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Two Physician Groups Pay Over $33M to Resolve Whistleblower Claims Involving HMA Hospitals

Posted  12/20/17
By the C|C Whistleblower Lawyer Team Two physician groups, Dallas-based EmCare Inc. and Pennsylvania-based Physician’s Alliance Ltd (PAL), agreed to settlements that resolve claims the groups received illegal kickbacks in exchange for referring patients to hospitals owned by Health Management Associates (HMA). The settlements, announced by the Justice Department yesterday, resolve two separate whistleblower...

Texas Hospital to Pay $7.5 Million to Settle Kickback Allegations

Posted  12/4/17
By the C|C Whistleblower Lawyer Team The Department of Justice announced Friday that Pine Creek Medical Center LLC, a physician-owned hospital based in the Dallas/Fort Worth area, agreed to pay $7.5 million to settle claims it violated the False Claims Act. The claims centered on allegations that Pine Creek paid physicians kickbacks through marketing services in exchange for surgical referrals. The government alleged...

Pennsylvania Hospital and Physicians’ Group Settle FCA Suit for Over $20M

Posted  11/15/17
By the C|C Whistleblower Lawyer Team UPMC Hamot, a hospital in Erie, Pennsylvania, and Medicor Associates Inc, a cardiology practice, have agreed to pay $20.7M to settle allegations that they violated the FCA by paying for patient referrals in violation of the Stark law and Anti-Kickback Statute. Generally speaking, the Stark law and Anti-kickback statute prohibit hospitals, physicians, pharmacies, nursing homes,...

Houston-Area Hospitals Settle FCA Allegations for over $8M

Posted  10/5/17
By the C|C Whistleblower Lawyer Team Four hospitals in the Houston area have agreed to pay $8.6M to settle allegations that they received kickbacks from ambulance companies in exchange for the hospitals’ Medicare and Medicaid transport referrals. The hospitals are Bayshore Medical Center, Clear Lake Regional Medical Center, West Houston Medical Center, and East Houston Regional Medical Center. All four hospitals...

More Executives Charged in Tenet Healthcare Fraud Scheme

Posted  10/3/17
Several more executives were charged for their alleged roles in the $400 million fraud and bribery scheme involving Tenet Healthcare Corporation. The indictments follow the October 2016 guilty plea and half a billion dollar payout by Tenet and its subsidiaries for violating the False Claims Act and Anti-Kickback Statute. The allegations of the scheme originated in a whistleblower lawsuit filed under the qui tam...

DOJ Catch of the Week -- AnMed Health

Posted  09/29/17
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to AnMed Health. On Wednesday, the South Carolina-based hospital agreed to pay more than $7 million to resolve allegations it violated the False Claims Act by submitting false Medicare claims for a variety of services, including radiation oncology services, emergency department services, and clinic services. See DOJ...

DOJ Catch of the Week -- Medisys

Posted  09/15/17
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to MediSys Health Network, the owner of New York City hospitals Jamaica Hospital Medical Center and Flushing Hospital and Medical Center. On Wednesday, the hospital system agreed to pay $4 million to settle charges of violating the False Claims Act and Stark Law by engaging in improper financial relationships with...

Medicare Fraud Alert: Inpatient Rehabilitation Hospitals

Posted  01/26/17
By the C|C Whistleblower Lawyer Team A recently-released report from Department of Health and Human Services Office of the Inspector General (HHS-OIG) revealed potentially serious problems related to Medicare beneficiary stays in inpatient rehabilitation hospitals. Such hospitals—either standalone or included as distinct units within general-purpose hospitals—are designed to address the needs of patients who...

DOJ Catch of The Week -- Vibra Healthcare

Posted  09/30/16
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Pennsylvania-based hospital chain Vibra Healthcare LLC.  On Wednesday, the company agreed to pay $32.7 million to settle charges it violated the False Claims Act by billing Medicare for medically unnecessary services.  Vibra operates roughly three-dozen long term care hospitals and inpatient rehabilitation...

DOJ Catch of The Week -- Vibra Healthcare

Posted  09/30/16
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Pennsylvania-based hospital chain Vibra Healthcare LLC.  On Wednesday, the company agreed to pay $32.7 million to settle charges it violated the False Claims Act by billing Medicare for medically unnecessary services.  Vibra operates roughly three-dozen long term care hospitals and inpatient rehabilitation...