Even a misdemeanor guilty plea can have far reaching ramifications in the healthcare industry. The Sixth Circuit recently upheld a decision of the Department of Health and Human Services (HHS) that a healthcare provider was subject to mandatory exclusion following a guilty plea to misdemeanor misbranding. As the court recognized, trial counsel had anticipated this possibility and warned the provider about potential exclusion. … [Read more...] about Exclusion from Healthcare Programs for a Misdemeanor?
Government funded healthcare programs
According the lawsuit filed on behalf of the government, Hawkins claimed that for a period of four years, between 2006 and 2010, Dignity, which is based in San Francisco and formerly known as Catholic Healthcare West, admitted patients into 13 of its hospitals for required elective surgery or other vital medical procedures. However, many of the patient’s medical diagnosis and treatment were not serious enough to warrant hospital stays. In fact, the government’s investigation of Dignity’s ongoing questionable practices between 2000 and 2008, further uncovered alleged admittance of patients treated for elective procedures that were found to be minimally invasive. Despite the knowledge that these practices were unlawful, Dignity’s hospitals repeatedly sought reimbursement from Medicare and TRICARE for the more costly inpatient stays, thereby increasing the hospitals revenue, while violating the FCA. Although this settlement is not an admission of … [Read more...] about Dignity Health Agrees to Reimburse the Government $37 Million for Allegedly Overbilling Medicare and TRICARE Programs
Headquartered in Kennett Square, Pennsylvania, Genesis Healthcare was established in 1985, and currently runs over 500 skilled nursing facilities and assisted living centers across 34 states. Genesis acquired two of the subsidiaries in question, Skilled Healthcare Group Inc. (SKG) and Sun Healthcare Group, Inc. (Sun) following the companies’ alleged misconduct. Genesis’s acquisition of SKG positioned the company as one of the most dominant post-acute care operators in the country. … [Read more...] about Genesis HealthCare To Pay $54 Million To Settle Qui Tam Lawsuits Alleging Subsidiaries Overbilled Government for Hospice Services
"You have a guy who thinks that the United States apparently should remain the only major country on earth not to guarantee healthcare to all people,” Sanders said. “The truth of the matter is that I think study after study has indicated that Medicare for All is a much more cost-effective approach toward healthcare than our current, dysfunctional healthcare system, which is far and away the most expensive system per capita than any system on earth.” … [Read more...] about Bernie Sanders: Starbucks CEO ‘dead wrong’ on government-run healthcare
The Department of Justice announced Wednesday that Omnicare Inc., the nation’s largest nursing home pharmacy company, has agreed to pay $124 million to settle whistleblower allegations of healthcare fraud. The whistleblower lawsuit alleged that the company engaged in a kickback scheme with skilled-nursing facilities all across the country. … [Read more...] about Omnicare Pays $124 Million to Settle Whistleblower Allegations Involving Healthcare Fraud