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May 28, 2014 Healthcare Fraud

Department of Health and Human Services Proposes Enhancements to Its Enforcement Powers

As we discussed recently, the federal government has implemented several important measures to combat the rampant healthcare fraud plaguing American taxpayers. One such program, known as the H.E.A.T. Task Force, is administered jointly by the U.S. Attorney General’s Office and the Department of Health and Human Services (HHS). As an […]
May 22, 2014 Healthcare Fraud

New Jersey Hospital Somerset Medical Center Settles Anti-Kickback Allegations

A recent settlement under the False Claims Act reveals a startling and unlawful financial relationship between New Jersey’s Somerset Hospital and the nearby cardiology clinic Medicor Cardiology. The whistleblower complaint was filed by two hospital employees who reported the illicit payments occurred between 2009 and 2013. The final settlement amount […]
May 14, 2014 Healthcare Fraud

U.S. Government Intervenes in Power Wheelchair False Claims Case Against Orbit Medical Inc.

Power wheelchair claims are one of the most costly medical device codes submitted to Medicare and Medicaid each year. So much so, that the Office of Inspector General conducted a study in 2001 to determine whether these chairs are actually “medically necessary” in most cases and, if so, whether a […]
May 7, 2014 Healthcare Fraud

Doctor Settles Allegations of Performing Unnecessary Nasal Surgery on Pediatric Medicaid Patients

In yet another healthcare fraud case, an Oklahoma-based hospital, its parent company Health Management Associates, and Dr. Daniel Castro have agreed to settle a whistleblower lawsuit filed under the federal False Claims Act and its Oklahoma counterpart. According to the allegations found in the complaint, the medical professionals involved were […]
May 6, 2014 Healthcare Fraud

Hope Center Institute Submits False Claims to Federal Government, Settles for $2.9 Million

The Kansas-based cancer center known as Hope Cancer Institute and one of its physicians recently settled with the U.S. government over allegations of fraudulent billing practices. In the healthcare industry alone, the False Claims Act has been pivotal in recovering billions of dollars on behalf of American taxpayers. In fact, […]
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