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Medicaid

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

Amedisys, Inc. and its affiliates have agreed to pay $150 million to the federal government in order to settle allegations of fraud and misconduct. According to statements revealed earlier this month, the Department of Justice settled with the home healthcare and hospice provider after uncovering several years’ worth of improper bills and invoices for healthcare [...]

By | 2018-09-12T15:40:33+00:00 April 30th, 2014|Healthcare Fraud|

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

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 Claims Act filing in the federal District Court of the Eastern District of North Carolina, several of its billing practices allegedly violated the FCA and amounted to an “unjust enrichment” [...]

By | 2018-09-11T12:45:42+00:00 April 14th, 2014|Healthcare Fraud|

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

In a recent settlement involving the False Claims Act’s anti-kickback provisions and the federal Stark Law, Pittsburgh’s West Penn Allegheny Health System has agreed to pay $1.5 million to settle claims it engaged in an unlawful exchange of benefits with Pittsburgh-area doctors and facilities. The case was handled by the U.S. Attorney’s Office for the [...]

By | 2018-09-21T14:47:24+00:00 April 3rd, 2014|Healthcare Fraud|

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

The Department of Justice announced a $3.9 million settlement with a palliative care company responsible for operating a number of hospice care facilities in the Southeast United States. The case involves alleged fraudulent invoices to Medicare for end-of-life care that did not meet Medicare guidelines for coverage – thus meeting the definition of a [...]

By | 2018-09-12T12:09:37+00:00 March 27th, 2014|Healthcare Fraud|

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

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 device-maker EndoGastric Solutions, the government has alleged a serious pattern of fraud involving executives wrongfully directing physicians’ offices on the proper [...]

By | 2018-09-11T13:01:38+00:00 March 20th, 2014|False Claims Act Legal News, Healthcare Fraud|

Proposed Rule Centers on Medicare Overpayment

We often report on the widespread epidemic of healthcare fraud within the United States, particularly occurring in conjunction with Medicare and Medicaid patients. These cases often involve healthcare facilities that engage in unethical kickback or referral schemes in order to increase profits and incentivize doctors to use a certain lab or hospital. Other types of [...]

By | 2018-09-21T15:33:48+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

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, medical services must meet industry standards and be performed by a licensed physician. In addition, Medicare or Medicaid will deny any claim [...]

By | 2018-09-13T12:23:21+00:00 January 29th, 2014|Healthcare Fraud|

False Claims Act Allegations Result in Settlement Involving Ambulance Provider

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 pharmaceutical companies, the FCA covers any situation involving reimbursement of a claim through a federal healthcare agency. If any person or entity submits a claim for reimbursement based [...]

By | 2018-09-11T13:41:34+00:00 January 27th, 2014|Healthcare Fraud|