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The government uses the False Claims Act (FCA) when looking to combat fraud involving federal programs like Medicare and Medicaid. One form of healthcare fraud the government often targets involves allegations kickbacks — financial incentives provided by medical...
Physicians, medical groups, hospitals, and anyone who bills a government provider like Medicare must follow strict rules when making their claim for payment. Failing to abide by these rules can result in allegations of wrongdoing and lead to an investigation and...
The Department of Justice (DOJ) recently announced the sentences for two New York diagnostic testing facility owners. New York officials announced the charges against the two, a married couple, for various healthcare fraud crimes including the payment of over $18...
The case began with a disgruntled employee. A former employee of the dentist filed a claim a lawsuit in 2017 stating that the dental practice was in violation of the False Claims Act (FCA). The former employee used this law to sue on behalf of the government, claiming...
A nursing and behavioral center located in New Jersey that served residents of New York and New Jersey is set to close in a matter of weeks. The New Jersey Department of Health revoked the facility’s license due to a failure to correct violations. The agency claims...
The Social Security Act requires provider's report any Medicare overpayment. A failure to do so can result in more than just a need to pay the government back, it could escalate to criminal charges. But what happens if the government makes a mistake? How do these...
One of the largest, private for-profit hospital systems in the nation agreed to pay over $4.5 million to settle allegations that it violated various federal laws, including the False Claims Act (FCA). The healthcare corporation, Steward Health Care System LLC, owns...
The government continues its aggressive crackdown on the use of opioids. Although the overall goal of attacking the over prescription and abuse of this highly addictive medication is noble, the reality can mean destructive allegations against physicians throughout the...
Filling out paperwork is often a tedious, time-consuming process. This is true on both sides of the healthcare system — neither patients nor hospitals or physicians are likely to find joy in filling out the paperwork required by insurance providers. But a failure to...
The feds are aggressive when it comes to pursuing allegations of healthcare fraud. One of their favorite legal tools to use when building these cases is the False Claims Act (FCA). This law basically states that the feds can go after any business that falsely bills a...
