The country’s taxpayer-funded healthcare plans – Medicare, Medicaid and TRICARE – provide important benefits to our aging citizens, our economically disadvantaged and our combat veterans that is necessary for millions to survive. However, greed coerces many bad actors to commit acts of fraud each year that cost taxpayers billions of…
In the past, the primary whistle blower act in place has been the Federal False Claims Act, which was enacted during the Civil War to combat fraud against the federal government by suppliers to the Union Army. Also commonly called “Lincoln’s Law”, the False Claims Act was rarely used until…
Rosseau Management Inc. will pay $300,000 to resolve a Medicare billing fraud lawsuit accusing the assisted living facilities owner of letting subcontractor RehabCare Group East. Inc. turn in fraudulent Medicare claims. The latter provided rehabilitation therapy at three facilities. According to the Department of Justice’s U.S. Attorney’s Office in the…
The Justice Department is now part of two whistleblower lawsuits accusing cardiologist Asad Qamar and his Institute for Cardiovascular Excellence of Medicare fraud. The complaints contend that Qamar conducted and billed for peripheral artery intervention procedures that were not necessary and waived 20% co-payments so that patients wouldn’t question his…
Extendicare Health Services Inc., a nursing and rehabilitation facilitation chain, has agreed to pay $38 million to settle Medicaid and Medicare fraud claims that were originally brought in a whistleblower lawsuit. The chain is accused of billing for substandard care and submitting claim for therapy services that were medically unnecessary.…
Amedisys, a home heath company that operates in over three dozen states, has agreed to pay $150 million to resolve Medicare Fraud claims brought by a former employee. According to a whistleblower lawsuit, between 2008 and 2010, a number of the company’s offices improperly billed Medicare. April Brown, a nurse,…
Halifax Health has reached a tentative deal to pay $85 million dollars as part of a federal whistleblower case accusing the hospital of Medicare fraud and paying kickbacks to neurosurgeons and doctors. The lawsuit is .S. et al. v. Halifax Hospital Medical Center et al and was filed by hospital…
Ensign Group Inc., which runs nursing homes in a number of US states, has consented to pay $48 million to settle Medicare billing fraud allegations that it billed the government for medical procedures that patients didn’t need. The case stems from whistleblower cases brought by Carol Sanchez and Gloria Patterson,…
Three doctors are suing Vanderbilt University Medical Center for Medicare fraud. They submitted their whistleblower lawsuit under the False Claims Act’s qui tam provision. The plaintiffs, all ex-VUMC anesthesiologists, are accusing the medical center of taking part in a scam involving the use of its medical practices to maximize income…
According to a whistleblower lawsuit, Quest Diagnostics and Laboratory Corporation of America Holdings committed Medicaid fraud by billing the program in Virginia a higher rate than other customers. Quest is the largest operator of medical labs in the United States. Hunter Laboratories LLC and its CEO Chris Riedel submitted the…