1. Los Angeles Hospital Agrees to Pay $42 Million to Settle Alleged False Claims Act Violations Arising from Improper Payments to Physicians - “PAMC Ltd., and Pacific Alliance Medical Center Inc., which together own and operate Pacific Alliance Medical Center, an acute care hospital located in Los Angeles, California, have agreed to pay $42 million to settle allegations that they violated the False Claims Act by engaging in improper financial relationships with referring physicians, the Justice Department announced today. Of the total settlement amount, $31.9 million will be paid to the Federal Government, and $10 million will be paid to the State of California.” Read more here
2. Woman Jailed for Medicaid Fraud - “Dawn Bentley, a Detroit-area medical biller, was sentenced to imprisonment for 50 months for her role in a $7.3 million Medicare and Medicaid fraud. According to a report by Click On Detroit, the scheme involved medical services that were billed to Medicare and Medicaid, but not rendered as billed.” Read more here
3. Deeper Than the Headlines: Sunshine Payments - “$8.18 Billion is a lot of money. This is the amount of payments that pharmaceutical companies, medical device companies and group purchasing organizations made to physicians and teaching hospitals in the U.S. in calendar year 2016. This is according to the recently published data from CMS through their Open Payments program, also known by many as the “Sunshine law,” designed to provide transparency on the financial interactions between industry and physicians/teaching hospitals.” Read more here
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