Viewing 1 - 13 out of 13 posts

Government Audit Indicates Millions in Overpayments for Skilled Nursing Services

Skilled nursing facilities provide temporary care for people who need close medical attention following a serious injury or illness. Eligible Medicare recipients can receive coverage for their time in a Read More

Qui Tam Lawsuit Leads to $3.2 Million Payment from Catholic Health System

Doctors, hospitals and other types of healthcare providers have a profound legal and moral responsibility to act in their patients’ best interests. Making secret arrangements to steer patients to particular Read More

Florida Man Pleads Guilty to Stealing Medicaid ID Information

There are numerous ways in which an unsuspecting individual can be harmed through identity theft. Organizations and government agencies might also suffer financial losses when personal information is misappropriated. Identity Read More

Doctor Pleads Guilty in $14 Million Telemedicine Fraud Case

Telemedicine has been used increasingly to examine, diagnose and treat patients who do not require urgent in-person care. This is particularly true since the COVID-19 pandemic started in 2020. While Read More

Husband and Wife Plead Guilty in Massive Healthcare Fraud

There are numerous unscrupulous providers in the healthcare industry and countless ways to skim money from the system that pays medical professionals and suppliers. When someone is elderly or suffering Read More

Doctor Convicted in $24 Million Medicare Fraud Case

One of the scariest things you can hear from a doctor is that you might be predisposed to a certain type of cancer. In some cases, it is important to Read More

Medicare Fraud Conspiracy Led to Over $1 Billion in Payments for Equipment and Other Items

Billions of dollars are lost every year through both Medicare fraud and online scams. According to the Department of Justice (DOJ), a scheme that combined both types of illegal behavior Read More

Humana Pays $90 Million in Medicare Fraud Settlement

Pharmaceutical manufactures collect more than $300 billion annually in domestic revenue. Bringing down the cost of medication has long been a goal, but even attempts to moderate prices can lead Read More

Podiatrist Caught in Foot Bath Fraud Scheme

Regardless of the specific condition, when a doctor prescribes a treatment, patients are entitled to trust that the prescription is based on the latest medical knowledge. Laypeople usually are not Read More

Home Health Providers Penalized $4.5 Million for Kickbacks to Doctors and Facilities

When someone’s medical condition is serious enough that they require assistance at home, patients and their families typically place a great deal of trust in the recommendations made by doctors. Read More

Medicare Advantage Insurers Reach $32 Million Settlement in Whistleblower Case

A pair of Medicare Advantage insurers based in Florida agreed to pay nearly $32 million to settle a whistleblower claim. In the claim, a whistleblower alleged the insurance providers routinely exaggerated Read More

False Claims Act Suit Against Genentech Halted

The U.S. Court of Appeals for the Third Circuit recently halted a False Claims Act lawsuit filed against Genentech Inc. In the suit, the plaintiff claimed the company defrauded Medicare Read More

Department of Justice Takes Active Role in Lawsuit Against Nursing Home Chain

For the past six years, the Ohio-based nursing home chain HCR ManorCare has been embroiled in a whistleblower lawsuit featuring allegations that the company systematically overbilled Medicare and often put Read More

Viewing 1 - 13 out of 13 posts