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DOJ Catch Of The Week -- Hebrew Homes Health Network

Posted 06/19/15

By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Hebrew Homes Health Network Inc., a Florida-based operator of rehabilitation and skilled nursing facilities. On Tuesday, the company -- along with its former president and executive director William Zubkoff -- agreed to pay $17 million to resolve allegations it violated the False Claims Act by improperly paying...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal, SNF,

Seventh Circuit Gives Broad Read To What Constitutes A "Referral" Under Anti-Kickback Statute

Posted 02/26/15

Under the Anti-Kickback Statute, physicians may not solicit or receive kickbacks for referring Medicare patients to a particular healthcare provider. The question before the Seventh Circuit in United States v. Patel was the scope of what constitutes a referral under the statute. According to the Court, the scope is quite broad, even extending to situations where the physician plays no role in selecting the healthcare...

Tagged in: Anti-Kickback and Stark, Court Decision, Healthcare Fraud, Provider Fraud,

DOJ Reports Continued Surge in False Claims Act Recoveries Prompted by Whistleblowers

Posted 11/21/14

By the C|C Whistleblower Lawyer Team Yesterday, the Department of Justice reported its recovery of a record $5.69 billion in False Claims Act settlements and judgments during the 2014 fiscal year (ending September 30). It is the first time DOJ has crossed the $5 billion mark and brings to $22.75 billion the total False Claims Act recoveries DOJ has obtained since January 2009. That 6-year tally represents more than...

Tagged in: Anti-Kickback and Stark,

TAF Whistleblower of the Year -- Halifax Whistleblower Elin Baklid-Kunz

Posted 09/18/14

By the C|C Whistleblower Lawyer Team The whistleblower advocacy and education group Taxpayers Against Fraud (TAF) just had their fourteenth annual conference in Washington. And in what has become a highlight of the three-day event, the organization made its annual Whistleblower of the Year award. This year's winner is Elin Baklid-Kunz. She is the long-time employee of Halifax Health Medical Center who exposed the...

Tagged in: Anti-Kickback and Stark,

DOJ Catch of the Week -- Community Health Systems

Posted 08/8/14

By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Community Health Systems, Inc. On Monday, the Tennessee-based operator of acute care hospitals -- the largest in the country with 206 affiliated hospitals in 29 states -- agreed to pay $98 million to resolve charges of billing the government for inpatient services that should have been billed as significantly less...

Tagged in: Anti-Kickback and Stark, Catch of the Week, Other Government Health Programs,

DOJ Catch Of The Week -- Infirmary Health System Inc.

Posted 07/25/14

By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Infirmary Health System Inc. On Monday, the Alabama-based hospital system, along with two affiliated clinics and Diagnostic Physicians Group (DPG), agreed to pay $24.5 million to resolve government allegations they violated the False Claims Act. Specifically, the government charged the group with violating the...

Tagged in: Anti-Kickback and Stark, Catch of the Week,

DOJ Catch Of The Week -- King's Daughters Medical Center

Posted 05/30/14

[caption id="attachment_3703" align="alignright" width="300"]

Source: King's Daughter Medical Center[/caption] By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to King's Daughters Medical Center. On Wednesday, this large hospital in northeast Kentucky agreed to pay $41 million to resolve government charges that it violated the False Claims Act by submitting claims...

Tagged in: Anti-Kickback and Stark, Catch of the Week, Healthcare Fraud,

More Trouble for Orthofix

Posted 12/20/12

By Marlene Koury Medical device maker Orthofix, Inc. this week obtained court approval for its June 2012 settlement proposal to resolve civil and criminal allegations that it defrauded Medicare through kickback schemes and overbilling for its bone-growth stimulators. Click here for the original government press release. The company will pay approximately $43 million for its misdeeds. This payment follows on...

Tagged in: Anti-Kickback and Stark, FCA Federal, Medicare,

Low Scores for Government Efforts to Clean Up Medicare/Medicaid Fraud

Posted 06/25/12

By Gordon Schnell The Government Accountability Office (GAO), the nonpartisan investigative arm of Congress, just issued a relatively unflattering report on the government's internal efforts to clean up Medicare and Medicaid fraud. According to the report, the government makes more than $60 billion in improper Medicare and Medicaid payments every year because of fraud, waste and abuse of the system. This comes...

Tagged in: Anti-Kickback and Stark,

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DOJ Catch Of The Week -- Hebrew Homes Health Network

Seventh Circuit Gives Broad Read To What Constitutes A "Referral" Under Anti-Kickback Statute

DOJ Reports Continued Surge in False Claims Act Recoveries Prompted by Whistleblowers

TAF Whistleblower of the Year -- Halifax Whistleblower Elin Baklid-Kunz

DOJ Catch of the Week -- Community Health Systems

DOJ Catch Of The Week -- Infirmary Health System Inc.

DOJ Catch Of The Week -- King's Daughters Medical Center

More Trouble for Orthofix

Low Scores for Government Efforts to Clean Up Medicare/Medicaid Fraud

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