Archive

Fraudster of the Week -- Alabama Pain Doctor Rassan M. Tarabein

Posted 07/7/17

By the C|C Whistleblower Lawyer Team Last week, federal authorities announced that Dr. Rassan M. Tarabein, a neurologist who operates the Eastern Shore Neurology and Pain Center in Daphne, Alabama, had been arrested on myriad federal and state charges relating to health care fraud. A federal grand jury recently returned a 22-count superseding indictment against Tarabein, charging him with health care fraud,...

Tagged in: Catch of the Week, Healthcare Fraud, Lack of Medical Necessity, Provider Fraud,

Houston-Area Psychiatrist Convicted of Health Care Fraud for Role in $158M Medicare Fraud Scheme

Posted 05/24/17

By the C|C Whistleblower Lawyer Team A jury convicted Texas psychiatrist Riaz Mazcuri of conspiracy to commit health care fraud and five counts of health care fraud. He is the latest to be convicted in a $158 million dollar scheme to defraud Medicare by submitting false claims for partial hospitalization program (PHP) services, an intensive outpatient treatment for mental illness. Thus far, 15 others have been...

Tagged in: Healthcare Fraud, Medical Billing Fraud, Provider Fraud,

Poplar Healthcare to Pay Nearly $900k to Resolve Whistleblower’s False Claims Act Allegations

Posted 05/3/17

By the C|C Whistleblower Lawyer Team The Justice Department announced the settlement on Monday, which resolves allegations that Memphis’s Poplar Healthcare and its subsidiary GI Pathology promoted and billed the government for medically unnecessary diagnostic tests. Poplar allegedly marketed certain stain tests as capable of definitely diagnosing a condition called mast cell enterocolitis. But according to...

Tagged in: FCA Federal, Laboratory and IDTF, Lack of Medical Necessity, Whistleblower Case,

Walgreens Settles Whistleblower Suit over Alleged Medi-Cal Fraud

Posted 04/21/17

By the C|C Whistleblower Lawyer Team Illinois-based drugstore giant Walgreens, with roughly 630 stores in California, agreed to pay $9.86 million to resolve allegations it violated the False Claims Act by knowingly submitting claims to California’s Medi-Cal program not supported by applicable diagnosis and documentation requirements. The Medi-Cal program, administered by the California Department of Health Care...

Tagged in: FCA Federal, Lack of Medical Necessity, Medicaid, Pharma Fraud, Whistleblower Case, Whistleblower Rewards,

DOJ: Chicago Chiropractor Billed over $10 Million for Nonexistent Services

Posted 03/28/17

By the C|C Whistleblower Lawyer Team Seeking to crackdown on fraud within the chiropractic field, the Department of Justice recently announced the indictment of Chicago-based chiropractor Henry Posada on 18 counts of health care fraud. The government alleges that from 2008 to 2016, Posada fraudulently billed over $10 million in chiropractic services to both Medicare and private insurers. According to the...

Tagged in: Chiropractic, Medicaid, Medical Billing Fraud, Medicare,

DOJ intervenes in $50 Million Healthcare Fraud Case

Posted 03/2/17

By the C|C Whistleblower Lawyer Team Preet Bharara, US Attorney for the Southern District of New York, announced a civil suit and criminal actions against several doctors and health care entities alleging over $50M in fraud through schemes that lasted over 12 years. Five of the six doctors charged in their personal capacity were arrested in the New York area on Wednesday. The allegations center around Asim...

Tagged in: Anti-Kickback and Stark, FCA Federal, Government Decision, Healthcare Fraud, Lack of Medical Necessity, Medicaid, Medical Billing Fraud, Medicare, Private Insurance Whistleblower Reward Programs, Provider Fraud,

United States Intervenes in Constantine Cannon Whistleblower’s suit against UnitedHealth Group, WellMed Medical Management

Posted 02/16/17

By the C|C Whistleblower Lawyer Team The U.S. Department of Justice has joined Constantine Cannon in bringing a whistleblower’s False Claims Act lawsuit against UnitedHealth Group, the nation’s largest health insurer and largest operator of Medicare managed healthcare insurance plans. The suit alleges UnitedHealth and its various subsidiaries and affiliates defrauded Medicare by improperly inflating its risk...

Tagged in: Government Decision, Managed Care, Medicare, Risk Adjustment Fraud, Upcoding, Whistleblower Case,

DOJ Catch of the Week - Comprehensive Health Services

Posted 02/10/17

This week's Department of Justice "Catch of the Week" goes to Comprehensive Health Services, Inc., one of the country's largest providers of workforce medical services. On Wednesday, the Florida-based company agreed to pay roughly $3.8 million to settle charges it violated the False Claims Act by double-billing and mischarging the government for medical services in connection with work it performed on an Internal...

Tagged in: Bundling and Unbundling, Catch of the Week,

TeamHealth to Pay $60M to Settle Whistleblower Charges

Posted 02/7/17

By the C|C Whistleblower Lawyer Team U.S. hospital service provider TeamHealth Holdings agreed to pay $60 million to settle charges its predecessor company IPC Healthcare Inc. violated the False Claims Act by billing Medicare, Medicaid, the Defense Health Agency and the Federal Employees Health Benefits Program for higher and more expensive levels of medical service than were actually performed. See DOJ Press...

Tagged in: FCA Federal, Medicaid, Medicare, Upcoding,

Kentucky Pain Management Physician Pays $20M to Settle FCA Charges

Posted 02/2/17

By the C|C Whistleblower Lawyer Team Dr. Robert Windsor, the owner of several Kentucky and Georgia pain management clinics operating under the umbrella of National Pain Care, Inc., agreed to a $20 million consent judgment resolving government allegations he billed federal health care programs for surgical monitoring services he did not perform, and for medically unnecessary diagnostic tests. To satisfy the...

Tagged in: FCA Federal, Lack of Medical Necessity, Medical Billing Fraud, Medicare, Other Government Health Programs,

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Fraudster of the Week -- Alabama Pain Doctor Rassan M. Tarabein

Houston-Area Psychiatrist Convicted of Health Care Fraud for Role in $158M Medicare Fraud Scheme

Poplar Healthcare to Pay Nearly $900k to Resolve Whistleblower’s False Claims Act Allegations

Walgreens Settles Whistleblower Suit over Alleged Medi-Cal Fraud

DOJ: Chicago Chiropractor Billed over $10 Million for Nonexistent Services

DOJ intervenes in $50 Million Healthcare Fraud Case

United States Intervenes in Constantine Cannon Whistleblower’s suit against UnitedHealth Group, WellMed Medical Management

DOJ Catch of the Week - Comprehensive Health Services

TeamHealth to Pay $60M to Settle Whistleblower Charges

Kentucky Pain Management Physician Pays $20M to Settle FCA Charges

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