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 U.S. Department of Health and Human Services said the additional notices were sent in error. A union representing federal workers is challenging the firings, arguing that President Donald Trump lacks the authority to permanently eliminate jobs during a government shutdown.
The posts violated a court order that forbade the agency from commenting publicly on Mangione’s alleged guilt in the killing of UnitedHealthcare CEO Brian Thompson. The DOJ rejected the notion that the accused’s right to a fair trial was violated.
The patient alleges she experienced significant delays in care after being rushed to the hospital for acute limb ischemia. She also says no vascular surgeons were available, limiting her treatment options.
The Missouri attorney general has demanded details on patient care, communications between providers and pregnant women, maintenance records and more in an effort to identify state residents who have sought abortions.
Former principal assistant deputy chief of the U.S. Department of Justice's Healthcare Fraud Unit, Lisa Miller, explains what the DOJ is looking for in healthcare fraud cases.