Call it the enforcement "flavor of the month," but laboratories have been feeling the heat from federal investigators recently, particularly those interested in their relationship with physician practices, which may run afoul of the anti-kickback statute.
Words matter, especially when it comes to interpreting healthcare legislation. Just as we saw with the Supreme Court decision to uphold Affordable Care Act, the interpretation of even a few words can be crucial. In the case of reverse false claims through the False Claims Act, it's just one word that holds the key to interpreting when the 60-day stopwatch begins for returning overpayments. Read more...
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Three New York hospitals and a healthcare management company have agreed to collectively pay $8 million to settle allegations that they submitted false claims to New York's Medicaid program for drug and alcohol treatment services.
Rising Medicaid costs and concerns surrounding potential Medicaid fraud among healthcare providers has led Florida Gov. Rick Scott (R) to call on state regulators to audit 129 hospitals within the state.
Prosecutors, investigators and fraud enforcement officials specialized in uncovering the art of fakery this week, targeting schemes that included deceased patients, a nurse imposter, forged prescriptions and falsified time sheets.
Days after the pharmaceutical company Amgen agreed to pay $71 million to 48 states to resolve allegations that it illegally marketed the anemia drug Aranesp, PharMerica Corp. has agreed to a settlement for taking kickbacks to promote the drug, according to the Kentucky Center for Investigative Reporting.
A $6 million fraud settlement by a Brooklyn home health provider offers a window into larger concerns surrounding potential abuse throughout New York, according to the Wall Street Journal.
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Seattle Children's Hospital is notifying 12,000 families after learning that some surgical equipment at the Bellevue Clinic and Surgery Center was incorrectly sterilized, CBS News reports.
As employers and insurers brace for the effects of the controversial Cadillac tax, Republican lawmakers are preparing to fight the provision once Congress is back in session.