From an Alabama hospital claiming Medicare used flawed methodology to cheat it out of payments to a Miami-area physician pleading guilty in a $20 million Medicare fraud scheme, here are the latest healthcare industry lawsuits and settlements making headlines.
1. 4 physicians, 2 pharmacies allegedly bilked $10 from military's healthcare program
Four physicians and two compounding pharmacies agreed to pay the federal government a total of approximately $10 million to resolve allegations they submitted false claims to TRICARE.
2. Hospital claims Medicare cheated it out of payments using flawed methodology
DCH Regional Medical Center in Tuscaloosa, Ala., filed a federal lawsuit alleging the calculation used by Medicare to determine disproportionate share payments shortchanged hospitals involved in mergers.
3. Miami physician pleads guilty to role in $20M Medicare fraud scheme
Henry Lora, MD, the former director of a Miami-area medical clinic, pleaded guilty for his role in a Medicare fraud scheme that cost the government more than $20 million.
4. UPMC agrees to tentative $12.5M settlement in antitrust case
Pittsburgh-based UPMC tentatively agreed to pay $12.5 million to settle an antitrust lawsuit filed more than five years ago.
5. Memorial University Medical Center reaches $9.89M false billing settlement
Memorial Health University Medical Center and its affiliates in Savannah, Ga., agreed to pay more than $9.89 million to settle unlawful referral allegations brought under the whistle-blower provision of the False Claims Act.
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How to avoid whistle-blower lawsuits: 4 key tips for healthcare leaders
Federal appeals court: Hospitals can be 'rural' and 'urban' at the same time
Georgia hospital CEO arrested for prescription drug fraud