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July 28, 2014 General

American International Biotechnology to Settle False Claims Act Allegations for Nearly $350,000

In an interesting False Claims Act case involving government contracts concerning biotechnology, Virginia-based American International Biotechnology reportedly defrauded the federal government by improperly billing for genetic testing. The case involves the widespread problem of fraud against Medicare and Medicaid, and reveals the true extent to which healthcare fraud is invading […]
July 23, 2014 General

Florida-Based Halifax Health Settles Second Half of $73 Million Overbilling Case

Earlier this year, Florida-based health services company Halifax Health paid $85 million to settle allegations that it was engaged in a years-long kickback scheme in violation of the federal Stark Law. The settlement was one of the largest reported in Florida history; however, it did not work to settle the […]
July 7, 2014 General

Recent Tenth Circuit Decision May Impact Commission-Based Sales Earnings

It is common industry practice within the medical sales field for independent contractors and salespeople to earn a base salary and a percentage of all sales finalized – known as commission-based pay. However, one recent decision out of the U.S. Court of Appeals for the Tenth Circuit may work to […]
July 4, 2014 General

Unique Whistleblower Lawsuit Points Finger at Insurance Company Aveta, Inc.

In today’s whistleblower case, we examine a story involving health insurance company Aveta, Inc. and its ongoing defense of a whistleblower lawsuit brought by former employee Josh Valdez. According to the complaint, Aveta and its affiliated Puerto Rican Medicare Advantage health care plans bilked the U.S. government out of nearly […]
June 25, 2014 General

Justice Department Opts to Intervene in Whistleblower Lawsuit Against IPC the Hospitalist

The U.S. Department of Justice has opted to intervene in a whistleblower lawsuit against IPC the Hospitalist, Inc. – a nationwide group of physicians focused on the practice of the “delivery of hospital medicine and related facility-based services.” According to the allegations, IPC has engaged in the consistent practice of […]
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