healthcare fraud
April 22, 2013
On April 16, the owner and another senior executive of Chicago’s Sacred Heart Hospital and four physicians affiliated with the facility were arrested in connection with a Medicare and Medicaid kickback and fraud scheme, the U.S. Department of Justice reported.
Edward J. Novak, Sacred Heart’s owner and chief executive officer, and Roy M. Payawal, Sacred Heart’...
March 28, 2013
The University of California has agreed to pay a $1.2 million settlement to resolve allegations of falsification of medical records and poor supervision of patients, the Los Angeles Times reported yesterday.
The suit was brought by whistleblower Dr. Dennis O’Connor, a former professor of anesthesiology at the UC Irvine School of Medicine. He alleged that anesthesia...
March 12, 2013
Tennessee-based Grace Healthcare LLC and its affiliate Grace Ancillary Services LLC (collectively, Grace) have agreed to pay $2.7 million to settle allegations that they knowingly submitted false claims to the Medicare and TennCare/Medicaid programs for unnecessary rehabilitation therapy, the Department of Justice announced last week.
The suit alleged that from 2007 to 2011,...
False Claims Act, Government Fraud, healthcare fraud, Medicaid Fraud, Medicare Fraud, Whistleblower awards, Whistleblowers
August 14, 2013
Florida-based HPH Hospice agreed to pay $1 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to Medicare and Medicaid, the U.S. Department of Justice announced last month.
The Medicare hospice benefit is available for patients who have a life expectancy of six months or less if their disease runs its normal course....
February 11, 2013
A jury ordered a nursing home in Illinois to pay a total of $29 million in penalties for false Medicare claims to the government. Two former employees at the facility filed a complaint that the home allegedly destroyed and/or forged records to make it appear that residents were receiving appropriate care and medications, while residents allegedly went without food or...
August 5, 2013
New York-based Park Avenue Medical Associates, P.C., Park Avenue Health Care Management LLC, and Park Avenue Health Care Management, Inc. (collectively “PAMA”) have agreed to pay $1 million to resolve allegations that the companies knowingly submitted or caused the submission of false claims to Medicare, the U.S. Department of Justice announced last month.
Medicare...
False Claims Act, Fraud Against Government, Government Fraud, healthcare fraud, Medicare Fraud, Qui Tam, Whistleblower
August 2, 2013
The government will intervene in a whistleblower lawsuit against Florida-based A Plus Home Health Care, Inc. and its owner, Tracy Nemerofsky, the U.S. Department of Justice announced last month. A Plus allegedly offered referring physicians’ spouses sham marketing positions with the company to induce the physicians to refer Medicare patients for its home health...
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