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New Jersey Law Journal

Jury Awards Horizon $2.4 Million for Fraudulent Billing Against 3 NJ Health Care Providers

Horizon's complaint alleged it paid more than $2.6 million in claims that were fraudulently submitted by the defendants for medical services that were either not performed, not medically necessary, or not ordered by a licensed medical professional.
2 minute read

The Legal Intelligencer

Mergers and Acquisitions and the Health Care Industry

The American health care industry continues to navigate the aftershocks of the acute phase of the COVID-19 pandemic. According to a recent report published by the American Hospital Association (AHA), increasing supply, labor and administrative costs to hospitals continue to outpace increases in reimbursement rates by government payers.
6 minute read

Corporate Counsel

AG in Texas Is Nation's First to Bring Gen AI Enforcement Action in Health Care

"Disclosing to patients whenever they are interacting with an AI system is always a good idea," said Amy MacDonald, an associate at Manatt Phelps & Phillips.
5 minute read

The Legal Intelligencer

OIG Issues Unfavorable Opinion for Proposal to Share a Percentage of Savings

The requestor inquired as to whether the "proposed arrangement," as discussed below, would warrant sanctions under Sections 1128(b)(7) or 1128A(a)(7) of the Social Security Act (SSA) as they relate to the federal Anti-Kickback Statute (AKS). The opinion concludes that, if undertaken, the proposed arrangement would generate prohibited remuneration under the AKS.
9 minute read

The Legal Intelligencer

Northwestern Pa. Jury Awards $7.1M to Woman Blinded by Delayed Detection of Blood Clot

The plaintiff alleged that CT scans showed readily visible signs of abnormalities suggesting cerebral venous thrombosis, which the defendant missed.
3 minute read

Law.com

Latham & Watkins Secures Dismissal of Legal-Mal Suit Against Company, GC Who Failed to Advise Former Treasurer

The plaintiff had alleged that the defendants were liable for failing to give a so-called Upjohn warning, which is done when the interests of a company and an individual officer become adverse.
4 minute read

Law.com

'Fire All the Bullets Now': EEOC Enforcements Surge

Most of the cases focused on gender discrimination, but two of the suits alleged pregnancy discrimination and two others claimed mistreatment of transgender employees.
9 minute read

The Legal Intelligencer

Jury Hits York Neurosurgeon With Record $23.9M Verdict Over Botched Spine Operation

"Jurors know what it means when someone is trying to mislead them," Iddo Harel said, "and they know what it means when someone is trying to blame others."
3 minute read

New Jersey Law Journal

Virtua Drug Tests Pregnancy Patients Without Consent, NJ Attorney General Alleges in New Suit

"[W]hen pregnant patients receive a positive test result, Virtua will automatically report them to the Division of Child Protection and Permanency for possible child abuse or neglect—even when the positive test occurs only because the patient ate a poppy seed bagel," the complaint said.
3 minute read

Law.com

Judge: 'Perfect Adherence' to Religious Beliefs Not Necessary to Clear Discrimination Suit Against Former Employer

Relying on recent U.S. Court of Appeals for the Eighth Circuit precedent, a federal judge in Missouri is allowing an employee's religious discrimination…
5 minute read

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