Med-Fast Pharmacy will pay $2.66 million to settle a False Claims Act case in which the company was charged with submitting claims for medications to Medicare which were not eligible for coverage. The whistleblowers said that the medications for which claims were submitted to the government were either recycled from long-term care facilities or...
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Category: Medicare Fraud
Endoscopy Center pays $1.5 million to end Medicare fraud probe for bogus colonoscopies which took just 2 minutes
Memorial Hermann Endoscopy and Surgery Center physicians agreed to pay more than $1.5 million to settle Medicare fraud allegations. Gurunath Thota Reddy, MD, and other surgery center physicians allegedly performed colonoscopies for 7.5 years that Medicare deemed "essentially worthless." United Surgical Partners International operates the center, while the physicians are part of Houston-based Digestive...
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Four hospitals pay $8.6 million to settle whistleblower case on receiving kickbacks from ambulance companies for transport rights
Four Houston-area hospitals have agreed to pay $8.6 million to settle allegations they received kickbacks from various ambulance companies in exchange for rights to the hospitals' more lucrative Medicare and Medicaid transport referrals. The hospitals are all affiliated with Hospital Corporation of America (HCA), which is based in Nashville, Tennessee, and include Bayshore Medical...
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Home Health Agency must face whistleblower suit citing massive Medicare and Medicaid fraud
The Visiting Nurse Service of New York, which says it is the largest U.S. nonprofit home health care agency, will face a whistleblower lawsuit accusing it of defrauding Medicare and Medicaid and failing to provide patients with care prescribed by doctors. U.S. District Judge Alison Nathan in Manhattan said the plaintiff whistleblower Edward Lacey...
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Owner/director of nursing in home healthcare agency sentenced to 75 years in prison for $13 mill. Medicare fraud scheme
The owner and director of nursing of a Houston home health agency was sentenced today to 75 years in prison for her role in a $13 million Medicare fraud scheme.
Marie Neba, 53, of Sugarland, Texas, was sentenced by U.S. District Judge Melinda Harmon of the Southern District of Texas. In November 2016, Neba was...
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Linde’s Lincare pays $20 million to settle Medicare suit on fraudulent billing for oxygen
Massachusetts Whistleblower News
Linde AG's Lincare unit will pay $20 million to resolve a whistleblower lawsuit accusing the company of fraudulently billing the U.S. government for oxygen and respiratory care equipment.
The settlement, confirmed by the U.S. Attorney's Office in Massachusetts, ends a whistleblower lawsuit filed under the False Claims Act by former employees...
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Genesis Healthcare pays $53.4 million to settle Medicare fraud suits in hospice care, SNF therapies
Genesis Healthcare Inc. (Genesis) will pay the federal government $53,639,288.04, including interest, to settle six federal lawsuits and investigations alleging that companies and facilities acquired by Genesis violated the False Claims Act by causing the submission of false claims to government health care programs for medically unnecessary therapy and hospice services, and grossly...
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M.G.H. anesthesiologist files whistleblower suit alleging Medicare fraud and patient endangerment for simultaneous surgeries
MASSACHUSETTS WHISTLEBLOWER NEWS
Dr. Lisa Wollman, a former anesthesiologist at Mass. General has filed a whistleblower lawsuit alleging that surgeons at the hospital who simultaneously handled two or more surgeries defrauded the government. They did so, she alleges, by submitting bills for surgeries at times they were not in the operating rooms for critical portions...
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S.E.C. charges four for insider trading of Medicare reimbursement info from CMS employee
The Securities and Exchange Commission (SEC) has charged four men for alleged involvement in an insider trading scheme that used confidential government information regarding Medicare reimbursements From the Centers for Medicare and Medicaid Services (CMS). Christopher Worrall, an employee at (CMS), allegedly gave confidential information to David Blaszczak, a former co-worker who later worked...
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Two hospitals pay $34 million to settle DOJ case over charging Medicare for oncology services
Two Missouri hospitals will pay the United States $34,000,000 to settle allegations that they violated the False Claims Act by engaging in improper financial relationships with referring physicians, the Justice Department announced today. The two Defendants are Mercy Hospital Springfield f/k/a St. John's Regional Health Center, and its affiliate, Mercy Clinic Springfield Communities f/k/a...
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