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publication date

Strategy
AHA asks CMS to Spike IRF Demonstration Audits
John Commins | February 17, 2021
The proposed integrity audit on inpatient rehabilitation facilities in four states during the public health emergency raises a number of...
Strategy
athenahealth to Pay $18.2M to Resolve Kickback, False Claims Allegations
John Commins | January 29, 2021
Enticements to customers included trips to The Masters, the U.S. Open, the Kentucky Derby, the World Series, the Indianapolis 500,...
Strategy
Kaiser Foundation MA Plan to Pay $6.3M to Settle False Claims Allegations.
John Commins | November 17, 2020
The alleged violations occurred in 2011 and 2012, before Group Health Cooperative was acquired by Kaiser Permanente.
Strategy
Purdue Pharma to Pay $8B to Settle Criminal, Civil Charges for Key Role in Opioid Epidemic
John Commins | October 21, 2020
The settlement does not release from further criminal charges the Sackler family, owners of Purdue, nor any of company's executives...
Strategy
Merit Medical Systems to Pay $18M to Settle Kickback Allegations
John Commins | October 15, 2020
Utah-based MSSI for more than six years allegedly paid millions of dollars in kickbacks to healthcare providers in the form...
Strategy
Wheeling Hospital to Pay $50M to Settle Stark, Anti-Kickback Allegations
John Commins | September 09, 2020
The settlement does not mandate a standard, five-year monitoring agreement for the hospital, nor an admission of wrongdoing on the...
Strategy
Konica Minolta Healthcare to Pay $500K to Settle False Claims Act Allegations
John Commins | August 28, 2020
Federal prosecutors claim that Viztek LLC, a former subsidiary of Konica Minolta, falsely claimed that its EHR software was HHS...
Finance
Hospital Executive Charged in $1.4B Rural Hospital Billing Scheme
Kaiser Health News | June 30, 2020
Prosecutors allege that Jorge A. Perez, 60, and nine others exploited federal regulations that allow some rural hospitals to charge...
Ex-Cleveland Clinic Researcher Arrested, Charged with Wire Fraud
John Commins | May 18, 2020
Dr. Qing Wang allegedly failed to disclose to NIH that he was also receiving grant money from the Chinese government....
Finance
Pandemic Delays Federal Probe Into Medicare Advantage Health Plans
Kaiser Health News | April 08, 2020
CMS says the decision will allow insurers and the agency to "focus on patient care," and will last "until after...
Finance
Texas Physicians Group Pays $1.2M to Settle False Claims Allegations
John Commins | March 12, 2020
A whistleblower complaint alleged that Millennium Physicians Association PLLC billed Medicare for sleep studies conducted by uncredentialed technicians.
Strategy
Guardian Elder Care to Pay $15.4M to Settle Overbilling Allegations
John Commins | February 20, 2020
Guardian directed its nursing facilities in Pennsylvania, West Virginia, and Ohio to upcharge Medicare at the highest level for medically...
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