Compliance & Legal

Inaccuracies in the Medicare Advantage directories may trigger penalties of up to $25,000 a day per beneficiary or bans on new enrollment and marketing.

The groups are worried about anticipated failures resulting in a significant, multibillion dollar disruption for physicians and serious access-to-care issues for Medicare patients.

Opening arguments give glimpse of where Justices stand as hospitals, states and organizations call for the law to stay.

If the court rules against the Obama administration, those subsidies could be cut off for everyone in the three dozen states using healthcare.gov.

Denham allegedly solicited and accepted monthly payments from CareFusion Corp., maker of the antiseptic ChloraPrep, while serving as co-chairman of a National Quality Forum committee in 2009 and 2010.

Mary Ann Stewart faces a maximum sentence of 10 years in prison for healthcare fraud and five years in prison for making false declarations before a grand jury.

Nina Pham alleges the hospital knew of the impending medical crisis yet failed to provide training and proper equipment, including protective gear, to treat Ebola patients.

Federal overseers have seldom penalized the healthcare organizations responsible for safeguarding this data, a ProPublica review shows.

A recently unsealed federal lawsuit alleges hospital owner HCA Holdings subjected patients to medically unnecessary, invasive and high-risk cardiology procedures for years and then submitted false medical claims for federal reimbursement, according to court documents.

Suit claims that the SEIU tried to thwart the $843 million acquisition agreement with Prime Healthcare Services, by conspiring with rival takeover bidder Blue Wolf Capital Partners.