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January 15, 2014 Healthcare Fraud

Florida Care Center Runs Afoul of Medicare Hospice Eligibility Rules

The Medicare and Medicaid system is administered through the payment of invoices submitted by healthcare providers. When submitting a claim to a government healthcare agency, it must be an honest amount for services actually rendered. The patient care cannot be the result of an unlawful kickback scheme and all care […]
January 1, 2014 Healthcare Fraud

Fourth Circuit Revives False Claims Act Case Involving Controversial Painkiller OxyContin

The drug OxyContin has been widely publicized for its tendency to lead patients toward unintended opiate addiction, often resulting in misuse and eventual dependence. The drug is also favored among younger children eager to experiment with illicit drugs without having to venture beyond the medicine cabinet. For these reasons, OxyContin […]
December 31, 2013 Healthcare Fraud

Whistleblowers and Whistleblower Attorneys Make 2013 A Very Bad Year for Healthcare Fraud

The False Claims Act has proven unparalleled in its effectiveness in recovering money improperly obtained by fraudulent businesses and individuals. In recent years, the FCA has proven especially useful in exposing and punishing those engaging in healthcare fraud. Healthcare fraud, generally speaking, involves the submission of fraudulent invoices to programs […]
December 17, 2013 Healthcare Fraud

Hospitalist Company Facing Scrutiny by Department of Justice in Upcoding Case

As you are likely aware, Medicaid and Medicare are federal programs offering health care coverage based on age or financial need. If a healthcare facility is treating a patient with coverage under one or both of these programs, it must submit an invoice for services, which is later reimbursed. During […]
December 16, 2013 False Claims Act Legal News

DOJ Targets Corporate Involvement in Patient Care

One of the most important components of the doctor-patient relationship is the ability of a patient to trust the diagnosis and advice of his doctor. Patients deserve to know that any prescription or course of treatment recommended by a physician is offered with the sincere believe that the treatment is […]
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