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June 25, 2014 Healthcare Fraud

Justice Department Opts to Intervene in Whistleblower Lawsuit Against IPC the Hospitalist

The U.S. Department of Justice has opted to intervene in a whistleblower lawsuit against IPC the Hospitalist, Inc. – a nationwide group of physicians focused on the practice of the “delivery of hospital medicine and related facility-based services.” According to the allegations, IPC has engaged in the consistent practice of […]
June 17, 2014 Healthcare Fraud

Recently-Released Data Portrays Alarming Physician Reimbursement Rate Under Medicare Part B

Early last month, the Centers for Medicare and Medicaid services publicly released their data pertaining to reimbursement amounts provided to physicians under the Medicare Part B program – and many industry officials are not too happy about the numbers. According to the Inspector General of the Department of Health and […]
April 14, 2014 Healthcare Fraud

Duke University Health System to Pay $1 Million to Settle False Claims Act Allegations

The world-renowned Duke University School of Medicine operates out of three area hospitals owned by the Duke University Health System. According to a recently-unsealed False Claims Act filing in the federal District Court of the Eastern District of North Carolina, several of its billing practices allegedly violated the FCA and […]
March 7, 2014 Healthcare Fraud

False Claims Authorities Take Aim at Tennessee Mental Health Facility Caught Upcoding

One of the most common practices occurring within the context of healthcare fraud involves a process known as upcoding. When a doctor or nurse performs a medical service, that service corresponds to a universal set of codes used to prepare the patient’s bill. These codes are derived from a compilation […]
February 3, 2014 Healthcare Fraud

South Florida Senior Citizens Work to Stop Medicare Fraud

Fraud against Medicare and Medicaid is a growing problem that cost U.S. taxpayers over $68 billion last year. Amid growing concerns about this crime, Florida’s senior population has decided to band together in order to patrol and deter this type of misconduct. The False Claims Act is routinely implemented in […]
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