HOSPITAL SELF-DISCLOSURE RESULTS IN $8.5 M SETTLEMENT

Last Friday the DOJ announced an $8.5 million settlement of possible Stark Law, Anti-Kickback, and False Claims Act violations voluntarily disclosed by Memorial Hospital in Fremont, Ohio. In 2012 Memorial (now known as Promedica Memorial) Hospital’s own internal audit revealed two financial relationships with …

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“WHAT’S NEW?” D.C. CIRCUIT ASKS

What’s new?  More specifically, what’s a new hospital?  That’s the question posed to the D.C. Circuit in a case brought by over two dozen Select Medical Corp. hospitals against HHS.  And a great deal of money depends on the answer. Under Medicare rules a “new” hospital can receive 85% reimbursement …

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FLA. SUP. CT. SAYS MED MAL CAP VIOLATES FLA. EQUAL PROTECTION CLAUSE

Answering a question certified by the Eleventh Circuit, the Florida Supreme Court yesterday ruled that Florida’s statutory limit on noneconomic damages in cases of wrongful death from medical malpractice violates the Florida constitution’s guarantee of equal protection.  McCall v. U.S., No. …

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Solo Doc Lacks Antitrust Standing, Says Seventh Circuit

Dr. Fisher is a solo family practitioner in Oshkosh.  He had been on the Aurora Hospital medical staff for a decade when the hospital adopted a 24/7 coverage rule requiring doctors to provide 24/7 coverage, either personally or through back-up by another staff member.  Dr. Fisher, of course, could not be …

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Chiropractors May Be Guilty of Manipulation

Score one for the GEICO gecko.  A federal court in Florida has refused to dismiss a case brought by auto insurer giant GEICO accusing two chiropractic clinics of a criminal scheme to stage auto accidents and exaggerate injury and medical claims in order to defraud auto insurance companies. The alleged scheme …

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This Just In From California: Poisoning A Co-Worker Is Not Within Your Job Description

Theresa and Sara were medical assistants in a California Kaiser health facility.  They argued over how the rooms should be stocked and over some misplaced lab slips.  Theresa bided her time for a few weeks and then struck: she slipped carbolic acid into Sara’s water bottle.  Sara drank it and got pretty …

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