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upcoding

Hamilton Healthcare Accused of Allowing Excluded Practitioner to Treat Medicare and Medicaid Patients

Harrisburg, Pennsylvania-based Hamilton Healthcare has agreed to settle allegations of Medicare and Medicaid fraud. As a healthcare practitioner, permission to work with Medicaid and Medicare participants can be an extremely lucrative area of practice. For many physicians working in areas with an aging or low-income demographic, government healthcare [...]

By | 2018-03-27T02:28:06+00:00 July 17th, 2015|Healthcare Fraud|

Florida Fertility Clinic Settles Upcoding Allegations With Department of Justice

The Jacksonville Center for Reproductive Medicine is alleged to have “upcoded” several fertility services performed by nurses and medical assistants.Image source: Flickr CC user COD Newsroom The Jacksonville Center for Reproductive Medicine (JCRM) recently settled with the Department of Justice amid allegations it billed the government for fertility [...]

By | 2018-03-26T01:53:34+00:00 May 5th, 2015|Healthcare Fraud|

Baptist Health Medical Center to Settle False Claims Act Allegations for $2.7 Million

A recent False Claims Act settlement out of Arkansas involved allegations of fraudulent billing of Medicare for extended stays in hospital rooms.Image source: Wikimedia Commons Medical practitioners seeking to treat Medicare patients are required to abide by the policy manuals and guidelines put out by the federal government. [...]

By | 2018-03-27T02:42:53+00:00 March 19th, 2015|Healthcare Fraud|

Arizona Hospital Network Carondelet, Corp. Pays $35 Million to Settle Healthcare Fraud Claims

In yet another healthcare fraud case, a prominent Arizona-based hospital management company has agreed to remit $35 million to settle allegations of improper billing procedures. Earlier this month, Carondelet Health Network – which manages Carondelet St. Mary’s Hospital and Carondelet St. Joseph’s Hospital, both in the Tuscon area – agreed [...]

By | 2018-03-27T09:45:56+00:00 August 29th, 2014|Healthcare Fraud|

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

A whistleblower is alleging fraud by health insurance provider Aveta, Inc. in a lawsuit claiming $1 billion in overpayments by Medicare. The lawsuit is still under investigation by the DOJ. 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 | 2014-07-04T22:16:43+00:00 July 4th, 2014|Healthcare Fraud|
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