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Medicaid

Louisiana-Based Home Healthcare Company Amedisys to Pay $150 Million to Settle False Claims Act Allegations

In addition to paying a $150 million settlement, Amedisys, Inc. has agreed to submit to a corporate integrity agreement as a result of a False Claims Act case.Image source: Wikimedia Commons Amedisys, Inc. and its affiliates have agreed to pay $150 million to the federal government in order to settle allegations of fraud [...]

By | 2018-03-26T05:51:08+00:00 April 30th, 2014|Healthcare Fraud|

Duke University Health System to Pay $1 Million to Settle False Claims Act Allegations

In 2013, nearly 29 percent of all revenue received by the Duke University Health System was derived from Medicare, while 12 percent came from Medicaid.Image source: Wikimedia Commons The world-renowned Duke University School of Medicine operates out of three area hospitals owned by the Duke University Health System. According to a recently-unsealed False [...]

By | 2018-03-27T09:02:53+00:00 April 14th, 2014|Healthcare Fraud|

Pittsburgh-Area West Penn Allegheny Health System Settles False Claims Act Case

Before its acquisition by Highmark, Inc., West Penn Allegheny Health System owned and operated five hospitals in the city of Pittsburgh. They have settled a False Claims Act case regarding unlawful kickbacks.Image source: Wikimedia Commons In a recent settlement involving the False Claims Act’s anti-kickback provisions and the federal Stark Law, Pittsburgh’s West [...]

By | 2018-03-27T09:04:43+00:00 April 3rd, 2014|Healthcare Fraud|

Hospice Compassus to Pay $3.9 Million to Settle False Claims Act Lawsuit

U.S. Attorney General Joyce Vance of the Northern District of Alabama is involved in the prosecution of a False Claims Act case against a hospice care facility.Image source: Wikimedia Commons The Department of Justice recently announced a $3.9 million settlement with a palliative care company responsible for operating a number of hospice care [...]

By | 2018-03-27T09:06:15+00:00 March 27th, 2014|Healthcare Fraud|

EndoGastric Solutions Settles False Claims Act Case for Over $5 Million

The Montana District Court is overseeing the settlement agreement between the U.S. Government and EndoGastric Solutions.Image source: Wikimedia Commons The False Claims Act not only covers exaggerated bills for examinations, but also works to help eliminate fraud pertaining to the use of medical devices during surgical procedures. In a recent case against gastrointestinal [...]

By | 2018-03-27T09:08:02+00:00 March 20th, 2014|False Claims Act Legal News, Healthcare Fraud|

Proposed Rule Centers on Medicare Overpayment

  New Medicare Part D rules may impose severe False Claims Act penalties against any Plan Sponsor who receives and keeps a Medicare overpayment for prescription drugs.Image source: Wikimedia Commons We often report on the widespread epidemic of healthcare fraud within the United States, particularly occurring in conjunction with Medicare and Medicaid patients. [...]

By | 2014-02-12T21:12:11+00:00 February 12th, 2014|Healthcare Fraud|

The False Claims Act: A State Perspective

The federal False Claims Act, which has been around since the Civil War era, receives plentiful coverage through the media and blogosphere. However, few people realize that a majority of U.S. states have enacted similar or identical legislation to protect their citizens from fraud on the local level. It is not uncommon for state attorneys [...]

By | 2014-02-04T19:44:56+00:00 February 4th, 2014|Healthcare Fraud|

Nationwide Physical Therapy Providers Found to Be in Violation of the False Claims Act

RehabCare is no stranger to liability and has been involved in widely-publicized litigation over the past several years.Image source: Wikimedia.org When a medical services provider agrees to work with patients receiving Medicare or Medicaid, it must abide by certain guidelines and rules with regard to the services offered to that patient. Of course, [...]

By | 2018-03-26T05:10:12+00:00 January 29th, 2014|Healthcare Fraud|

False Claims Act Allegations Result in Settlement Involving Ambulance Provider

Ambulance company Rural/Metro recently settled a multi-million dollar FCA claim while simultaneously handling its Chapter 11 bankruptcy proceedings. Image source: Thomas R Machnitzki (thomas@machnitzki.com), via Wikimedia Commons According to statistics, the False Claims Act is integral in punishing healthcare fraud involving Medicare and Medicaid. While these cases often involve fraud by physicians’ offices or [...]

By | 2018-03-25T16:37:48+00:00 January 27th, 2014|Healthcare Fraud|