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July 27, 2015
General
VMWare Settles FCA Allegations for $75 Million Following Five Year Investigation
Government contract work can be extremely lucrative, providing companies with a regular stream of income and dependable job security for their employees. Accordingly, the risk for rampant fraud and abuse of taxpayer resources is also very common, particularly when it comes to adhering to the ironclad provisions in the government’s […]
July 24, 2015
General
Indianapolis Health Network Agrees to Settle False Claims Act Allegations for $20 Million
When it comes to reimbursement for surgical procedures, Medicare and Medicaid maintain strict guidelines with regard to the location of the surgery and whether it took place in a hospital or independent facility. Recognizing that hospitals have a much higher overhead rate, and generally cost more to operate and maintain, […]
July 23, 2015
General
The Children’s Hospital Agrees to Pay Nearly $13 Million to Settle False Claims Act Allegations
Proving that healthcare fraud truly knows no bounds, the Children’s National Medical Center – through its Children’s Hospital Medical Graduate Program – is accused of engaging in costly and wasteful healthcare fraud involving various pediatric patients enrolled in the Medicaid program. Consequently, the hospital has agreed to pay a staggering […]
July 22, 2015
General
NY Attorney General Settles with Walgreens Pharmacy Over Unlawful Medicaid Billing Allegations
With one of the most active and often-used state False Claims Acts, New York has once again taken aim at alleged misconduct within the healthcare industry. According to a recent announcement by the New York Attorney General’s Office, the popular Walgreens pharmacy and its subsidiary Trinity Homecare, LLC have reached […]
July 21, 2015
General
Lawsuits Allege Inflated Risk Adjustment Scores, Resulting in False Claims
In yesterday’s post, we introduced the concept of risk assessment scores, and how the Center for Medicaid and Medicare Services (CMS) relies on information reported by healthcare facilities to adjust reimbursement rates [1. Medicare Managed Care Manual, Chapter 7. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/mc86c07.pdf] for certain demographics and regional areas. As a review, certain […]
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