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Compliance & Legal

By Jeff Lagasse | 10:45 am | April 28, 2016
The Centers for Medicare and Medicaid Services has made public a "lightly redacted" copy of the letter it sent to beleaguered blood-testing company Theranos on March 18, with newly revealed allegations that its proprietary testing devices often failed to meet the company's own accuracy requirements for certain tests -- in one instance, failing to accurately detect prostate cancer.
By Beth Jones Sanborn | 10:20 am | April 28, 2016
Drug companies Wyeth and Pfizer have agreed to pay $784.6 million to settle allegations that Wyeth did not provide the same drug discounts to Medicaid that it gave to private buyers, the U.S. Attorney's office announced Wednesday.
By Susan Morse | 01:09 pm | April 27, 2016
New York state and seven health insurance companies have come to an agreement that ensures patients with chronic hepatitis C get coverage whether the members develop advanced signs of the infection or not, New York Attorney General Eric T. Schneiderman announced Tuesday.
By Beth Jones Sanborn | 03:12 pm | April 26, 2016
A federal jury in Arizona has awarded $27.6 million to Marc A. Wichansky, former president and co-owner of Zoel Holding Co. in Phoenix, including more than $14 million in punitive damages against his former business partner David T. Zowine, Wichansky's lawyer Sean Callagy announced Monday.
By Beth Jones Sanborn | 01:44 pm | April 26, 2016
Hospitals participating in the Affordable Care Act's 340B drug pricing program are failing to comply with several key requirements of the law, according to a recent study by the Berkeley Research Group.
By Beth Jones Sanborn | 03:37 pm | April 22, 2016
Health insurance giant Aetna has declared victory in a years-old lawsuit against Bay Area Surgical Management, after a civil jury slapped the California medical group with a $37.4 million dollar judgement, Aetna said.
By Beth Jones Sanborn | 10:31 am | April 21, 2016
Boston Medical Center and two of its physician practice organizations have agreed to pay $1.1 million to resolve allegations made by a former chief compliance officer that they improperly billed Medicare and Medicaid, the U.S. Attorney's Office has announced.
By Jeff Lagasse | 01:57 pm | April 20, 2016
Raleigh Orthopaedic Clinic of North Carolina will pay $750,000 to settle charges that it violated the Health Insurance Portability and Accountability Act of 1996 Privacy Rule.
By Beth Jones Sanborn | 01:15 pm | April 19, 2016
Bon Secours Health System and Eugene Y. Chang, MD, one of the system's surgical oncologists, will pay $400,000 to settle civil fraud allegations leveled against them in a whistleblower lawsuit filed by a former Bon Secours practice manager and one of Chang's former colleagues, the Department of Justice announced Monday.
By Jeff Lagasse | 10:07 am | April 19, 2016
Blood testing startup Theranos is under investigation by the U.S. Securities and Exchange Commission and the U.S. Attorney's Office for the Northern District of California.