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July 2, 2015
General
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 […]
July 1, 2015
General
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 […]
June 30, 2015
General
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.
June 29, 2015
General
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 […]
June 24, 2015
General
NJ MedCare and NJ Heart Pays Millions to Resolve Illegal Billing Allegations
Following a lengthy False Claims Act investigation by the Department of Justice and Department of Health and Human Services, a New Jersey health network has agreed to pay $3.6 million to settle allegations it unlawfully billed Medicare and Medicaid for various unnecessary or underperformed procedures. Healthcare providers are only permitted […]featured investigations
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