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Medicaid Fraud

Quest Diagnostics to Pay $1.79 Million to Settle Fraud Claims

A New Jersey-based diagnostic clinical laboratory has agreed to pay $1.79 million to settle claims it defrauded Medicare.Image source: Wikimedia Commons Under the guidelines of Medicare Part B, enrollees are entitled to coverage for medically necessary and essential diagnostic services, including bloodwork, x-rays, and similar imaging examinations. If [...]

By | 2018-03-26T02:28:28+00:00 September 7th, 2015|Healthcare Fraud|

Berger Montague Settles Whistleblower Lawsuit Involving AstraZeneca, Cephalon, & BioGen, Inc.; Secures $55 Million on Behalf of Taxpayers

AstraZeneca, Cephalon, Inc., and BioGen, Inc. have agreed to pay $55 million to settle allegations of unlawful billing practices with regard to Medicaid prescriptions. As one of the leading and most successful whistleblower law firms in the United States, Berger Montague is pleased to announce its involvement in [...]

By | 2018-03-25T13:25:32+00:00 August 13th, 2015|Healthcare Fraud|

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

Indiana’s Community Health Network has agreed to settle claims it intentionally overbilled Medicare and Medicaid for procedures at ambulatory surgery centers.Image source: Wikimedia Commons When it comes to reimbursement for surgical procedures, Medicare and Medicaid maintain strict guidelines with regard to the location of the surgery and whether [...]

By | 2018-03-26T05:02:44+00:00 July 24th, 2015|Healthcare Fraud|

The Children’s Hospital Agrees to Pay Nearly $13 Million to Settle False Claims Act Allegations

A prominent pediatric care hospital is accused of committing healthcare fraud against the government, resulting in a $12.9 million False Claims Act settlement.Image source: Wikimedia Commons Proving that healthcare fraud truly knows no bounds, the Children’s National Medical Center – through its Children’s Hospital Medical Graduate Program – [...]

By | 2018-03-25T15:29:59+00:00 July 23rd, 2015|Healthcare Fraud|

Hamilton Healthcare Accused of Allowing Excluded Practitioner to Treat Medicare and Medicaid Patients

Harrisburg, Pennsylvania-based Hamilton Healthcare has agreed to settle allegations of Medicare and Medicaid fraud. 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 [...]

By | 2018-03-27T02:28:06+00:00 July 17th, 2015|Healthcare Fraud|

Health Labs Agrees to Pay $48.5 Million to Settle Allegations of False Claims

Health Diagnostics Laboratory and Singulex, Inc. have both agreed to settle claims of wrongfully engaging in kickbacks with physicians, as well as ordering medically unnecessary tests on behalf of Medicare and Medicaid patients.Image source: Wikimedia Commons In yet another case of healthcare fraud, Richmond, Virginia-based Health Diagnostics Laboratory [...]

By | 2018-03-27T02:36:22+00:00 May 4th, 2015|Healthcare Fraud|

DOJ’s Motion to Reopen PharMerica Whistleblower Case Highlights Critical FCA Issues

Despite having reached a settlement in September, the DOJ has motioned to reopen the whistleblower case against PharMerica, citing several ongoing disputes.Image source: Wikimedia Commons False Claims Act cases often conclude with a negotiated settlement between the Department of Justice (DOJ), defendant(s), and the relator(s). However, settlements are [...]

By | 2018-03-25T16:10:50+00:00 April 21st, 2015|Healthcare Fraud|

Adventist Health Settles Allegations it Failed to Supervise Radiologists

Adventist Health System has agreed to settle claims it did not properly supervise oncology radiology procedures.Image source: Wikimedia Commons In a recent healthcare fraud settlement, Adventist Health System – Sunbelt Healthcare Corporation has agreed to pay $5.4 million to settle allegations it improperly billed Medicare and Medicaid for [...]

By | 2018-03-25T10:35:53+00:00 April 9th, 2015|Healthcare Fraud|

Florida-Based Coastal Dermatology Settles False Claims Act Allegations for $787,000

Jacksonville-based Coastal Dermatology has agreed to pay $1 million to resolve False Claims Act allegations regarding illegally upcoded services offered to government healthcare beneficiaries.Image source: Wikimedia Commons Following an investigation by the Department of Health and Human Services, along with the Office of Inspector General and the Department [...]

By | 2018-03-26T02:00:33+00:00 April 3rd, 2015|Healthcare Fraud|
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