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October 10, 2013 Healthcare Fraud

Tuomey Health Care Ordered to Pay Over a Quarter Billion Dollars for Health Care Fraud

The case against Tuomey Health Care began when a whistleblower physician refused to do business with the company under the terms of its standard contract, which included anticipated physician referrals as part of the computation of the physician’s compensation. Kickbacks and referral fees are prohibited under the FCA and the […]
October 1, 2013 Healthcare Fraud

Third-Party Diagnostic Service Provider Found Engaging in Billing Fraud

Medical billing fraud occurs when a healthcare provider submits invoices to federal healthcare reimbursement programs, such as Medicare or Medicaid, for services either never rendered or for more costly services than those actually rendered. Sometimes, as in the case described below, a medical facility outsources part of its processes to […]
September 25, 2013 Healthcare Fraud

Oncologist Accused of Shocking Acts of Medical Fraud

In one of the most shocking cases of Medicaid and Medicare fraud to date, a Michigan-area cancer doctor is accused of a $35 million billing scheme involving claims of intentional misdiagnoses, unnecessary cancer treatments and violations of the naturalization process. In its original August 6th filing, the Department of Justice […]
September 24, 2013 Healthcare Fraud

Renowned Hospital Group to Pay $26 Million in Penalties

Shands HealthCare, located in Florida and connected with the University of Florida’s College of Medicine, will reportedly pay over $26 million in fines and penalties to the United States government pursuant to its recent settlement of claims under the False Claims Act. Shands is comprised of six prominent hospitals in […]
September 23, 2013 Healthcare Fraud

District Court Holds Medical Billing Company Liable for Fraudulent Compensation Claims

Many of our recent posts relating to fraudulent billing practices have involved claims against healthcare institutions accused of perpetuating fraud in Medicare and Medicaid billing. However, a recent case out of Northern California highlights a growing trend in workers’ compensation fraud – or, the submission of invoices and bills to […]
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