Medicare
This archive displays posts tagged as relevant to Medicare and fraud in the Medicare program. You may also be interested in our pages:
Regeneron: The Government’s Latest Stand against Patient Kickbacks
Posted 06/25/20
June 25, 2020
Georgia-based Piedmont Healthcare, Inc. has agreed to pay $16 million to resolve whistleblower-brought allegations that it violated the Anti-Kickback Statute and False Claims Act. The relator in this case, a former Piedmont physician, alleged that between 2009 and 2013, Piedmont’s case managers overturned physician recommendations for outpatient care by submitting claims for more expensive inpatient care to Medicare and Medicaid. Furthermore, when the healthcare system acquired the Atlanta Cardiology Group in 2007, it allegedly paid far above fair market value for a catherization lab that was partly owned by the practice group. For bringing a successful enforcement action, the unnamed relator will receive a share of nearly $3 million of the settlement proceeds. USAO SDGAJune 24, 2020
Augusta University Medical Center (AUMC) has agreed to pay $2.6 million to resolve fraud allegations by the United States, State of Georgia, and State of South Carolina under state and federal False Claims Acts. According to the government, AUMC knowingly submitted claims to Medicare and Medicaid for a medically unnecessary procedure that was billed as a covered procedure. USAO SDGAMedicare Risk Adjustment Fraud is Not Victimless
Posted 06/18/20
Telehealth Expansion is Here to Stay, We Must Be Wary of Fraud
Posted 05/15/20
Keeping Our Eyes Open for COVID-19 Fraud
Posted 05/1/20
COVID Frauds of the Week: Misrepresented Mask Inventories and Medicare Fraud
Posted 05/1/20
