Indianapolis Health Network Agrees to Settle False Claims Act Allegations for $20 Million

When it comes to reimbursement for surgical procedures, Medicare and Medicaid maintain strict guidelines with regard to the location of the surgery and whether it took place in a hospital or independent facility. Recognizing that hospitals have a much higher overhead rate, and generally cost more to operate and maintain, […]

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 […]

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.

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 […]

Embattled Corinthian College Shuts Down Amid Several False Claims Act Lawsuits

Recently, Corinthian College was slapped with a $30 million fine from the federal government for unlawfully inflating its graduation rates in order to lure students into taking out sizable student loans and thereafter failing to follow through with a quality, marketable education. The college was forced to close its doors […]