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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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July 17, 2015
Healthcare Fraud
Hamilton Healthcare Accused of Allowing Excluded Practitioner to Treat Medicare and Medicaid Patients
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 enrollees can quickly become a large majority of the patient load – which can often invite […]
May 11, 2015
Healthcare Fraud
Medical Center of Central Georgia to Settle Allegations of Illegal Upcoding for $20 Million
Illegal billing practices are one of the most common components of a False Claims Act lawsuit. Oftentimes, healthcare facilities engage in years’ worth of fraudulent billing practices before a courageous whistleblower comes forward with allegations of misconduct. At that time, the federal government may opt to intervene in the matter […]
May 5, 2015
Healthcare Fraud
Florida Fertility Clinic Settles Upcoding Allegations With Department of Justice
The Jacksonville Center for Reproductive Medicine (JCRM) recently settled with the Department of Justice amid allegations it billed the government for fertility services at rates above and beyond those allowable under TRICARE guidelines.
March 19, 2015
Healthcare Fraud
Baptist Health Medical Center to Settle False Claims Act Allegations for $2.7 Million
Medical practitioners seeking to treat Medicare patients are required to abide by the policy manuals and guidelines put out by the federal government. If a practitioner knowingly violates these mandates and intentionally bills Medicare for reimbursement despite the deviation, this could trigger False Claims Act liability. One of the more […]
December 4, 2014
Healthcare Fraud
CareAll Companies Agree to Pay $25 Million in False Claims Act Settlement
In yet another instance of costly and wasteful healthcare fraud, CareAll Management, LLC has agreed to pay $25 million to resolve allegations of illegal upcoding and falsification of information on official requests for reimbursement. In the context of healthcare fraud, the False Claims Act is triggered whenever an invoice is […]
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