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Medicare Fraud 101| Nolan, Auerbach & White

Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective

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Medicare Fraud 101| Nolan, Auerbach & White | medicare-fraud.net Reviews

https://medicare-fraud.net

Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective

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1

Children's Hospital Pays Government $12.9 Million for Allegedly Submitting False Medicare Cost Reports - Medicare Fraud 101

http://medicare-fraud.net/childrens-hospital-pays-government-12-9-million-for-allegedly-submitting-false-medicare-cost-reports

Pharmaceutical Fraud 101 Blog. Qui Tam 101 Blog. Children’s Hospital Pays Government $12.9 Million for Allegedly Submitting False Medicare Cost Reports. July 7, 2015. 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 hospitals to help them maintain their residency programs. The Children’s Hospital, in Washington, D.C., allegedly misreported this ratio to the go...

2

Are Some Health Systems Violating the Law When Acquiring Medical Practices? - Medicare Fraud 101

http://medicare-fraud.net/are-some-health-systems-violating-the-law-when-acquiring-medical-practices

Pharmaceutical Fraud 101 Blog. Qui Tam 101 Blog. Are Some Health Systems Violating the Law When Acquiring Medical Practices? May 22, 2015. In April 2014, All Children’s Hospital, et al. agreed to pay $7 million to resolve a False Claims Act. Relator received a reward. Of nearly $2 million. A year later, in April 2015, the nationwide dermatology practice Family Dermatology agreed to pay over $3 million, resolving three separate. In both of these settlements, almost all of the. Like a line out of. Serious ...

3

Pharmaeceutical Fraud Archives - Medicare Fraud 101

http://medicare-fraud.net/category/pharmaeceutical-fraud

Pharmaceutical Fraud 101 Blog. Qui Tam 101 Blog. Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective. Category Archives: Pharmaeceutical Fraud. July 1, 2016. Are Copayment Assistance Nonprofits to Funneling Kickbacks to Patients? In recent years, the federal government has reviewed the issue of copayment assistance organizations that purport to help Medicare and Medicaid beneficiaries with their pharmaceutical…. Read More ». October 22, 2015. Read More ». May 12, 2015. Medica...

4

Medicare Fraud 101| Nolan, Auerbach & White

http://medicare-fraud.net/page/2

Pharmaceutical Fraud 101 Blog. Qui Tam 101 Blog. Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective. November 9, 2015. Are Lab Companies Back to Their Old Tricks of Bundling Medically Unnecessary Tests? Millennium Health, formerly known as Millennium Laboratories, grew to be the largest Medicare Part B biller in the country, receiving $630 million from Medicare for…. Read More ». October 30, 2015. Medicare Paid Close to $60 Billion in Improper Payments in FY 2014. As America...

5

Justice Department Alleges Nursing Home Chain's "Ultra High Bill Targets" Caused Its Facilities to Submit False Medicare Claims - Medicare Fraud 101

http://medicare-fraud.net/justice-department-alleges-nursing-home-chains-ultra-high-bill-targets-caused-its-facilities-to-submit-false-medicare-claims

Pharmaceutical Fraud 101 Blog. Qui Tam 101 Blog. Justice Department Alleges Nursing Home Chain’s “Ultra High Bill Targets” Caused Its Facilities to Submit False Medicare Claims. May 12, 2015. DOJ filed a False Claims Act complaint-in-intervention. SNFs) in 30 states. According to the government’s FCA Medicare fraud. The government maintains that these billing goals were specifically designed to increase revenues without regard to the patients’ actual clinical needs. The underlying. Whistleblowers Often P...

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pharmaceutical-kickbacks.com pharmaceutical-kickbacks.com

Pharmaceutical | Pharma 101

http://pharmaceutical-kickbacks.com/category/pharmaceutical

Medicare Fraud 101 Blog. Qui Tam 101 Blog. Pharma 101 Pharmaceutical Fraud. Pharmaceutical Fraud News and Insight form the Qui Tam and False Claims Act Perspective. August 29, 2016. Kickbacks Crackdown Worldwide: Will Pharma Finally Get the Message? The Wall Street Journal recently reported that six employees of Novartis have been indicted in South Korea amidst allegations that the company paid $2.3 million…. Read More ». June 29, 2016. Read More ». June 17, 2016. Read More ». February 5, 2016. The Gover...

false-claims-act.net false-claims-act.net

DOJ Proactively Educates the Courts about Key Healthcare Fraud Statutes | Qui Tam 101

http://false-claims-act.net/doj-proactively-educates-the-courts-about-key-healthcare-fraud-statutes

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. DOJ Proactively Educates the Courts about Key Healthcare Fraud Statutes. February 27, 2015. In False Claims Act. For many years, the Justice Department rarely filed third-party briefs in non-intervened whistleblower. Actions. Indeed, unless the litigation raised questions about the constitutionality of the False Claims Act and its. Recently, in January 2015, DOJ Appellate filed an. Eleventh Circuit Distorts FCA Public Disclosure Bar by Categorizing ...

false-claims-act.net false-claims-act.net

Court Refuses to Dismiss Intervened Qui Tam Action Involving Nation’s Largest Hospice Provider | Qui Tam 101

http://false-claims-act.net/court-refuses-to-dismiss-intervened-qui-tam-action-involving-nations-largest-hospice-provider

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Court Refuses to Dismiss Intervened Qui Tam Action Involving Nation’s Largest Hospice Provider. March 25, 2015. In False Claims Act. In June 2014, the Justice Department intervened in a False Claims Act. Action filed against hospice behemoth IPC The Hospitalist Company, Inc., alleging that IPC submitted false claims. Legal issues impacting multi-location healthcare systems. Serious Cases. Serious Attention. Contact Form - Your First Step. San Franci...

false-claims-act.net false-claims-act.net

Health Care | Qui Tam 101

http://false-claims-act.net/category/health-care

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Latest Qui Tam and False Claims Act News and Analysis. Category Archives: Health Care. August 22, 2016. Drayer Physical Therapy Settles False Claims Act Case for $7 Million. The US. Attorney's Office for the District of South Carolina announced on July 5, 2016 that it settled health care fraud claims against Drayer Physical…. Read More ». August 10, 2016. Read More ». July 7, 2016. Kickback Cases in Laboratory Settings: Still Alive and Well. With th...

false-claims-act.net false-claims-act.net

Qui Tam 101 — Straightforward Information & Insight on Qui Tam Lawsuits - Part 2

http://false-claims-act.net/page/2

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Latest Qui Tam and False Claims Act News and Analysis. November 17, 2015. False Claims Act Liability Attaches to Hospitals that Allow Medically Unnecessary Surgeries. Hospitals must ensure that the services provided in their facilities are medically reasonable and necessary. when a hospital turns a jaundiced eye to these responsibilities,…. Read More ». November 5, 2015. When Self-Interest Trumps to Public Interest: Whistleblowers to the Rescue.

false-claims-act.net false-claims-act.net

Medicaid | Qui Tam 101

http://false-claims-act.net/category/medicaid

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Latest Qui Tam and False Claims Act News and Analysis. October 23, 2015. Hospitals Retain Physician Practices in Order to Secure Patient Referrals. In recent months, the number of Stark-predicted False Claims Act qui tam recoveries has skyrocketed, returning hundreds of millions of dollars to the United States Treasury. While…. Read More ». August 17, 2015. Healthcare Provider Pays Millions in First Major Overpayment Settlement. Read More ». Accordi...

false-claims-act.net false-claims-act.net

Businesses Reach for the False Claims Act to Level the Playing Field Against Dishonest Competitors | Qui Tam 101

http://false-claims-act.net/business-reach-for-the-false-claims-act-to-level-the-playing-field-against-dishonest-competitorsmore-information-for-whistleblowers-is-located-at-the-nolan-auerbach-white-website

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Businesses Reach for the False Claims Act to Level the Playing Field Against Dishonest Competitors. May 13, 2015. Increasingly, corporations are filing. Lawsuits against competitors. Many of these cases stem from the perception that the competitors are gaining and unfair advantage by engaging in fraud in one form or another. Because these relator-entities are well-placed to understand the key players and the industry,. Lawsuit no doubt would appreci...

false-claims-act.net false-claims-act.net

Off-Label | Qui Tam 101

http://false-claims-act.net/category/off-label

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Latest Qui Tam and False Claims Act News and Analysis. April 20, 2015. Relators Qualify for FCA’s Original Source Exception even for Defendants’ Post-Employment Conduct. In the False Claims Act (FCA) arena, special attention is paid to opinions coming from courts with full FCA dockets. Because the Eastern District of…. Read More ». April 1, 2015. Read More ». April 16, 2014. Read More ». April 3, 2014. Read More ». November 8, 2013. This week, the J...

false-claims-act.net false-claims-act.net

Fourth Circuit Closes False Claims Act’s Explicit “Condition of Payment” Liability Loophole | Qui Tam 101

http://false-claims-act.net/fourth-circuit-closes-false-claims-acts-explicit-condition-of-payment-liability-loophole

Medicare Fraud 101 Blog. Pharmaceutical Fraud 101 Blog. Fourth Circuit Closes False Claims Act’s Explicit Condition of Payment Liability Loophole. February 3, 2015. In False Claims Act. The False Claims Act holds a defendant liable when it submits a claim to the government for goods or services that run afoul of a requirement or condition, usually listed in an underlying contract, regulation, or law. For years, in the Fourth Circuit, fraudsters have been able to evade False Claims Act liability. Eleventh...

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