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Healthcare Fraud

This archive displays posts tagged as relevant to healthcare fraud.

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Step Aside Stanford Study -- Organic Foods Are Higher in Antioxidants

Posted  07/17/14
By Marlene Koury Despite the highly-publicized Stanford study from two years ago, which concluded that there was little difference in nutritional content between organic and conventional produce, a new comprehensive review of 343 studies has found just the opposite – and more. The review of studies found that organic fruits, vegetables and grains contain substantially higher levels of antioxidants – on...

Low Scores for US Healthcare . . . Again; Is Help on the Way?

Posted  06/19/14
hospiceBy Gordon Schnell The US healthcare system is the most expensive in the world.  Yet, it continues to rank poorly when compared to the healthcare systems of other developed countries.  In fact, when compared to the most developed countries around the globe, the state of our overall healthcare system comes in dead last.  At least that is the finding of the report issued this week by The Commonwealth Fund titled

Medicare Unmasked -- The Continued Campaign to Rein In Medicare Fraud

Posted  06/12/14
By Gordon Schnell As part of its ongoing crusade to shine a light on Medicare reimbursement, the Wall Street Journal has uncovered some disturbing details on how certain doctors appear to be gaming the system. This comes from the Journal's rummaging through the Medicare data the Center for Medicare and Medicaid Services (CMS) released in April -- the first time ever -- on nearly a million healthcare providers. What...

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...

April 16, 2014

CRC Health Corp., a nationwide provider of substance abuse and mental health treatment services, agreed to pay $9.25 million to settle allegations that CRC violated the False Claims Act by providing substandard treatment in its Tennessee facility to adult and adolescent Medicaid patients suffering from alcohol and drug addiction.  The allegations were first raised in a qui tam lawsuit filed by Angie Cederoth, a former billing clerk in the CRC facility, under the whistleblower provisions of the False Claims Act.  She will receive a whistleblower award of$1.5 million.  DOJ

March 18, 2014

American Family Care Inc., a network of walk-in medical clinics with offices in Alabama, Tennessee and Georgia, agreed to pay $1.2M to resolve allegations under the False Claims Act that it knowingly submitted claims to Medicare for outpatient office visits that were billed at a higher rate than was appropriate.  The settlement resolves a qui tam lawsuit filed by Anita C. Salters, a former employee of American Family Care under the whistleblower provision of the False Claims Act.  DOJ

March 11, 2014

Florida-based hospital system Halifax Hospital Medical Center agreed to pay $85M to resolve allegations that they violated the False Claims Act and Stark Law by executing contracts with six medical oncologists that provided an incentive bonus that improperly included the value of prescription drugs and tests that the oncologists ordered and Halifax billed to Medicare.  The allegations were first raised in a qui tam lawsuit filed by Halifax Hospital employee Elin Baklid-Kunz under the whistleblower provisions of the False Claims Act.  She will receive a whistleblower award of $20.8 million.  DOJ

Another Record-Breaking Year in the Government’s Campaign Against Health Care Fraud

Posted  02/27/14
By Jason Enzler The Departments of Justice and Health and Human Services released their annual Health Care Fraud and Abuse Control Program report yesterday to much fanfare.  And justifiably so.  The report documented the breaking of several records in the government’s ongoing fight against health care fraud. According to the report, for every $1 the government spent on combating health care fraud over the...

Top-10 Public Health Issues of 2013

Posted  12/31/13
By Gordon Schnell As we usher in the New Year with hopeful anticipation of all the positive public health developments that await us in 2014, here is a look-back at 2013 and our Top-10 listing of public health issues in the spotlight. 10.  Herbal Supplements.  The herbal supplement trade has grown into a multi-billion dollar business because these alternative remedies offer the promise of treating the old...
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