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February 27, 2015
Medicaid Fraud
Lake Shore Medi Car Transit Faces $500,000 False Claims Act Settlement for Medicaid Fraud
The Medicaid program is a need-based health insurance program run by the federal and state governments. In most instances, the federal government matches state funding dollar-for-dollar. However, states generally have latitude in determining the type, extent and frequency of services covered. In Illinois, certain medical transport services (aside from emergency […]
February 23, 2015
Healthcare Fraud
EV3 Slapped With Whistleblower Lawsuit After Giving Bad Billing Advice
Medical device manufacturer EV3, an owner of the subsidiary Covidien, Inc., has agreed to pay $1.25 million to settle a False Claims Act lawsuit brought about following allegations it intentionally offered fraudulent billing advice to hospitals with regard to the use of its atherectomy products. The case was settled after […]
February 18, 2015
Healthcare Fraud
ResCare Iowa, Inc. to Pay Over $5 Million to Settle Healthcare Fraud Allegations
Home-based nursing care is considered somewhat of a luxury under government healthcare regulations. This means there are limited circumstances under which programs like Medicare, Medicaid, or TRICARE will reimburse a company for home-based services. Patients must meet strict eligibility criteria prior to receiving reimbursement. Under current guidelines, a medical doctor […]
February 17, 2015
Medicaid Fraud
Community Health Systems Settles Medicaid Fraud Allegations for $75 Million
A recent press release from the Department of Justice alleged that several hospitals within the nationwide Community Health System (CHS) chain made unlawful donations to various county governments in violation of state and federal Medicaid laws. The scheme occurred under New Mexico’s supplemental Medicaid program, which primarily served rural and […]
February 13, 2015
Healthcare Fraud
Dental Clinic Sea Mar Health Center Settles False Claims Act Allegations
The Washington Attorney General’s Office lauded its 2015 recovery of $3.35 million on behalf of state taxpayers and the state Medicaid program. In today’s case, we explore a 2015 recovery involving the nearly decade-long overbilling scheme alleged to have been perpetrated by a Seattle-area dentists’ office regularly treating both pediatric […]
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