Neurosurgeon Facing False Claims Act Liability Following Unnecessary Spinal Implant Procedures

It’s another instance of healthcare fraud involving the federal Medicare and Medicaid systems. A prominent California neurosurgeon, his associates, and their distributorship network – Reliance Medical Systems LLC – are facing significant possible liability under the False Claims Act for engaging in unnecessary procedures in order to pad revenue. The […]

Department of Justice Files False Claims Act Complaint Against California Nursing Homes

On August 29th, the U.S. Department of Justice filed a complaint against two California-based nursing home facilities known as Country Villa Watsonville East and Country Villa Watsonville West – both of which participate in both Medicare and Medicaid (Medi-Cal). The complaint alleges horrific patterns of patient neglect, including the administration […]

Seventh Circuit Takes Aim at ‘Worthless Services’ False Claims Act Allegations

On the heels of a provocative op-ed in the New York Times discussing the nexus between Medicare and the expenses of nursing home care, the U.S. Court of Appeals for the Seventh Circuit issued its much-anticipated opinion in United States ex rel. Absher v. Momence Meadows Nursing Center, which involves […]

New York Nursing Home Ralex Services Settles False Claims Act Allegations

In a joint effort between the U.S. Department of Justice and the New York Attorney General’s Office, New Rochelle-based Ralex Services, Inc., which does business as Glen Island Center for Nursing and Rehabilitation, has agreed to settle claims it improperly and unlawfully inflated claims for reimbursement from the state and […]

Savannah-Based Optim Healthcare Settles False Claims Act Case

In an obscure set of facts, a Savannah-based healthcare facility recently remitted $4 million to the federal government following allegations it unlawfully re-routed patients to a facility over 90 miles away for inpatient procedures – all in the name of allegedly profiting from Medicare and Medicaid. According to the complaint, […]