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medicare

Recently-Released Data Portrays Alarming Physician Reimbursement Rate Under Medicare Part B

Early last month, the Centers for Medicare and Medicaid services publicly released their data pertaining to reimbursement amounts provided to physicians under the Medicare Part B program – and many industry officials are not too happy about the numbers. According to the Inspector General of the Department of Health and Human Services, Medicare overpaid physicians [...]

2018-09-21T15:42:40+00:00

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 [...]

2018-09-12T15:40:33+00:00

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” [...]

2018-09-11T12:45:42+00:00

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 [...]

2018-09-12T12:09:37+00:00

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 [...]

2018-09-11T13:01:38+00:00

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 [...]

2018-09-21T15:33:48+00:00

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 [...]

2014-02-04T19:44:56+00:00

South Florida Senior Citizens Work to Stop Medicare Fraud

Fraud against Medicare and Medicaid is a growing problem that cost U.S. taxpayers over $68 billion last year. Amid growing concerns about this crime, Florida’s senior population has decided to band together in order to patrol and deter this type of misconduct. The False Claims Act is routinely implemented in cases involving Medicare and Medicaid [...]

2018-09-24T15:30:03+00:00
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