Andrews, et al. v. Expedia Group, Inc.
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September 23, 2015
General
Columbus Regional Health System Settles False Claims Act Allegations for $35 Million
The Columbus Regional Health System, which maintains several hospitals, clinics, and a retirement community in the Columbus, Georgia area, has agreed to pay $35 million to settle allegations that it offered lucrative kickbacks and incentives to physicians in violation of the False Claims Act and Stark Law. Both laws prohibit […]
September 22, 2015
General
Department of Justice Issues Guidance to Federal Prosecutors Working in Corporate Fraud Investigations
The Department of Justice has been concerned with the rising trends of healthcare, defense, and contractor fraud against the U.S. government. Many of these cases involve large corporate conglomerates with multinational field offices and a global presence. Investigating and prosecuting these complex entities under the False Claims Act and other […]
September 21, 2015
General
Tennessee Hospice Center to Pay $1.5 Million to Resolve Allegations of Medicaid Fraud
In today’s case, we look at the Nashville-based nonprofit hospice center Alive Hospice, who is alleged to have admitted patients who did not meet the criteria for hospice coverage, and to have intentionally defrauded the government by submitting claims on behalf of these patients. While Alive Hospice representatives publicly disagreed […]
September 18, 2015
General
Fraud Against the Government and the False Claims Act: 5 Common Red Flags
The False Claims Act got its start in the Civil War era after dozens of wayward contractors acquired substantial sums of money from the government despite delivering subpar (or nonexistent) supplies to soldiers. Since then the Act has been applied to virtually every industry in the United States, resulting in […]
September 17, 2015
General
Georgia Optometrist Settles Allegations of False Billing and Upcoding for $275,000
State and federal guidelines impose strict billing requirements when it comes to routine eye care. Unlike many private insurance plans, coverage under Medicare or Medicaid generally provides reimbursement for vision services, provided the optometrist engages in medically necessary procedures. Today we’ll review a whistleblower case filed in 2014 against optometrist […]featured investigations
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