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April 1, 2015
Medicaid Fraud
New York Mental Health Association Alleged to Have Altered Records Prior to Medicaid Audit
According to the details of a recent settlement under the New York False Claims Act, the Mental Health Association is alleged to have made handwritten alterations to progress notes which were subsequently submitted to Medicaid officials pursuant to an official requested audit. The settlement, which amounted to $304,000, came about […]
February 27, 2015
Medicaid Fraud
Lake Shore Medi Car Transit Faces $500,000 False Claims Act Settlement for Medicaid Fraud
The Medicaid program is a need-based health insurance program run by the federal and state governments. In most instances, the federal government matches state funding dollar-for-dollar. However, states generally have latitude in determining the type, extent and frequency of services covered. In Illinois, certain medical transport services (aside from emergency […]
February 17, 2015
Medicaid Fraud
Community Health Systems Settles Medicaid Fraud Allegations for $75 Million
A recent press release from the Department of Justice alleged that several hospitals within the nationwide Community Health System (CHS) chain made unlawful donations to various county governments in violation of state and federal Medicaid laws. The scheme occurred under New Mexico’s supplemental Medicaid program, which primarily served rural and […]
January 20, 2015
Medicaid Fraud
Five States Collect Payouts From DaVita Healthcare Partners Lawsuit Settlement
DaVita Healthcare Partners is one of the nation’s leading providers of dialysis services, with clinics in 46 states. DaVita agreed to one of the largest healthcare fraud settlements in fiscal year 2014 with regard to its alleged submission of false claims to programs like Medicare and Medicaid for reimbursement. As […]
December 25, 2014
Medicaid Fraud
Seventh Circuit Affirms Dismissal of Medicaid Fraud Case; Cites Federal ‘Assignment’ Law
On November 12, 2014, the U.S. Court of Appeals for the Seventh Circuit affirmed an earlier dismissal by a U.S. District Court in Wisconsin regarding allegations of unlawful billing practices between a retail pharmacy and Medicaid. More specifically, the relator alleged that the pharmacy improperly inflated the costs of certain […]
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