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March 19, 2014
Healthcare Fraud
Florida Pain Clinic to Pay $750,000 Amid Allegations of Phony Medicare Invoices
In a tale as old as time, another physician’s office has opted to settle with the federal government after facing allegations of fraudulent Medicare billing. Under the False Claims Act, it is considered unlawful for a doctor to submit invoices for repayment to healthcare agencies like Medicare or Medicaid for […]
March 14, 2014
Healthcare Fraud
Long Island Radiologist to Pay Over $15 Million to Settle False Claims Act Allegations
Fraud in the healthcare industry is reaching alarming levels. Each year, the Department of Justice works in concert with several other federal agencies and state-level counterparts to combat this growing trend. The False Claims Act is extremely pivotal in bringing healthcare fraud to light. Given the widespread problem of fraud […]
March 12, 2014
Healthcare Fraud
Filing Reveals Solicitor General’s Opinion of Government Involvement in Off-Label Marketing
As we have reported in the past, the U.S. Circuit Courts are split on several issues involving the federal False Claims Act. One of the most divisive issues facing the courts today involves the application of Federal Rule of Civil Procedure 9(b). Rule 9(b) requires heightened pleading requirements for plaintiffs […]
March 7, 2014
Healthcare Fraud
False Claims Authorities Take Aim at Tennessee Mental Health Facility Caught Upcoding
One of the most common practices occurring within the context of healthcare fraud involves a process known as upcoding. When a doctor or nurse performs a medical service, that service corresponds to a universal set of codes used to prepare the patient’s bill. These codes are derived from a compilation […]
March 6, 2014
Healthcare Fraud
Government Intervenes in False Claims Act Case Against Tenet Healthcare
In yet another case involving unlawful patient referrals, Tenet Healthcare Corp. and four of its Southeast-area hospitals are facing allegations of misconduct under the False Claims Act. The False Claims Act has been extremely pivotal in bringing kickback schemes to light and continues to hold doctors, hospitals, and pharmaceutical professionals […]
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