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Houston Hospital Leaders Sentenced to 45 Years in Prison for Alarming Medicare Fraud Scheme

The Riverside General Hospital first opened its doors in the 1960s amid a torrent racial climate, becoming one of the first hospitals to de-segregate and operate on policies of inclusion and equality. Since then, it has faced untold financial struggles, including a recent indictment stemming from allegations of nine-figure financial […]

Hebrew Homes Health Network Settles Allegations of Medicare Fraud With the Department of Justice

Florida is one of the top retirement havens in the United States. Accordingly, it is one of just a handful of areas specifically targeted by Medicare fraud task forces, as the potential for scams and misconduct is congruently heightened by the increasing elderly population. In today’s post, we review a […]

Florida Plastic Surgeon Settles Medicare Fraud Lawsuit for $4 Million

In a recent settlement between the Department of Justice and a Florida cosmetic surgeon, the latter has agreed to pay $4 million to settle expansive allegations of Medicare fraud.[1. Department of Justice Press Release, “Florida Physician Agrees to Pay $4 Million and To Accept a 5-Year Exclusion From Medicare to Resolve […]

Department of Justice Turns Eye Toward Settlement Over Off-Label Marketing of Conjunctivitis Drug

When reimbursing for prescription medication, agencies like Medicare and Medicaid are only permitted to pay claims for drugs that are prescribed for their approved use. When a doctor or pharmaceutical company prescribes or promotes a drug for an unapproved use, subsequent invoices for reimbursement could trigger False Claims Act liability.

Connecticut Doctor Settles Allegations of Medicare Fraud

In a small but mighty settlement against an experienced Connecticut physician, the Department of Justice recently exposed significant fraud and upcoding schemes within a Ridgefield office specializing in geriatric care. The physician, who has been practicing medicine for over 40 years, is alleged to have instructed his staff and billing […]