Compliance News Roundup: Oncology Billing Fraud

Welcome to our Wednesday News Roundup, where we scour the internet to bring you the most relevant, breaking news in the healthcare industry. And, if you love news as much as we do, be sure to read our Deeper Than the Headlines feature, written by our very own compliance expert, CJ Wolf, where he’ll take you even deeper into the featured stories.

1. California Hospital Settles for $5.5 Million in Oncology Billing Fraud Allegations - Hospital representatives stated it made a business decision to settle after pouring time and resources into battling the suit for four years: http://www.mtdemocrat.com/news/marshallsettlesbillinglawsuitfor55million/

2. Marshall Hospital Pays 5.5 Million Settlement - Oncology nurse director filed a whistleblower lawsuit against Marshall Medical Center and physicians claiming that they violated the False Claims Act. She will receive 26%, or $1.4 million of the settlement: http://www.bizjournals.com/sacramento/news/2016/07/01/marshall-hospital-pays-5-5-million-settlement-in.html

3. Deeper Look At Marshall’s Hospital Settlement And How It Happened - Court documents reveal the specifics of fraud allegations in regards to hospital and physician oncology billing practices. The whistleblower was a former clinical nursing director for specialty clinics. Specific allegations included inappropriate billing regarding chemotherapy infusions, observation codes, and dosages of drugs: Deeper Than the Headlines: Oncology Billing Fraud

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