Archive

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 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,

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,

Long Island’s Zwanger-Pesiri Radiology to Pay Over $10 Million Over Allegations of Medicare and Medicaid Fraud

Posted 11/17/16

By the C|C Whistleblower Lawyer Team Long Island Natives Reported Systemic and Abusive Billing Practices, Including: · performing unnecessary and excessive testing; · purposely scheduling tests based on financial gain, not patient need; · falsifying the identity of rendering radiologists while using the services of uncredentialed physicians; and · charging for services not performed. Constantine Cannon...

Tagged in: Improper Medical Personnel, Lack of Medical Necessity, Medical Billing Fraud, Whistleblower Rewards,

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...

Tagged in: Catch of the Week, FCA Federal, Hospital Fraud, Lack of Medical Necessity, Medicare, Whistleblower Case, Whistleblower Rewards,

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...

Tagged in: Catch of the Week, FCA Federal, Hospital Fraud, Lack of Medical Necessity, Medicare, Whistleblower Case, Whistleblower Rewards,

DOJ Catch Of The Week -- North American Health Care

Posted 09/23/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to North American Health Care Inc. On Monday, the California-based operator of dozens of skilled nursing facilities -- along with its Chairman John Sorenson and Senior Vice President of Reimbursement Analysis Margaret Gelvezon -- agreed to pay $30 million to resolve charges they violated the False Claims Act by billing...

Tagged in: Catch of the Week, FCA Federal, Lack of Medical Necessity, Medicare, Other Government Health Programs, SNF,

Trend Alert: Nursing Homes Profit at the Expense of Vulnerable Patients

Posted 09/22/16

By Max Voldman Monday’s announcement of the DOJ’s $28.5 million settlement with North American Health Care (“North American”) is the latest in a disturbing trend of healthcare companies profiting off of medically unnecessary services provided (and sometimes not even provided) to America’s seniors. North American, a chain of 35 nursing homes in California, allegedly billed thousands of procedures to...

Tagged in: FCA Federal, Lack of Medical Necessity, Medicare, SNF,

DOJ Catch Of The Week -- Coastal Spine And Pain

Posted 09/2/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Jacksonville-based Physicians Group Services, P.A., doing business as Coastal Spine and Pain. On Wednesday, the surgery and pain-management clinic agreed to pay $7.4 million to settle charges it violated the False Claims Act by performing medically unnecessary drug screening procedures. See DOJ Press...

Tagged in: Catch of the Week, FCA Federal, Lack of Medical Necessity, Medicare,

Contact

Click here for a confidential contact or call:

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

Walgreens Settles Whistleblower Suit over Alleged Medi-Cal Fraud

DOJ intervenes in $50 Million Healthcare Fraud Case

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

Long Island’s Zwanger-Pesiri Radiology to Pay Over $10 Million Over Allegations of Medicare and Medicaid Fraud

DOJ Catch of The Week -- Vibra Healthcare

DOJ Catch of The Week -- Vibra Healthcare

DOJ Catch Of The Week -- North American Health Care

Trend Alert: Nursing Homes Profit at the Expense of Vulnerable Patients

DOJ Catch Of The Week -- Coastal Spine And Pain

Newsletter

Subscribe to receive email updates from the Constantine Cannon blogs

Sign up for: