The federal government has now receivered more than $1.84 from Medicaid fraud in 2010 according to the Office of Inspector General The top five offensing states are New York, Texas, Florida, California and Ohio. The government is gearing up for greater numbers of civil and criminal prosecutions of MEdicare and Medicaid fraud as it...
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Category: Medicaid Fraud
HOME HEALTHCARE PROVIDER LHC GROUP INC. PAYS $65 MILLION TO SETTLE MEDICAID FRAUD WHISTLEBLOWER CASE
LHC Group Inc. a publicly traded home health provider will pay the government $65 million to settle a federal inquiry and whistleblower case which alleged that LHC provided health services to patients which they did not need and also to people who were not homebound. The Department of Justice said that it examined the...
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CVS TO PAY $17.5 MILLION TO SETTLE WHISTLEBLOWER CASE FOR OVERCHARGING MEDICAID
CVS Pharmacy Inc. has agreed to pay $17.5 million to resolve charges it over billed Medicaid programs in 10 states. CVS collected more than it should have from Medicaid for filling prescriptions for people who had other insurance. Usually, pharmacies can only bill Medicaid for the amount of a patient's co-pay when they have...
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Whistleblower Suit Filed Against Mayo Clinic for Overbilling
The U.S. Department of Justice has filed a case against the Mayo clinic alleging it made false claims to the federal government about surgical pathology charges. Mayo billed Medicare, Medicaid and other fed programs for surgical pathology services it never provided.
Small Healh Care Company Racks Up Millions as Whistleblower
Ven-A-Care Incorporated in Key West, provides home infusion therapy to HIV positive patients and elderly residents with kidney failure. In 1991, the company rejected a buyout offer from National Medical Care and according to Taxpayers Against Fraud, NMC then launched a campaign to force Ven-a Care out of business in Key West. In fighting...
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RETENTION OF MEDICARE/MEDICAID OVERPAYMENTS ACTIONABLE
Health care providers are required to report and refund any overpayment of Medicare/Medicaid funds within 60 days after the overpayment was identified. Failure to do so is a direct violation of the False Claims Act and all of its fines, penalties on top of recovered moneys. A lack of vigilance in this area carries...
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FORBA “Small Smiles Centers” to pay $24 million for misbilling Medicaid
The United States today announced that it has settled False Claims Act allegations against FORBA Holdings LLC, a dental management company that provides business management and administrative services to 69 clinics nationwide known as Small Smiles Centers. Under the agreement, FORBA will pay the United States and participating states $24 million, plus interest, to...
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New Fed Effort to Protect Seniors From Medicare Fraud
U.S. Secretary of Health and Human Services Kathleen Sebelius and Attorney General of the United States Eric Holder today sent a letter to state attorneys general urging them to work with HHS and federal, state, and local law enforcement officials to mount a substantial outreach campaign to educate seniors and other Medicare beneficiaries about...
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