Healthcare News & Insights

Hospital system lands in hot water for referral practices

Your hospital must be careful with the payment agreements it makes with associated doctors and practices, especially regarding referrals. Reason: If these arrangements don’t comply with the law, hefty penalties could result. One hospital system just found that out the hard way. 

First-ever ‘reverse false claims’ lawsuit closes: Court says …

A high-profile False Claims Act (FCA) lawsuit has finally come to a close — and the decision will set a higher bar for FCA compliance in the future. 

What’s next in federal fraud enforcement?

The Department of Health & Human Services (HHS) and the Department of Justice (DOJ) both reinforced their commitment to rooting out fraud in 2015 — but what does that mean for your compliance programs? 

Where is fraud enforcement headed in 2015?

Hospital leaders will have to beef up their compliance efforts over the year because indicators show the feds are turning up the heat on fraud enforcement. 

Your next compliance hurdle — avoiding reverse false claims

A new lawsuit could bring facilities some much needed clarity about how to avoid reverse false claims violations, a type of fraud that could open healthcare providers up to more penalties. 

Beware: Malpractice, legal risks on the rise for hospitals

As healthcare reform continues to push changes on the industry, hospital execs need to be more vigilant than ever of the growing number of legal risks to their facilities. 

Ohio Hospital pays $8.5M to settle False Claims Act Allegations

The Justice Department is firmly committed to making sure that all healthcare providers and hospitals follow the rules. And if you don’t believe it, just ask Memorial Hospital. 

Accused pay $30M to resolve alleged False Claims Act violations

The Justice Department recently announced that three contract therapy providers and their management company have agreed to pay $30 million to resolve claims that they violated the False Claims Act.

Children’s hospital system pays $1.5M to settle double-billing lawsuit

Double billing for radiology services has proved costly for one Texas children’s hospital system – to the tune of $1.5 million.

Whistleblower complaint: Centers pay $4.4M to resolve FCA allegations

Let your managers and supervisors know that if an employee ever expresses concern to them about billing practices at your hospital, they need to take these complaints seriously and thoroughly investigate the claims. If not, they could end up in hot water, paying big fines.