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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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