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 […]

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 […]

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 […]

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 […]

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 […]