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Healthcare Fraud

This archive displays posts tagged as relevant to healthcare fraud.

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The Growing Problem of Drug Abuse by Seniors

Posted  09/18/14
By Jason Enzler Drug abuse and misuse by the older generation is on the rise, according to a recent article in the Wall Street Journal. And the forecast predicts things may get worse. The problem appears to be two-fold: addiction and misuse. On the addiction side, experts are concerned that seniors are receiving powerful opiates and anti-anxiety medications without adequate monitoring to identify when patients...

Tagged in: Healthcare Fraud,

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September 18, 2014

New York Attorney General Eric T. Schneiderman announced that 46 states and the District of Columbia have reach a settlement agreement with Minnesota-based company Medtronic to resolve claims under the False Claims Act that Medtronic improperly induced physicians to recommend Medtronic devices to treat cardiac rhythmic disease. New York led a national team composed of members from Oregon, Texas and California to negotiate the settlement. The federal government settled its matter in May of this year. The agreement requires Medtronic to pay the settling states $362,362 which will go to those states’ Medicaid programs. The matter was brought by a whistleblower, Adolfo Schroeder. NYAG

Tagged in: Healthcare Fraud, Medicaid, Medical Devices and DME, Whistleblower Case, Whistleblower Rewards,

Rose Cancer Center - Healthcare Fraud ($5.7 million)

Constantine Cannon represented a whistleblower in a False Claims Act case alleging Mississippi-based Rose Cancer Center used unqualified technicians performing bone marrow biopsies, diluted chemotherapy drugs, and falsified patient records to conceal the clinic’s fraudulent Medicare billings.  The physician who owned and ran the practice plead guilty to various Medicare fraud violations, forfeited $5.7 million, and was sentenced to 20 years in prison.  In August 2014, our client (along with three other whistleblowers) received a whistleblower award of $525,000 from the government's recovery.  Read more -- Clarion Ledger, CC.

Tagged in: FCA Federal, Healthcare Fraud, Improper Medical Personnel, Lack of Medical Necessity, Medicare, Provider Fraud, Whistleblower Rewards,

Constantine Cannon Whistleblower Exposes Cancer Clinic Horror 

Posted  08/21/14
[caption id="" align="alignright" width="280"] Source: Madison County Sheriff's Department[/caption] By Marlene Koury In late 2011, Kristi Beeson was working as a laboratory technician at Rose Cancer Clinic in Mississippi, but had a bad feeling that something was not quite right.  In a short time, she had witnessed numerous fraudulent practices at the clinic, including unqualified technicians performing bone...

Tagged in: Healthcare Fraud,

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Anatomy of a Medicare Fraud Scam – Power Wheelchairs

Posted  08/21/14
By Gordon Schnell It may not be the biggest scam contributing to the estimated $50 billion annual price tag for Medicare fraud and abuse.  But according to a recent Washington Post report, it could be one of the simplest and most lucrative ones.  It is the power wheelchair scam.  According to the Post, "criminals disguised themselves as medical-supply companies.  They ginned up bogus bills, saying they’d...

Tagged in: Healthcare Fraud,

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DOJ Catch of the Week – Vascular Solutions

Posted  08/1/14
By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Vascular Solutions Inc (VSI).  On Monday, the Minneapolis-based medical device maker agreed to pay $520,000 to resolve allegations that it violated the False Claims Act by marketing a product for sealing veins without FDA approval.  Specifically, the government charged that VSI marketed and sold its "Vari-Lase...

Tagged in: Catch of the Week, FCA Federal, FDA Fraud, Healthcare Fraud, Medical Devices and DME, Medicare, Off-Label and Unapproved Use,

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States Go After 5-Hour Energy for Deceptive Advertising

Posted  07/24/14
By Gordon Schnell In the ever-expanding market for high-octane energy drinks, 5-Hour Energy has been the standout success story.  These two-ounce power surges are purchased 9,000,000 times a week for a total takeaway of more than $1 billion a year for the crafty vendors of this wonder blend, Living Essentials and Innovation Ventures.  And it took them only ten years to get there.  Sitting proudly and seductively...

Tagged in: 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...

Tagged in: Healthcare Fraud,

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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

Tagged in: Healthcare Fraud,

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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,

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