Dispatch reported Oct. 25. -
Feds float No Surprises Act changes
Federal officials issued proposed changes to the No Surprises Act's independent dispute resolution process in an Oct. 27 news release. They said those changes, if finalized, will improve communication between payers providers and certified IDR entities, create a more efficient dispute resolution process and change the administrative fee structure to improve accessibility. -
UMass Memorial sues Steward hospital over nonpayment
UMass Memorial Medical Center and UMass Memorial Medical Group have filed a lawsuit against Boston-based St. Elizabeth's Medical Center for alleged nonpayment of oncology services, the Worcester Business Journal reported Oct. 27. -
Medical marketer convicted in $55M fraud scheme
A medical marketer was convicted by a federal jury in Texas for his role in a $55 million scheme that defrauded Tricare and other federal healthcare programs. -
Medical supply company owner pleads guilty to $2M Medicare fraud scheme
A Virginia medical equipment company owner pleaded guilty to conspiring to defraud Medicare. -
Former director accused of stealing over $600K from Pennsylvania hospital
A former director at Doylestown (Pa.) Hospital has been charged with stealing more than $600,000 from the system almost two years after an investigation was launched, according to an Oct. 25 WHYY report. -
Murder suspect who escaped DC hospital caught after 7 weeks
A murder suspect who escaped Washington, D.C.-based George Washington University Hospital is back in custody after a seven-week search, The Washington Post reported Oct. 26. -
California system 'considering all options' after losing $9.5M termination case
Community Hospital for the Monterey Peninsula and its parent company, Montage Health, may file for a new trial after losing a $9.475 million wrongful termination case, Monterey County Weekly reported Oct. 26. -
Houston pharmacist, clinic owner sentenced in $6M pill mill scheme
Sokari Bobmanuel, the former pharmacist-in-chief of Cornerstone Rx Pharmacy in Houston, and co-conspirator Alantha Stewart, the co-owner of Sunnyside Medical clinic were sentenced to a combined 24 years in prison for their roles in running a pill mill operation. -
Former Michigan hospital account manager sentenced after embezzling $2M
Cindy Norgen, 61, a former account manager at North Ottawa Community Health System, which joined Livonia, Mich.-based Trinity Health in October 2022, was given a minimum sentence of seven years in prison for embezzling more than $2 million from the health system, MLive reported Oct. 25. -
10 indicted in $20M black-market HIV medication fraud scheme
Ten people have been indicted in an alleged scheme that defrauded Medicaid, Medicare and private insurance companies out of at least $20 million by trafficking black-market HIV medication. -
Louisiana physician pleads guilty in $5.6M fraud scheme
A Louisiana physician pleaded guilty to defrauding Medicare out of $5.6 million by ordering medically unnecessary durable medical equipment and cancer genetic testing. -
Hospitals pushing back on price transparency fines
Half of the hospitals that have been fined by CMS for alleged price transparency violations have appealed their penalties. -
Feds to appeal another No Surprises Act ruling
The federal government is planning to take another No Surprises Act court loss to the 5th Circuit Court of Appeals, according to an Oct. 20 court filing. -
Wyoming nurse pleads guilty in $6M healthcare fraud
A Wyoming nurse pleaded guilty to conspiracy to commit healthcare fraud in a $6.1 million healthcare scheme in Idaho. -
Connecticut attorney general widens investigation into Stone Academy
Connecticut Attorney General William Tong has widened an investigation into Stone Academy, a nursing school that was shut down in February after failing to address multiple compliance issues. -
Kaiser hospital fined after MRI machine pins nurse
A Kaiser Permanente hospital in California was fined $18,000 after an MRI machine's magnetic field pulled a metal bed and a nurse, causing her serious injuries, the Daily Post reported Oct. 20. -
Dialysis providers to pay $9.5M to settle billing fraud allegations
Several dialysis providers agreed to pay more than $9.5 million to settle allegations they double billed Medicaid for certain medications. -
Express Scripts conspires to overcharge pharmacies, suit alleges
Retail pharmacies are accusing Express Scripts and Prime Therapeutics of monopolizing the pharmacy benefit manager market and conspiring to extort pharmacies, according to court documents. -
California hospital execs lost jobs over raising patient safety concerns, lawsuits allege
St. Mary Medical Center in Long Beach, Calif., faces lawsuits filed by former executives alleging the hospital forced them out after they raised patient safety concerns, the Long Beach Business Journal reported Oct. 23.
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