Law Enforcement and Legal Issues

Latest Headlines

Latest Headlines

Imaging firm owner faces life sentence for fraud that led to two patient deaths

The owner of a imaging firm is looking at a possible life sentence after being convicted of a fraud scheme in which he instructed unqualified employees to read diagnostic images, according to the  Baltimore Sun.  

CMS clarifies 60-day rule, lookback period for overpayments

The Centers for Medicare & Medicaid Services has finalized rules that specify when the 60-day clock begins ticking for providers to return overpayments, and shaves four years off of the overpayment lookback period, according to  FierceHealthFinance.  

New Texas law targets physician relationship with compounding pharmacies

Across the country, investigators are continuing their pursuit of compounding pharmacies suspected of submitting fraudulent claims to the government's military healthcare program.

DaVita faces another federal false claims investigation

DaVita Healthcare Partners Inc., the nation's largest kidney care provider, is facing yet another federal investigation after self-reporting potential billing irregularities with one of its pharmacy providers, according to the  Wall Street Journal.  

Obama's 2017 budget proposal includes provisions to combat fraud

President Barack Obama's fiscal year 2017 budget includes seven fraud, waste and abuse policies that would save $3.4 billion over the next decade, according to the White House.

OIG sets sights on Part D fraud amid rise in drug spending

Part D fraud remains "a top area of concern" for the Office of Inspector General following a 136 percent increase in Part D spending between 2006 and 2014, according to a new enforcement video released by the agency.  

DOJ links $500M in fraudulent payments to compounding creams

A week after authorities raided compounding pharmacies in four states, federal investigators now believe compounding creams are the source of half a billion dollars in healthcare fraud, according to the  Wall Street Journal.  

Hospital CEO among six arrested for suspected prescription drug scam

The CEO of a small Georgia hospital was arrested last week along with two physicians and three others who allegedly ran a long-standing prescription drug scam, according to  WSB-TV.  

Alaska lawmakers turn their attention toward reducing fraud

Two bills are making their way through the Alaska state Senate with support from lawmakers who say Medicaid fraud is contributing to the state's $4 billion deficit, according to

Legislators take aim at Stark law in light of value-based payment changes

Legislators are asking industry stakeholders for input regarding potential changes to. Stark law in light of the ongoing transition towards value-based payments, according to a report by Bloomberg BNA.