Stories about physicians and other healthcare professionals involved in lawsuits—as either a plaintiff or a defendant—or accused of breaking the law. Various legal updates or unusual stories in the news may land here.
Hospitals are not the only healthcare entities competing over a limited pool of qualified compliance officers. Payers, vendors and others are in the race too. But hospitals and health systems may have the most to lose if they let down their guard on adherence to regulatory rules.
The owners of a local pharmacy in Mississippi have been ordered to pay back the money they stole from Medicare and Medicaid by billing for expensive prescriptions they never dispensed to patients.
An emergency department nurse at Heritage Valley Sewickley Hospital is accused of stealing drugs and neglecting patients, causing at least two fatalities. A lawsuit filed by two whistleblowers further alleges that hospital leadership covered for the drug-dependent nurse.
Led by Massachusetts and California, the plaintiffs say CMS ignored the will of Congress by strictly defining a “medically frail” exemption that would allow a person access to safety net medical coverage.
Radiologist Henry C. Lusane, MD, with Acumen Medical Imaging, interpreted the scans, reporting the mass as benign, a mistake later leading to a terminal cancer diagnosis.
The years-long scheme involved sending kickbacks to physicians who ordered unnecessary transcranial doppler exams. Two conspirators have now been sentenced to prison and ordered to pay substantial fines.
The money was meant for Minnesota, where criminals were indicted for abusing the Medicaid system to run bogus daycare centers. The Centers for Medicare & Medicaid Services did not specify how the state can rectify the situation to the Trump administration’s satisfaction.
A civil trial in Maine is underway, where a 71-year-old patient alleges that in 2019, her surgeon read the wrong X-ray, leading to a delayed second procedure that would have put her on the road to recovery.
Officials are examining how a radiologist's CT findings may have played a part in the untimely death, as the doctor did not notate "swirling of the mesentery" in his interpretation.
The U.S. Department of Justice and the state attorney general's office allege OhioHealth used its position of market dominance to pressure commercial plans into always keeping its hospitals and clinics in-network, even when competitors offer services for a better rate.
The U.S. Supreme Court ruled President Donald Trump’s sweeping global tariffs unconstitutional. The administration responded by imposing a 10% rate across the board, later hiked to 15%. That will remain in effect for 150 days and require an act of Congress to extend.
A hospital and its security contractor are facing legal trouble over a brutal beating taken by a unit nurse at the hands of a mentally ill inpatient a year ago.