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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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July 17, 2015
Healthcare Fraud
Hamilton Healthcare Accused of Allowing Excluded Practitioner to Treat Medicare and Medicaid Patients
As a healthcare practitioner, permission to work with Medicaid and Medicare participants can be an extremely lucrative area of practice. For many physicians working in areas with an aging or low-income demographic, government healthcare enrollees can quickly become a large majority of the patient load – which can often invite […]
July 15, 2015
Contractor Fraud
Watry Homes, LLC, Accused of Underpaying Workers on Government Housing Projects
In today’s post, we explore a form of trickery involving underpayment of workers tasked with constructing federally-funded housing in the Milwaukee, Wisconsin, area. Watry Homes, LLC, has settled both civil and criminal charges stemming from a massive payroll fraud scheme costing taxpayers millions of dollars and resulting in the extreme […]
July 6, 2015
Healthcare Fraud
Tulsa Doctor and Clinic to Settle Allegations of Medicare Fraud for $105,000
In today’s post, we will explore a recent $105,000 settlement involving a Tulsa, Oklahoma, physician accused of defrauding the taxpayer-funded Medicare system, which serves millions of Americans aged 65 and older with affordable health insurance coverage.[1. Department of Justice Press Release, “Settlement Reached In Medicare Fraud Lawsuit Against Tulsa Doctor And […]
July 3, 2015
Healthcare Fraud
Houston Hospital Leaders Sentenced to 45 Years in Prison for Alarming Medicare Fraud Scheme
The Riverside General Hospital first opened its doors in the 1960s amid a torrent racial climate, becoming one of the first hospitals to de-segregate and operate on policies of inclusion and equality. Since then, it has faced untold financial struggles, including a recent indictment stemming from allegations of nine-figure financial […]
July 2, 2015
Healthcare Fraud
Hebrew Homes Health Network Settles Allegations of Medicare Fraud With the Department of Justice
Florida is one of the top retirement havens in the United States. Accordingly, it is one of just a handful of areas specifically targeted by Medicare fraud task forces, as the potential for scams and misconduct is congruently heightened by the increasing elderly population. In today’s post, we review a […]
July 1, 2015
Healthcare Fraud
Florida Plastic Surgeon Settles Medicare Fraud Lawsuit for $4 Million
In a recent settlement between the Department of Justice and a Florida cosmetic surgeon, the latter has agreed to pay $4 million to settle expansive allegations of Medicare fraud.[1. Department of Justice Press Release, “Florida Physician Agrees to Pay $4 Million and To Accept a 5-Year Exclusion From Medicare to Resolve […]
June 30, 2015
Healthcare Fraud
Department of Justice Turns Eye Toward Settlement Over Off-Label Marketing of Conjunctivitis Drug
When reimbursing for prescription medication, agencies like Medicare and Medicaid are only permitted to pay claims for drugs that are prescribed for their approved use. When a doctor or pharmaceutical company prescribes or promotes a drug for an unapproved use, subsequent invoices for reimbursement could trigger False Claims Act liability.
June 29, 2015
Healthcare Fraud
Connecticut Doctor Settles Allegations of Medicare Fraud
In a small but mighty settlement against an experienced Connecticut physician, the Department of Justice recently exposed significant fraud and upcoding schemes within a Ridgefield office specializing in geriatric care. The physician, who has been practicing medicine for over 40 years, is alleged to have instructed his staff and billing […]
June 24, 2015
Healthcare Fraud
NJ MedCare and NJ Heart Pays Millions to Resolve Illegal Billing Allegations
Following a lengthy False Claims Act investigation by the Department of Justice and Department of Health and Human Services, a New Jersey health network has agreed to pay $3.6 million to settle allegations it unlawfully billed Medicare and Medicaid for various unnecessary or underperformed procedures. Healthcare providers are only permitted […]
June 23, 2015
Healthcare Fraud
Florida’s ‘MediMix’ Settles False Claims Act Allegations
The federal and state governments expend billions of dollars annually to ensure this nation’s older and impoverished citizens have access to proper and affordable medical care through Medicare and Medicaid. In return, the government relies upon practitioners and healthcare companies to offer the lowest possible rates and fairest prices for […]
June 22, 2015
Healthcare Fraud
Medco Agrees to Settle ‘Disguised Discounts’ Allegations
Under the False Claims Act, it is considered unlawful for businesses or practitioners engaged in the healthcare field to engage in incentivized financial relationships with one another. The concept, often referred to as an illegal kickback, is considered unlawful due to the ‘taint’ it places on the doctor-patient or manufacturer-consumer […]
June 19, 2015
Contractor Fraud
UPDATE: Guardrail Manufacturer Trinity to Pay $633 Million in Fines and Penalties
Over the past several months, we have steadily reported on the plight of Texas-based Trinity Industries, manufacturer of – among other things – guardrails for installation on roadways across the United States. Pursuant to a lucrative contract with the National Highway Traffic Safety Administration (NHTSA), the company was tasked with […]
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