Category: False Claims Act

Avoid legal pitfalls in developing innovative physician-hospital payment structures

Daily, False Claims Act, hospitals, Legal, Payers, Physicians, Stark Law, SYN, Top Story / March 18, 2021 March 18, 2021

While Covid-19 requires physicians and hospitals to be more efficient than ever, a number of legal structures must be considered before providers consolidate their resources. To optimize patient care and ensure rapid payment for services, avoid running afoul of these sometimes counterintuitive regulatory schemes.

EHR vendor athenahealth to pay $18M+ to settle illegal kickback allegations

Anti-Kickback Statute, athenahealth, Daily, department of justice, EHR, False Claims Act, Health IT, Legal, News, settlement, SYN, Top Story, vendor / January 29, 2021 January 29, 2021

The vendor has agreed to pay $18.3 million to settle allegations that it violated the False Claims Act by offering illegal kickbacks to boost EHR sales. The company denies any wrongdoing and said it agreed to settle to “put the matter behind us.”

Konica Minolta settles lawsuit alleging flaws in EHR software for $500,000

Daily, EHR, False Claims Act, Health IT, Konica Minota, Legal, SYN, Top Story, Viztek, whistleblower lawsuit / August 30, 2020 August 30, 2020

The whistleblower case alleged that an electronic health records company acquired by Konica Minolta cheated on certification tests to hide software issues.

Whistleblower lawsuit accuses Cigna of Medicare Advantage fraud

Cigna, Daily, False Claims Act, Insurance, Legal, Medicare Advantage, Payers, SYN, Top Story / August 7, 2020 August 7, 2020

A recently unsealed whistleblower case filed by the Department of Justice accuses Cigna of fraudulently overbilling for its Medicare Advantage plans. Allegations claim the company submitted unsupported diagnoses that resulted in “billions” in overpayments.