Medicaid Fraud

Quest Diagnostics to Pay $1.79 Million to Settle Fraud Claims

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 a provider fails to adhere to the Medicare guidelines, it could quickly face liability under the False Claims Act for unlawfully billing the government in violation of [...]

By | 2018-09-12T16:46:44+00:00 September 7th, 2015|Healthcare Fraud|

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

As one of the leading and most successful whistleblower law firms in the United States, Berger Montague is pleased to announce its involvement in a $55.5 million settlement involving three major players in the pharmaceutical industry. This past July, Berger Montague announced the settlement against AstraZeneca, Cephalon, Inc., and BioGen, [...]

By | 2019-02-19T16:03:31+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

In yet another case of healthcare fraud, Richmond, Virginia-based Health Diagnostics Laboratory and Alameda, California-based Singulex, Inc. have agreed to pay a combined $48.5 million to settle allegations of rampant False Claims Act violations. The case involves two issues under the False Claims Act. First, the labs are alleged to have offered lucrative kickbacks [...]

By | 2018-09-12T11:55:03+00:00 May 4th, 2015|Healthcare Fraud|

Adventist Health Settles Allegations it Failed to Supervise Radiologists

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 radiology services. The settlement concludes an investigation conducted by the U.S. Attorney’s Office for the Middle District of Florida, the Civil Division’s Commercial Litigation Branch, [...]

By | 2018-08-21T14:27:47+00:00 April 9th, 2015|Healthcare Fraud|

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

Following an investigation by the Department of Health and Human Services, along with the Office of Inspector General and the Department of Defense’s investigative unit, a Florida dermatology clinic known as Coastal Dermatology has opted to settle allegations of fraud and illegal billing procedures. The allegations – which are not uncommon in the realm [...]

By | 2018-09-12T10:50:04+00:00 April 3rd, 2015|Healthcare Fraud|

Michigan’s Agility Health to Settle False Claims Act Charges Claims for $1 Million

In a press release issued by the Department of Justice on February 25, 2015, authorities revealed the details of alleged misconduct occurring within the national health management chain known as Agility Health, LLC and one of its local Michigan facilities known as Oceana County Medical Care Facility. The case was brought about by three [...]

By | 2018-09-13T11:54:35+00:00 April 2nd, 2015|Healthcare Fraud|
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