By Steve Kardell | Published March 2, 2023 | Posted in Fraud | Tagged Tags: Anti-Kickback Statute, healthcare fraud, kickback scheme |
Healthcare Entities Pay Over $2.6 Million to Settle Misconduct Allegations
A doctor and a healthcare facility have agreed to pay more than $2.6 million to settle False Claims Act allegations. They were accused of improperly billing both state and federal healthcare programs, as well as receiving illegal kickbacks. Case background Kevin P. Greene, M.D., and Feel Well Health Center of Southington, P.C. were accused of Read More
Read MoreThe U.S. CFTC Reaches $710 Million Settlement with 11 Financial Institutions
Late last year, the United States Commodity Futures Trading Commission reached a $710 million settlement with 11 major financial institutions, including Goldman Sachs, Deutsche Bank, Morgan Stanley, Citibank and Bank of America, for recordkeeping and supervision failures. Similarly, the SEC announced a $1.1 billion settlement with the same institutions, for the same behavior. Case background Read More
Read MoreHealthcare Kickback Scheme Whistleblower Leads to $45 Million Settlement
The former Vice President of Product Management at Modernizing Medicine, Inc., has led to a $45 million settlement for a healthcare kickback scheme. Amanda Long filed a whistleblower action in 2017, which was amended in May 2021. The company was found to have created a healthcare kickback scheme that violated the False Claims Act. Case Read More
Read MoreFindings From the 2022 SEC Whistleblower Program Report
The Securities and Exchange Commission (SEC) just released their Whistleblower Program report for the 2022 fiscal year. The Whistleblower Program incentivizes whistleblowers to report wrongdoing. The findings reveal that the program has been more successful than ever. Here’s an overview of the 2022 findings. Over $6.3 billion in sanctions and $1.3 billion in awards The Read More
Read MoreNurses and Whistleblower Protections
The COVID-19 pandemic highlighted the importance of nurses and other healthcare professionals in a whole new way. Nurses are on the “front lines” of healthcare, often the first people to notice and report a problem. What happens when you speak up, and your employer retaliates? Fortunately, whistleblower laws exist to protect nurses from retaliation from Read More
Read MoreSelf-Reporting Companies Can Lower Fines by Incentivizing Whistleblowers
The Securities and Exchange Commission (SEC) runs a whistleblower rewards program, which has encouraged over 50,000 tips in the last decade. This has resulted in collecting nearly $5 billion in fines and penalties from public companies. However, companies can reduce their fines by incentivizing whistleblowers to report violations internally. Instead of waiting for the SEC Read More
Read MoreTelehealth Services Increased Medicare Fraud
The COVID-19 pandemic made telehealth essential. With shutdowns across the country, people still needed medical care, and telehealth came to the rescue. The number of “virtual” physicians increased from zero to thousands overnight. Unfortunately, telehealth makes it easier to commit fraud. The Department of Health and Human Services (HHS) encountered more schemes, which cost taxpayers Read More
Read MorePhysician Pays $980,000 to Settle False Claims Act Allegations
A physician, his son and their medical practice agreed to pay the U.S. $980,000 to resolve allegations arising from the False Claims Act. The pair allegedly submitted medically unnecessary urine tests to receive additional payments. The claim arose from a new U.S. Attorney’s office effort, which reviews Medicare billing data. When the unit discovered the Read More
Read MoreWhite Collar Crime Costs Hundreds of Billions Each Year
White collar crime costs the United States about $300 billion dollars per year—and most Americans don’t even realize it. Because white collar crime is typically nonviolent, it doesn’t get the same kind of attention that others do. Whistleblower suits are often very effective in rooting out this kind of corruption. What is white collar crime? Read More
Read MoreUnsealed Whistleblower Lawsuit Accuses Epic of Double-Billing Anesthesia Services
Epic, a medical billing software service, has been accused of prompting hundreds of hospitals across the country to double-bill Medicaid and Medicare for anesthesia services. This resulted in hundreds of millions of dollars in fraudulent payments. The recently unsealed lawsuit was originally filed in 2015, and the federal government declined to intervene in the case. Read More
Read More
