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September 29, 2015 Healthcare Fraud

Adventist Health System Pays Massive $118 Million False Claims Act Settlement

In yet another case of illegal kickbacks and unlawful referrals, Florida-based Adventist Health System has agreed to pay $118 million to the federal government pursuant to several successful whistleblower actions filed by former employees of the corporation. Adventist is a non-for-profit healthcare corporation that manages facilities in ten states. According […]
September 24, 2015 Healthcare Fraud

North Broward Hospital District Agrees to Pay $69 Million to Settle Claims of Illegal Kickbacks

The False Claims Act – and its companion statute, the Stark Law – expressly forbid hospital corporations from offering any sort of kickback or incentive in exchange for patient referrals or recommendations of certain products. These rules stem from the notion that patients should receive medical advice untainted by a […]
September 23, 2015 Healthcare Fraud

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 17, 2015 Healthcare Fraud

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 […]
September 14, 2015 Healthcare Fraud

K-Mart Pharmacy Accused of Defrauding Medicare; Settles for $1.4 Million

Much like healthcare providers are prohibited from providing kickbacks to  doctors and patients, pharmacies are likewise prohibited from inducing potential customers by offering financial incentives to choose one dispensary over another. In essence, the government seeks to ensure Medicare enrollees are free to choose the pharmacy of their liking without […]
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