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publication date

Pharma
Mich. Woman Convicted in $65M Pharma 'Coupon' Scam
John Commins | January 18, 2023
Suzan Berro submitted fake reimbursement claims to several drugmakers' co-pay assistance programs.
Payer
3 Providers Will Pay $22.5M to Settle Medi-Cal False Claims Allegations
John Commins | December 08, 2022
Prosecutors say the settlements resolve allegations of an 'organized scheme to wrongfully retain federal funds.'
Revenue Cycle
Former physician sentenced for second healthcare fraud conviction
Office of Inspector General | December 02, 2022
Damian Williams, the United States Attorney for the Southern District of New York, announced that SPYROS PANOS was sentenced to...
Strategy
Sutter Health Will Pay $13M to Settle False Claims Allegations
John Commins | October 26, 2022
DOJ says Sutter billed government payers for urine tests performed by third-party labs.
Clinical Care
NY-Presbyterian/Queens Hospital Pays $2.5M to Settle Self-Disclosed Fraud Allegations
John Commins | September 15, 2022
A former physician at the prestigious health system endangered patients when he unnecessarily replace batteries for implanted difibrillators.
Innovation
Fake Florida Doc Gets 9 Years for Dating Site Catfish Scam
John Commins | September 13, 2022
Brian Wedgeworth, 47, posed as a surgeon and operated the scam nationwide over five years, using at least 13 'Doctor'...
Pharma
Pharmaceutical Task Force to Unveil Findings on Merger Rules
Robin Robinson | June 10, 2022
Tune in to virtual sessions June 14?15 to learn how industry merger enforcement may change.
Revenue Cycle
Department of Justice Asked to Investigate False Claims Act Violations
Jay Asser | May 20, 2022
The American Hospital Association (AHA) is asking for the creation of a task force to look into improper denials by...
Human Resources
DaVita Acquittals Deal a Big Blow to DOJ 'Labor Market Cases'
John Commins | April 20, 2022
One observer says the best way to address sketchy labor practices is through civil litigation, not criminal prosecutions.
Payer
Suit Warns of 'Anti-competitive Effects' in Proposed United, Change Healthcare Merger
Laura Beerman | February 28, 2022
The DoJ and AGs from New York and Minnesota are hoping to block the proposed acquistion, fearing it will raise...
Strategy
Justice Department, AGs Sue to Block UnitedHealth Group's Acquisition of Change Healthcare
Melanie Blackman | February 25, 2022
The complaint, filed Thursday in the U.S. District Court for the District of Columbia, alleges the $13 billion proposed transaction...
Payer
Catholic Medical Center (NH) Pays $3.8M to Settle Kickback Allegations
John Commins | February 16, 2022
CMC claims no liability for the whistleblower allegations.
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