By Steve Kardell | Published November 15, 2022 | Posted in Fraud | Tagged Tags: anesthesia billing, False Claims Act, healthcare fraud |
Unsealed 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 MorePharmacy Owners Convicted of Fraudulent Multimillion Dollar Telemedicine Scheme
Two pharmacy owners were recently convicted of trying to defraud pharmacy benefit managers of tens of thousands of prescriptions, which were submitted to both private and federally-funded healthcare programs. The PBMs paid claims to the conspirator-owned pharmacies in a multimillion dollar scheme. They face up to 17 years in prison and $50 million in restitution. Read More
Read MoreDOJ Levels Charges Against 36 Defendants for $1.2 Billion in Healthcare Fraud
The Department of Justice recently charged 36 defendants in 13 federal districts for “alleged fraudulent telemedicine, cardiovascular and cancer genetic testing and durable medical equipment (DME) schemes.” Criminal charges were levied against medical equipment companies, lab owners and executives, medical professionals, marketing firms and more. Other government agencies took additional administrative actions against 52 more Read More
Read MoreRehabilitative Therapy Business Must Pay $9.6 Million in Damages
A rehabilitative therapy business in Georgia, along with its founder, has been ordered to pay $9.6 million in damages for submitting nearly 800 false health care claims. Case background Middle Georgia Family Rehab LLC, along with owner/CEO Brenda Hicks, are jointly liable for 796 false claims submitted to TRICARE and Medicaid. The defendants were paid Read More
Read More2021 Was a Massive Year for False Claims Act Settlements
The U.S. Department of Justice recently revealed that 2021 was a major year for False Claims Act settlements and judgments. According to the DOJ, the federal government took in more than $5.6 billion in settlements and judgments, the largest since 2014 and the second-largest amount ever recorded. This number includes the gigantic $2.8 billion Purdue Read More
Read MoreCatholic Medical Center Will Pay $3.8 MIllion to False Claims Act Case
The U.S. Department of Justice recently announced a $3.8 million settlement with Catholic Medical Center (CMC) to resolve allegations that it violated the False Claims Act by providing free call coverage to a cardiologist in exchange for patient referrals. Government attorneys said these actions violated the Anti-Kickback Statute. Case background The federal government alleged CMC Read More
Read MoreGeorgia Cancer Specialists Will Pay $8 Million to Settle Medicare Fraud Claims
Georgia Cancer Specialists (GCS), one of the nation’s largest oncology specialists, will pay the federal government $8 million to resolve Medicare fraud claims involving what a judge called a “sophisticated kickback scheme.” The whistleblowers who helped initiate the case will receive the maximum 30 percent award for reporting the fraud and assisting the federal government Read More
Read MoreMaryland Doctor Imprisoned Over Illegal Kickback Scheme
A doctor in Baltimore County, Maryland will spend eight months in federal prison and another with supervision upon release after he was involved with in a kickback scheme to prescribe pain medications known to be highly addictive. The illegal activity took place from 2012 to 2018. Case background The 65-year-old doctor is Howard J. Hoffberg, Read More
Read MoreBrockton Urology Will Pay $100,000 in False Claims Act Settlement
Brockton Urology Clinic LLC in North Easton, Massachusetts recently agreed to pay $100,000 to settle claims it submitted false claims to Medicare in violation of federal law. The case is yet another example of healthcare fraud cases that cost the United States billions of dollars every single year. Case background According to the settlement agreement, Read More
Read MoreHayat Pharmacy to Pay More than $2 Million to Resolve False Claims Act Lawsuit
Hayat Pharmacy, which operates 23 pharmacy locations throughout the Milwaukee metropolitan area, will pay more than $2 million to resolve allegations it submitted false claims to Medicare and Medicaid for various prescription medications. In addition to paying $2 million to resolve the claims, the pharmacy chain will also conduct training concerning fraud, waste and abuse, Read More
Read More
