A large health provider group in Florida has agreed to pay $541 million to resolve allegations it inflated patient diagnosis codes in order to boost its reimbursement through a Medicare program. The Villages Health System (TVH) intentionally made patients appear sicker on bills it filed from 2020 through 2024 to three private insurers that […]
Healthcare
Posted inHealthcare
OSF Healthcare pays $552,250 for HIPAA violations from ransomware breach
Illinois-based OSF Healthcare System has agreed to pay $552,250 to resolve potential HIPAA violations tied to a 2021 ransomware attack.hea
Posted inTop Stories
Texas genetics lab, former CEO and businessman pay $36.4M to settle kickback allegations
A Texas genetic testing laboratory agreed to a corporate integrity agreement that requires it to hire a compliance officer as part of a $36.4 million settlement of charges related to a kickback scheme. The company, Access DX, of Houston, signed a five-year corporate integrity agreement (CIA) with the Office of Inspector General of the Department […]
Posted inWhistleblowers
Whistleblower accuses Mayo Clinic of compromising patient care, privacy with AI tool misuse
A former executive at Mayo Clinic has accused the organization of using AI tools that compromised patient privacy, manipulated data, and blew past institutional review protocols.
Posted inTop Stories
DOJ declines to prosecute health entity per Corporate Enforcement Policy, but indicts former CEO
The Department of Justice (DOJ) has declined to prosecute a New Jersey health business for fraud, kickbacks and bribery, while indicting the chief executive on multiple counts. Campus Eye Management (CE), which ran a busy optometry practice and eye surgery center, voluntarily reported the malfeasance, fully cooperated with the DOJ and timely remediated, so it […]
Posted inTop Stories
Telehealth company Hims & Hers vows to fight FTC suit alleging illegal subscription, cancellation practices
The FTC has filed another enforcement action against a company charging illegal subscription fees and using illegal cancellation practices, this time against the telehealth company Hims & Hers.
Posted inRegulatory Enforcement
Edwards Lifesciences pays $10M and creates antitrust compliance program under FTC judgment
Edwards Lifesciences Corp. will pay a $10 million penalty and create and maintain an antitrust compliance program under a pending agreement with the FTC for failing to notify the commission about its acquisition of JC Medical from Genesis MedTech Group.
Posted inBest Practices
Regulators are likely to pass laws on AI use in healthcare. Here’s how to prepare
Artificial intelligence tools hold breathtaking potential in the healthcare ecosystem.
Posted inRegulatory Policy
New DOJ fraud division means broad realignment of resources and attorneys
A new U.S. Department of Justice division will lead investigations of government fraud, and take over duties—and staff, and funds– currently handled by other DOJ divisions and government agencies, Acting Attorney General Todd Blanche announced.
Posted inHealthcare
Upstream Bio appoints GC
Upstream Bio, a clinical-stage company developing treatments for inflammatory diseases, with an initial focus on severe respiratory disorders, announced that the company has appointed Allison Ambrose, J.D. as general counsel.
