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November 18, 2014
Healthcare Fraud
Dignity Health Agrees to Settle False Claims Act Case for $37 Million
Healthcare fraud is one of the most detrimental – and costly – forms of fraud, as it not only could increase premium rates for innocent policyholders, but can even compromise the quality of patient care. One of the most common forms of healthcare fraud involves illegal “upcoding” or unnecessary admittance […]
September 5, 2014
Healthcare Fraud
New York Nursing Home Ralex Services Settles False Claims Act Allegations
In a joint effort between the U.S. Department of Justice and the New York Attorney General’s Office, New Rochelle-based Ralex Services, Inc., which does business as Glen Island Center for Nursing and Rehabilitation, has agreed to settle claims it improperly and unlawfully inflated claims for reimbursement from the state and […]
August 29, 2014
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 […]
July 23, 2014
Healthcare Fraud
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 4, 2014
Healthcare Fraud
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 […]
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