false claims
publication date
Finance
Hospital Executive Charged in $1.4B Rural Hospital Billing SchemeProsecutors allege that Jorge A. Perez, 60, and nine others exploited federal regulations that allow some rural hospitals to charge...
Ex-Cleveland Clinic Researcher Arrested, Charged with Wire Fraud
Dr. Qing Wang allegedly failed to disclose to NIH that he was also receiving grant money from the Chinese government....
Finance
Pandemic Delays Federal Probe Into Medicare Advantage Health PlansCMS says the decision will allow insurers and the agency to "focus on patient care," and will last "until after...
Finance
Texas Physicians Group Pays $1.2M to Settle False Claims AllegationsA whistleblower complaint alleged that Millennium Physicians Association PLLC billed Medicare for sleep studies conducted by uncredentialed technicians.
Strategy
Guardian Elder Care to Pay $15.4M to Settle Overbilling AllegationsGuardian directed its nursing facilities in Pennsylvania, West Virginia, and Ohio to upcharge Medicare at the highest level for medically...
Finance
We Showed How Easy It Is to Commit Health Care Fraud. Now Senators Want to Close the Loophole. The bipartisan proposal comes in response to a ProPublica story that showed how a personal trainer posed as a doctor...
Finance
Practice Fusion to Pay $145M to Settle Criminal, Civil Kickbacks AllegationsThe San Francisco-based EHR vendor admitted that it took $1 million in kickbacks from opioid makers in a scheme to...
Strategy
Patient Services Inc. to Pay $3M for Alleged Role as Illegal Conduit for Drug Makers PSI coordinated with three pharmaceutical manufacturers ? Insys, Aegerion, and Alexion ? to facilitate paying kickbacks to Medicare patients taking...
Finance
ResMed to Pay $39.5M to Settle Kickback AllegationsThe kickbacks took the form of free 'resupply services' for provider-customers who pushed their CPAP products.
Finance
DOJ Collected $2.6B in FCA Recoveries in 2019 from the Healthcare SectorIt's the 10th straight year that DOJ's civil healthcare fraud settlements and judgments have exceeded $2 billion.
Strategy
DOJ Files False Claims Act Complaint against Community Health NetworkA whistleblower suit alleges that Community rewarded physician referrals with compensation way above fair market value.
Strategy
Electronic Health Records Creating A 'New Era' Of Health Care FraudMajor EHR software makers have allegedly gamed the system, repeatedly.