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Whistleblower Lawsuit Alleges Fraudulent Billing Over Concurrent Surgeries at UPMC

The United States Department of Justice (DOJ) recently filed a whistleblower lawsuit against the University of Pittsburgh Medical Center, a department chair and the university’s physician group. The lawsuit stems from allegations made by a former UPMC physician under the False Claims Act. The DOJ investigated the claims for two years after the whistleblower alleged Read More

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Whistleblower: Medicare Advantage Overcharged for Home Visits

A whistleblower case in Texas has come into the spotlight with allegations that a medical consulting firm is overbilling Medicare for in-home patient examinations. The details of the case were unsealed in June, and it’s only the latest of at least six other whistleblower claims filed in the last five years alleging billing fraud by Read More

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Whistleblower Reinstatement Highlights Need for Companies to Keep Detailed Files on Personnel

In 2012, a jury ruled that Bayer Corporation had unlawfully terminated one of its sales representatives, Mike Townsend, because he alerted the Arkansas Attorney General to incidents of physicians overbilling Medicaid for the company’s drugs. Just before the company fired Townsend, it had suspended his corporate credit card for six months after his wife accidentally Read More

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Dignity Health Pays $37 Million After Claims of Overbilling

Major whistleblower claims have been occurring in a wide variety of industries lately. One of the industries in which fraud is most prevalent is the health care industry, and this past fall an instance of fraud cost a hospital chain a great deal of money. Dignity Health, a hospital chain based in San Francisco and Read More

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