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August 25, 2015 General

Pediatric Services of America Settles False Claims Act Allegations for $6.88 Million

Under the False Claims Act, sins of omission are punished just as severely as sins of commission, and Pediatric Services of America can attest to this fact. Known as reverse false claims, failing to properly reimburse programs like Medicare and Medicaid for known overpayments is considered equivalent to overbilling and […]
August 24, 2015 General

Maryland’s ‘Educational Affiliates’ Agrees to Pay $13 Million to Settle False Claims Act Allegations

Federal Student Financial Aid is the largest provider of funding for American college students in the United States. These funds have paid approximately $150 billion in grants, work-study funds, and financial aid to 13 million students. Like all federal money, these funds come with strings attached and universities are required […]
August 21, 2015 General

Wheeling Jesuit University to Pay $2.3 Million to Settle Allegations of Federal Grant Fund Misuse

Unfortunately, fraud within universities is not uncommon, and today’s case highlights a growing trend of grant fund misuse. Located in the mountains of West Virginia, Wheeling Jesuit University has agreed to pay $2.3 million it is alleged to have misused, all of which was provided by the National Aeronautics and […]
August 20, 2015 General

Tennessee Hospital Agrees to Settle Allegations of False Billing and Unlawful Practices

Of the various ways in which healthcare providers can violate the False Claims Act, ordering medically unnecessary procedures – particularly those involving the cardiac system – are considered particularly egregious. As opposed to illegal upcoding or kickback schemes, the performance of medically unnecessary procedures actually places patients directly in harm’s […]
August 19, 2015 General

Government Accountability Office Alerts Congress to Medicare & Medicaid Eligibility Issues

In fiscal year 2014, American taxpayers footed a $554 billion dollar bill for Medicare and Medicaid – two programs that, while essential in nature, are exceedingly strapped for resources. As one of the hallmark goals of the False Claims Act, authorities have worked diligently to ensure providers are billing correctly […]
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