From the Justice Department suing Kaiser Permanente over an alleged $1 billion fraud scheme to Geisinger paying $18.5 million to settle allegations of fraudulent billing, here are 11 cases that have made headlines since Oct. 1:
1. Geisinger to pay $18.5M to settle allegations of fraudulent billing
Danville, Pa.-based Geisinger Community Health Services will pay $18.5 million to resolve allegations that it improperly billed Medicare for hospice and home health services, the Justice Department said Nov. 1.
2. UnitedHealthcare sues TeamHealth, alleges $100M fraud
Health insurance giant UnitedHealthcare is suing TeamHealth over the hospital staffing company's emergency room bills. UnitedHealthcare claims that TeamHealth deliberately upcoded the claims to deceive the insurance company into overpaying for ED services "and to reap windfall profits."
3. Kaiser defrauded Medicare of $1B, Justice Department alleges
Oakland, Calif.-based Kaiser Permanente and various affiliates defrauded Medicare of about $1 billion by adding diagnoses to patients' medical records to increase reimbursement, the Justice Department alleged in an Oct. 25 complaint.
4. UPMC defends surgery practices in battle with feds
UPMC is defending its surgery and billing practices after the Justice Department filed a false claims complaint against the Pittsburgh-based system, its physician group and the chair of its department of cardiothoracic surgery.
5. Arizona physician indicted in decade-long billing fraud...
OAKLAND, Calif. — Hobby Lobby dodged unjust enrichment, but not false advertising, claims brought by consumers who say the company’s “limited time” sales are misleading because the discounted items...