medicaid fraud news from FierceHealthcare
News
Department of Justice faces 500-case healthcare whistle-blower backlog
AstraZeneca asks judge to nullify $215M drug-price lawsuit
Doctor sues CA hospital, claiming retaliation for state report
FL system settles federal claim over MD overpayments
Report: Antifraud compliance getting tougher for hospitals
TN makes doctor shopping a felony
Lawmakers question California Medicare audits
A Medicare auditing firm part-owned by the husband of a U.S. Senator has come under intense scrutiny by the California state legislature, dogged by claims that it's rejecting claims unfairly just to make profits for itself. The company, PRG-Schultz International, is contracted with CMS to examine reimbursements and identify inappropriate payouts. PRG-Schultz gets 30 percent of any overcharges it finds. The California Hospital Association has said that PRG-Schultz is on a rampage, …
Read more...Doctor wins $6.3M in defamation case
A Dallas-area anesthesiologist won a $6.3 million judgment this week against the anesthesiology firm where he once served as a shareholder. A jury awarded Dr. Neal Fisher $6.3 million from Pinnacle Anesthesia Consultants in the defamation and breach of contract case, which arose from Fisher's firing by the practice. Fischer had claimed that Pinnacle fired him after he expressed concern that Pinnacle services were being billed out-of-network. In the suit, Fischer said that when he …
Read more...Doctor sues CT after Medicaid fraud allegation
A Stamford, CT-based ophthalmologist has filed a federal lawsuit against the state's Department of Social Services (DSS) after being named as the first doctor the agency recommended for Medicaid fraud prosecution, claiming that he is the victim of a campaign of retribution by angry officials. Weber's suit also names the state attorney general's office, alleging, among other things, that assistant state's attorney Nancy Salerno acted "maliciously" in executing a search warrant during …
Read more...NJ hospital plans private-to-public conversion
Hoboken, NJ-based St. Mary's Hospital isn't in great shape. It lost almost $100 million over the last five years and seldom fills more than half of its 328 beds. Worse, as the oldest hospital in the state, it needs millions of dollars worth of upgrades and renovations. But when the hospital's owner, Bon Secours Health Care System, said it would close St. Mary's, state legislators worked out a plan to keep it afloat by funneling in state funds and turning over operations to the city. The …
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