September 22, 2026
Law360 Healthcare Authority looks at a First Circuit decision backing criminal penalties on a psychiatrist convicted for submitting $19 million in fraudulent claims, the Second Circuit's conclusion that the No Surprises Act doesn't provide a private right of action for enforcing independent dispute resolutions awards, and other appellate rulings affecting the healthcare industry over the last week.
September 22, 2026
The First Circuit affirmed a lower court's calculations behind a 99-month prison sentence and $6.5 million restitution order for a psychiatrist convicted of submitting $19 million in claims to insurers for thousands of sessions that never took place.