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May 14, 2015
Healthcare Fraud
UPDATE: DaVita Health Settles Allegations of Medicare Fraud for $495 Million
On the heels of its recent $350 million illegal kickback settlement with the Department of Justice, Denver’s DaVita Healthcare Partners, Inc. has opted to set aside another $495 million to settle additional claims under the False Claims Act involving fraud against government health insurer Medicare. The claims arose thanks to […]
May 12, 2015
Healthcare Fraud
Manhattan District Attorney Announces $60 Million Settlement With Accredo Over Illegal Kickbacks
In a somewhat alarming set of facts, self-proclaimed promoter of “specialty pharmacy solutions” Accredo has agreed to pay $60 million to resolve claims that it engaged in unlawful kickbacks with pharmaceutical company Novartis, Inc. According to the details of the settlement, which were recently unsealed by U.S. District Judge Colleen […]
May 11, 2015
Healthcare Fraud
Medical Center of Central Georgia to Settle Allegations of Illegal Upcoding for $20 Million
Illegal billing practices are one of the most common components of a False Claims Act lawsuit. Oftentimes, healthcare facilities engage in years’ worth of fraudulent billing practices before a courageous whistleblower comes forward with allegations of misconduct. At that time, the federal government may opt to intervene in the matter […]
May 8, 2015
Healthcare Fraud
Office of Inspector General Offers Guidance in Addressing Healthcare Fraud Risk
In yesterday’s post, we introduced a recent effort by the U.S. Department of Health and Human Services’ Office of Inspector General, along with several healthcare advocacy groups and agencies, designed to inform and educate healthcare governing boards as to the importance of maintaining thorough compliance measures. We looked at the […]
May 7, 2015
Healthcare Fraud
Office of Inspector General Offers Guidance in Avoiding Illegal Billing Practices
On April 20, 2015, the DHHS OIG, along with the Association of Healthcare Internal Auditors, the American Health Lawyers Association, and the Healthcare Compliance Association, published a first of its kind educational manual designed to help boards avoid the costly and dangerous practices of upcoding, illegal billing, and submitting false […]
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