DOJ Remains Alert to Sleep Center Fraud
As Americans’ waist lines have expanded, so have the number of people battling sleep apnea, a potentially lethal condition where the patient stops breathing during…
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Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective
Contact FormAnother Hospice Fraud Settlement
The Medicare hospice benefit is available for patients who elect palliative treatment (medical care focused on providing patients with relief from pain, symptoms or stress)…
Read More »Opportunity for Whistleblowers to Step into the Enforcement Void Left by Hamstrung RAC Program
Could political pressure be behind the recent pull back on the Medicare Recovery Audit Contractor (RAC) program? The RAC program audits healthcare providers to ensure…
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Court Decides Exemption for Healthcare Whistleblowers with HIPAA Records
Consistent with the specific exemption under HIPAA, the United States District Court in the Eastern District of Arkansas has ruled that healthcare whistleblowers did not…
Read More »HHS-OIG Warns Against Sham Medical Directorships
In October 2011, Nolan Auerbach & White announced the $7.5 million settlement of its client's False Claims Act qui tam action, alleging that Select Medical paid…
Read More »Children’s Hospital Pays Government $12.9 Million for Allegedly Submitting False Medicare Cost Reports
Medical residents are a coveted commodity for teaching hospitals. The federal government's Graduate Medical Education Program pays millions of dollars in grant money to freestanding…
Read More »Corporate Communications Can Provide Ample Evidence for System-Wide Qui Tam Actions
Oftentimes, employees do not file qui tam actions against large healthcare entities because they believe they need mounds of evidence. In the False Claims Act…
Read More »Simple Reality for Healthcare Providers: Retaining Medicare Overpayments Is Theft
On a regular basis, HHS-OIG releases the results of an audit, examining the high rate of Medicare overpayments by Medicare contractors. Oftentimes, the report includes…
Read More »Are Some Health Systems Violating the Law When Acquiring Medical Practices?
In April 2014, All Children’s Hospital, et al. agreed to pay $7 million to resolve a False Claims Act qui tam action, which alleged that…
Read More »Justice Department Alleges Nursing Home Chain’s “Ultra High Bill Targets” Caused Its Facilities to Submit False Medicare Claims
DOJ filed a False Claims Act complaint-in-intervention against HCR ManorCare alleging that ManorCare knowingly and routinely submitted false claims to Medicare and Tricare for rehabilitation…
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