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Feds Bust a $1.2 Billion Medicare DME Scam Targeting Seniors

WebEarlier this week, the authorities announced charges against 24 people across the U.S., including doctors accused of writing bogus prescriptions for “durable …

Actived: 6 days ago

URL: https://www.fcacounsel.com/blog/dme-durable-medical-equipment-medicare-scam/

How are Medicare whistleblower rewards paid

WebAs discussed on our “ How are Medicaid whistleblower rewards paid? ” page, funds recovered for the Medicaid and CHIP programs may be paid differently. About 25% of …

Category:  Health Go Health

Universal Health Services, Inc. Settles False Claims Act Allegations

WebThe settlement resolves eighteen qui tam lawsuits alleging healthcare fraud and mistreatment of psychiatric and behavioral health patients. Bracker & Marcus LLC is …

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Genetic Testing: The Latest Cancer in Healthcare Fraud

WebGenetic Testing Scams Violate the False Claims Act. In September 2019, the Department of Justice announced that Operation Double Helix had resulted in 35 …

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The Largest Health Care Fraud Enforcement Action in DOJ History

WebAttorney General Jeff Sessions and HHS Secretary Tom Price announced today the largest ever health care fraud enforcement action by the U.S. Medicare Fraud Strike Force. The …

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CMS Issues Final Rule with Changes and

WebNovember 20, 2020 was a big day for False Claims Act lawyers. Just in time for Thanksgiving weekend, we received three gifts: (1) A draft of the Centers for Medicare & …

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Home Health Services Open the Door to Billions in Medicaid Fraud

WebBecause of the rise in home health services, Medicaid is at risk for billions of dollars in fraudulent billing. The Centers for Medicaid & Medicare Services (CMS) and the Office of …

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Southern Spine & Pain Institute Settles False Claims Act Suit for

WebBefore the investigation could be completed, both SPI and Dr. Clavo filed for bankruptcy, and the medical practice was closed. SPI soon thereafter settled the claims against it for …

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How are Medicaid whistleblower rewards paid

WebIn short, these cases are filed under seal while the government investigates the claims. If it intervenes in the case, and settles the claims or receives a judgment, the whistleblower …

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Dermotologists Agree to $1.9 Million Settlement of False Claims …

WebThe Department of Health and Human Services has identified inappropriate billing of E&M services as a national issue costing taxpayers billions of dollars. “Physicians and practice …

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Case Results Bracker & Marcus LLC

WebPediatric Services of America (S.D. Ga.) A collection of defendants that provide home nursing services to medically fragile children paid $7 million dollars in a historically …

Category:  Medical Go Health

New Healthcare Report Shows “Explosion” in Qui Tam Litigation

WebAccording to a new report by healthcare defense attorney Kevin McGinty, a review of False Claims Act data recently released by the Department of Justice shows that “health care …

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Bracker & Marcus Client Blows Whistle on Pharmacy Fraud

WebAnother safeguard for the government health care payors is that payments are limited to the “usual and customary price” of the drug, which is the price charged to a cash-paying, …

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Insurance Companies Routinely Fail to Report Medicaid Fraud

WebThe OIG’s report, Weaknesses Exist in Medicaid Managed Care Organizations’ Efforts To Identify and Address Fraud and Abuse, reveals that one-third of the health plans it …

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DOJ: FCA Settlements Exceeded $2.3 Billion in 2023

WebThe settlements and judgments related to fraud in various areas including health care, procurement, pandemic-related fraud, and cyber-fraud. Healthcare Fraud. Fraud in the …

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Behavioral Health Services Provider Settles False Claims Act

WebBehavioral Health Provider Enjoyed Vacations, Parties While Denying Care. The alarming tales that arose from this case are too numerous to recount. Allegations included children …

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CMS Overpays Millions in Meaningful Use Incentives

WebWith the passage of the Health Information Technology for Economic and Clinical Health Act (HITECH) in 2009, CMS offered significant incentives to health care providers to …

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Proposed FCA Amendments 2021: Materiality Bites

WebCourts have split on this issue, which resulted in materiality-related changes becoming the centerpiece of the proposed FCA Amendments, which enjoy rare bipartisan support. The …

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Georgia Recovers $8.5 Million from Medicaid Fraud Investigations …

WebA majority of False Claims Act cases filed by whistleblowers include allegations of Medicaid fraud. Georgia Attorney General Chris Carr announced that the office’s Medicaid Fraud …

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Beaumont Hospital to Settle False Claims Act Case for $84.5 Million

WebThe United States Department of Justice and U.S. Attorney for the Eastern District of Michigan has announced a settlement with William Beaumont Hospital of $84.5 million to …

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DOJ Enforces False Claims Act Bracker & Marcus LLC

WebContact Bracker & Marcus. Mr. Boynton’s remarks on DOJ’s enforcement priorities have several themes. One, the COVID-19 pandemic is going to be a major focus. Both …

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