"When hospices increase their bottom lines by billing taxpayers for unneeded services, they are diverting money from vulnerable, terminally-ill individuals," said a spokesperson for the U.S. Department of Health and Human Services Office of the Inspector General....
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False Claims Act
Hospital to pay $784,000 to resolve False Claims Act allegations
Livingston Regional Hospital, LLC, of Tennessee has agreed to settle a False Claims Act case brought against it in federal court. It will resolve the allegations for $784,000. The hospital is owned by LifePoint Health, Inc., which operates hospitals across the U.S....
Whistleblowers to get $4,276,900 reward in improper billing case
A company called Healogics, Inc., has agreed to settle False Claims Act allegations for up to $22.51 million. The Florida company, which manages almost 700 hospital-based wound care centers nationwide, is accused of knowingly causing their wound care centers to...
Nursing home concern to pay $30 million in False Claims Act case
Skilled nursing facilities are in a position of trust. Especially when Medicare and Medicaid are involved, some nursing home patients are vulnerable. To protect them and the American taxpayer, their care should always be directed by their medical needs; never by the...
3 whistleblowers to get $4.4 million in Navy contract fraud case
Three former employees of a UK-based marine services contractor called Inchcape Shipping Services Holdings Limited filed a lawsuit accusing Inchcape and some of its subsidiaries with intentionally defrauding the U.S. Navy. The federal government intervened in the...
Mercy Health to pay $14.25 million over improper doctor payments
Cincinnati-based Mercy Health, a nonprofit healthcare organization operating in Ohio and Kentucky has agreed to pay the United States $14,250,000 to settle False Claims Act allegations. According to the Justice Department, Mercy Health made improper payments to...
Whistleblower says Insys paid kickbacks for opioid prescriptions
The Justice Department and six U.S. states have joined a whistleblower's lawsuit against Insys Therapeutics, Inc. In the lawsuit, the drug maker is accused of trying to make more profit on Subsys, a spray form of the opioid fentanyl, by paying kickbacks to induce...
DOJ awards $1,645,600 in case of false billings for oxygen
Respiratory equipment supplier Rotech Healthcare, Inc., has agreed to settle False Claims Act Allegations for $9.68 million. Moreover, as part of the settlement agreement, the company admits that it knowingly billed Medicare for portable oxygen tanks (contents) that...
Whistleblower awarded $3.3 million in major False Claims Act case
When Medicare patients could reasonably be treated on an outpatient basis but are admitted for inpatient care, the result is more expense for the government with no reason to expect a better outcome. Furthermore, patient admitting decisions should always be made for...
Whistleblower to receive $1.1 million in Lance Armstrong case
In 2013, cyclist Lance Armstrong admitted to using banned substances to win his record seven Tour de France titles between 1999 and 2005. In 2012, an investigation by the United States Anti-Doping Agency found that Armstrong and a number of his teammates had used the...