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September 16, 2014
Healthcare Fraud
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 […]
September 12, 2014
Healthcare Fraud
DOJ Opts to Intervene in Whistleblower Case Against United Healthcare
In a recent False Claims Act case filed in Colorado, the federal government has decided to intervene after engaging in a preliminary investigation of the relator’s claims. The government, which intervenes in approximately 25 percent of all filed False Claims Act cases, will join as an active participant against Evercare […]
September 3, 2014
Healthcare Fraud
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, […]
September 2, 2014
Healthcare Fraud
New York Heart Center Settles False Claims Act Allegations for $1.33 Million
In a recent announcement from the Department of Justice of the Northern District of New York, the New York Heart Center has agreed to pay $1.33 million to avoid liability stemming from allegations of unlawful referrals. The settlement resolved a whistleblower lawsuit filed under the False Claims Act, which also […]
August 20, 2014
Healthcare Fraud
UPDATE: U.S. Government Opts to Intervene in New York False Claims Act Case Against Continuum Health
Earlier this year, we reported on a False Claims Act case filed in the State of New York under its state level False Claims Act, which was then joined by the New York Attorney General’s Office. The case, which involves Continuum Health Partners and affiliated Mt. Sinai Health System, has […]
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