4 Key takeaways from 9th Circuit’s Resurrection of the Silingo Medicare Advantage Case
Posted 07/20/18
Whistleblower attorney Jessica Moore published in Becker's Hospital Review (July 20, 2018). Click here to read the article.
Risk Adjustment Fraud
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Constantine Cannon Partner Mary Inman will be Featured on RAC Monitor
Posted 02/12/18
By the C|C Whistleblower Lawyer Team
Tune in to RAC Monitor this Monday, February 12, 2018 at 10 AM Eastern to listen to “EMR and RAC Audits: Who Takes the Hit Part II.” Constantine Cannon Partner Mary Inman will speak about the False Claims Act lawsuit against Bon Secours Health System, Inc.
Medicare Parts C and D: A look at cases and recent developments surrounding Medicare Parts C and D and risk adjustment fraud
Posted 11/2/17
Moderator; 17th Annual Taxpayers Against Fraud Education Conference, Washington D.C. (November 2, 2017).
Moderator: "Medicare Parts C and D: A look at cases and recent developments surrounding Medicare Parts C and D and risk adjustment fraud"
Posted 11/2/17
17th Annual Taxpayers Against Fraud Education Conference (November 2, 2017)
By Mary Inman
Freedom Health/Optimum - Healthcare Fraud/Medicare Advantage ($32.5 million)
Constantine Cannon represented a whistleblower in a False Claims Act case alleging Freedom Health and Optimum Healthcare inflated their Medicare Advantage patient risk scores to secure artificially high Medicare reimbursement. In May 2017, the companies agreed to pay $32.5 million to settle the matter. Our client received a whistleblower award of roughly $6.4 million. Read more -- NPR, Miami Herald, DOJ, CC.Aftershocks of the Feds' Big Bust: Lessons Learned
Posted 07/18/17
By the C|C Whistleblower Lawyer Team
Listen to RAC Monitor's broadcast program, "Aftershocks of the Feds' Big Bust: Lessons Learned," featuring Constantine Cannon Partner, Mary Inman. Ms. Inman discusses the DOJ's recent Health Care Fraud Takedown and the prosecution of medical professionals involved in opioid-related crimes as a DOJ health care enforcement priority (at 21:30 of the broadcast). Click here for more.
July 17, 2017
Mary Inman appeared as a special guest on RAC Monitor's "Monitor Monday" radio broadcast "Aftershocks of the Feds' Big Bust: Lessons Learned" to talk about DOJ's recent Health Care Fraud Takedown and the prosecution of medical professionals involved in opioid-related crimes as a DOJ health care enforcement priority.May 30, 2017
Florida-based managed care service provider Freedom Health Inc. agreed to pay roughly $32 million to settle charges it violated the False Claims Act by engaging in illegal schemes to maximize its Medicare Advantage plan payments from the government. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by former Freedom Health employee and Constantine Cannon client Darren D. Sewell. He will receive a yet-to-be-determine whistleblower award from the proceeds of the government's recovery. Whistleblower InsiderJune 9, 2017
Mary Inman appeared as a guest on RAC Monitor's "Monitor Monday" radio program to talk about "In the Crosshairs -- Medicare Advantage and Risk Adjustment Fraud" and the successful resolution of Constantine Cannon’s whistleblower client's case against Freedom Health and Optimum Healthcare, two Medicare Advantage plans based in Tampa, Florida.May 31, 2017
Partner Mary Inman was quoted in the following articles:- Florida Medicare Advantage insurer settles whistleblower lawsuit for $32 million, Miami Herald, and
- Whistleblower Triggers $32.5 Million Settlement with Florida Managed Care Organization, RAC Monitor.