Traditions Health has agreed to pay $34 million to resolve its civil liability under the False Claims Act for submitting medically unnecessary home health claims to Medicare and providing financial benefits to physicians in exchange for referrals, according to a…
Legal + Compensation
Federal regulators are signaling that healthcare fraud enforcement is not slowing down in 2026, and in some cases, it may accelerate. Recent guidance and enforcement updates suggest physicians should expect closer scrutiny of billing, documentation, industry relationships and compliance certifications…
A former physician has been sentenced to 10 months in prison, followed by three years of supervised release, for seeking medical employment using a stolen identity, according to a Jan. 5 Justice Department news release. What happened?
Hartford, Conn.-based Hartford Healthcare’s acquisition of Manchester Memorial and Rockville General hospitals from bankrupt Prospect Medical was approved with conditions aimed at limiting cost increases and preserving physician autonomy, according to a Dec. 10 press release. The agreement resolves an…
More than one-third of physicians say the financial state of their practice worsened over the past year, even as most reported stable or growing income levels, according to Medical Economics‘ 96th Physician Report, published Dec. 29. Thirty-five percent of surveyed…
Advertisement
Los Angeles-based physician Violetta Mailyan, MD, has been indicted for allegedly submitting more than $45 million in false Medicare claims for Botox injections, according to a Dec. 18 news release from the Justice Department. What happened?
The American Osteopathic Association has filed a lawsuit challenging a policy by the American Board of Internal Medicine that it claims “unfairly limits opportunities for both internal medicine physicians and residency and fellowship training programs.” According to a Dec. 4…
Maintaining Stark law compliance is critical as violations could trigger major fines, exclusion from federal healthcare programs, and False Claims Act exposure, according to a November blog post from Health Law Offices of Anthony Vitale. Here are seven tips the…
CMS on Nov. 28 finalized a 1.3% pay cut for home health pay as one of its updates to the 2026 Home Health Prospective Payment System. The updates also include both permanent and temporary adjustments tied to the patient-driven groupings…
The American Medical Association is facing heightened scrutiny from Republican lawmakers about its role in shaping physician payment, The Washington Post reported Dec. 2. Five things to know: 1. Sen. Bill Cassidy, R-La., sent a letter to the AMA Dec.…