The United States Department of Health and Human Service's (HHS) Office of Inspector General (OIG) recently released a report that states most Medicare claims from durable medical equipment supplies for payment for replacement positive airway pressure (PAP) device...
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Health Care Investigations
Man expelled from Haiti to face healthcare fraud charges in U.S.
After over ten years of investigating and searching, the United States Department of Health and Human Services has recaptured and charged a man with healthcare fraud. In response to the initial charges made ten years ago, the accused fled. He left the country and,...
New York City officials’ crackdown on home health care agencies
The New York City Department of Consumer Affairs (DCA) is following the recent practices of the United States Department of Labor. The federal government recently identified a prevalence of labor law violations within the home health care agency industry. As such, the...
NY nursing provider pays $1.65M to settle whistleblower claim
The New York state and federal government recently conducted an investigation into the operations of a local skilled nursing provider. The center under investigation provides long-term care services to patients in the community. These services can include adult day...
New York case to challenge association health plan regulation
New York v. Acosta could change the administration of association health plans throughout the country. This New York case questions a regulation by President Trump's administration. The regulation allegedly makes it easier for smaller groups to buy association health...
Drug company accused of illegal kickbacks, settles with DOJ
The Department of Justice (DOJ) accused a large drug company of paying kickbacks to medical professionals to encourage the physicians and nurse practitioners to prescribe their medications. The DOJ’s has accused the company of using kickbacks to encourage the...
NY pharmacist gets 6-month prison sentence for healthcare fraud
The New York State Attorney General recently sentenced a pharmacist for his role in a healthcare fraud scheme. The government accused the medical professional of filing over 1.5 million in fraudulent payments with the New York State Medicaid program. Criminal...
Over 200 in Westchester and Rockland lost Medicare privileges
Medical professionals often rely on payments from Medicare for services provided to patients. The United States Department of Health and Human Service’s Centers for Medicare and Medicaid Services administers this program and requires medical professionals meet...
Healthcare provider accused of upcoding
A data analytics firm has accused a healthcare provider of False Claims Act violations. The group states the provider illegally received payment for over $188 million in Medicare claims. If the suit is successful, the firm would receive a portion of the winnings.The...
NY psychiatrist faces 10 years prison sentence for health care fraud
The United States Attorney for the Western District of New York has charged a local psychiatrist with health care fraud. The medical professional operates a private practice, has served with many nursing homes and has also spoken at consulting engagements for...

