United Health Services in Binghamton/Johnson City, NY nearly had their ability to bill medicaid/medicare revoked because of such violations in their ER in the mid ‘90’s. One of the few things Donna Shalala in DC got personally involved with. There were issues with enquiring about insurance in an overly aggressive manner and patients acute emergency needs not being timely attended to...some deaths were said to be at least indirectly related as folks went to Syracuseto try to get their loved ones treated leading to treatment delays that adversly affected their out-comes.
They improved things there at that hospital so dramatically after that...so much so that I was sorry I had to leave there to come to Virginia to work!