Posts Categorized: Uncategorized

Whistleblower Awarded $700,000 for Reporting on Unlicensed Health Care Providers In Massachusetts

Attorney General Maura Healey announced that South Bay Mental Health Center, Inc. (SBMHC) has agreed to pay $4 million based on allegations that it fraudulently billed the state’s Medicaid Program, known as MassHealth, for mental health care services provided to patients by unlicensed, unqualified, and unsupervised staff members at clinics across the state. Under the…

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Justice Department Recovers Over $3.7 Billion From False Claims Act Cases in Fiscal Year 2017

The Department of Justice obtained more than $3.7 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the fiscal year ending Sept. 30, 2017. Recoveries since 1986, when Congress substantially strengthened the civil False Claims Act, now total more than $56 billion. Of the $3.7 billion in…

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Whistleblowers Help United States Recover $67 Million from Davita RX LLC for Improper Billing and Kickbacks

DaVita Rx LLC, a nationwide pharmacy that specializes in serving patients with severe kidney disease, agreed to pay a total of $63.7 million to resolve False Claims Act allegations relating to improper billing practices and unlawful financial inducements to federal healthcare program beneficiaries, the Justice Department announced today.  DaVita Rx is based in Coppell, Texas….

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Whistleblowers Lead to Chemed Corp. & Vitas Hospice Paying $75 Million for False Claims

Chemed Corporation and various wholly-owned subsidiaries, including Vitas Hospice Services LLC and Vitas Healthcare Corporation, have agreed to pay $75 million to resolve a government lawsuit alleging that defendants violated the False Claims Act (FCA) by submitting false claims for hospice services to Medicare.  Chemed, which is based in Cincinnati, Ohio, acquired Vitas in 2004. Vitas is…

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Whistleblower Suit Results in Georgia Hospital paying more than $2.5 million to settle allegations of inflated bills and unnecessary ambulance trips.

The Medical Center, Navicent Health has agreed to pay more than $2.5 million to settle allegations that it submitted bills for ambulance trips that were either inflated or medically unnecessary. The settlement follows a 27-month investigation — prompted by a whistleblower lawsuit filed by a former Navicent paramedic — of the hospital’s ambulance billing practices…

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Visiting Nurse Service to Pay $35 Million to Settle FCA Suit

The U.S. Attorney’s Office for the Southern District of New York announced that it had settled a False Claims Act suit against Visiting Nurse Service: [T]he United States has settled civil fraud claims under the False Claims Act against VISITING NURSE SERVICE OF NEW YORK, VNS CHOICE, and VNS CHOICE COMMUNITY CARE (collectively, “VNS”) related to…

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Congressional Report Deems IPSIGs a “Best Practice”

A Subcommittee of the Congressional House Committee on Homeland Security issued a report on the subject of “An Examination of Federal 9/11 Assistance to New York: Lessons Learned in Preventing Waste, Fraud, Abuse, and Lax Management.”  Following Congressional Hearings in July, the Subcommittee  has  released a glowing report on their findings and conclusions about the role of IPSIGs…

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