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You are here: Home / Archives for False Claims Act

Georgia hospital enters $5M settlement with feds to resolve false claims case

February 8, 2019 By TDMR Leave a Comment

Union General Hospital in Blairsville, Ga., agreed to pay $5 million to resolve allegations that it violated the False Claims Act and Stark Law, according to the Department of Justice. The U.S. Attorney's Office for the Northern District of Georgia launched a civil healthcare fraud investigation into Union General Hospital in 2016 after several of the hospital's employees … [Read more...]

Filed Under: Media Tagged With: False Claims Act

Department of Justice recovered $2.5 billion in healthcare fraud proceeds

January 4, 2019 By TDMR Leave a Comment

The Department of Justice has announced that it obtained $2.5 billion in settlements and judgments from cases involving healthcare fraud in 2018. The healthcare fraud settlements are part of more than $2.8 billion the government obtained through False Claims Act cases last year, the DOJ said. This is the ninth consecutive year that the DOJ’s civil healthcare fraud judgments … [Read more...]

Filed Under: Media Tagged With: False Claims Act, healthcare fraud, healthcare fraud settlements

Government Intervenes in Medicare Fraud Lawsuit Filed Against Texas Cardiovascular Center

October 22, 2018 By TDMR Leave a Comment

Berger Montague is pleased to announce that the government has intervened in a False Claims Act lawsuit filed by shareholder Shauna Itri, along with co-counsel, against a cardiovascular center in Texas. The lawsuit alleges that the cardiologist group defrauded the government by billing Medicare for medically unnecessary services. An example of the medically unnecessary … [Read more...]

Filed Under: Media Tagged With: False Claims Act

Prime Healthcare Services and CEO to Pay $65 Million to Settle False Claims Act Allegations

August 6, 2018 By TDMR Leave a Comment

Prime Healthcare Services, Inc., Prime Healthcare Foundation, Inc., and Prime Healthcare Management, Inc. (collectively Prime), and Prime’s Founder and Chief Executive Officer, Dr. Prem Reddy, have agreed to pay the United States $65 million to settle allegations that 14 Prime hospitals in California knowingly submitted false claims to Medicare by admitting patients who … [Read more...]

Filed Under: Media Tagged With: False Claims Act

Cardiologist Gets 20 Months In Prison For Hundreds Of Bogus Medical Procedures

July 31, 2018 By TDMR Leave a Comment

NEWARK, N.J. – A Somerset, New Jersey, man was sentenced today to 20 months in prison for defrauding the Veterans Affairs program by billing for services he never performed, U.S. Attorney Craig Carpenito announced. Apostolos Voudouris, 44, previously pleaded guilty before U.S. District Judge William H. Walls in Newark federal court to an information charging him with health … [Read more...]

Filed Under: Media Tagged With: False Claims Act, medicaid fraud

Health Quest and Putnam Hospital Center to Pay $14.7 Million to Resolve False Claims Act Allegations

July 9, 2018 By TDMR Leave a Comment

Health Quest Systems, Inc. and certain of its subsidiaries (Health Quest) and Putnam Health Center (PHC) have agreed to pay over $14.7 million to resolve allegations of violations of the False Claims Act by submitting inflated and otherwise ineligible claims for payment, the Justice Department announced today. New-York based Health Quest is a family of integrated hospitals and … [Read more...]

Filed Under: Media Tagged With: False Claims Act, medicaid fraud

Provider Health Insurance Fraud Schemes, Settlements Top $310M

January 17, 2018 By TDMR Leave a Comment

January 17, 2018 - Law enforcement agencies and federal healthcare administrators including HHS, the Office of the Inspector General (OIG), the FBI, and US Attorney's Offices across the country investigated provider healthcare schemes that defrauded Medicare and Medicaid more than $310 million. The investigations led to criminal charges and one settlement to resolve False … [Read more...]

Filed Under: Media Tagged With: False Claims Act, Health Insurance Fraud Schemes, HHS-OIG

Kool Smiles clinics paying $23.9 million settlement

January 10, 2018 By TDMR 1 Comment

YUMA, Ariz. - The Justice Department announced on Wednesday that it has settled False Claims Act allegations against dental management company Benevis LLC (formerly known as NCDR LLC) and more than 130 of its affiliated Kool Smiles dental clinics for which Benevis provides business management and administrative services. Under the agreement, Benevis and the Kool Smiles clinics … [Read more...]

Filed Under: Media Tagged With: False Claims Act

Whistleblower Sues Major EHR Company on Behalf of U.S. Government; Alleges CMS Fraud

November 6, 2017 By TDMR Leave a Comment

A former WakeMed Health employee filed a lawsuit against a large electronic health record vendor under the False Claims Act for allegedly fraudulent practices in its medical claims software, according to court documents. Geraldine Petrowski, of North Carolina, alleges the company doubled-billed Medicare and Medicaid. Source: Whistleblower Sues Major EHR Company on Behalf of … [Read more...]

Filed Under: Media Tagged With: False Claims Act, medicaid fraud

$5 Million Settlement in False Claims Act Case

October 19, 2017 By TDMR Leave a Comment

HOUSTON, Oct. 19, 2017 /PRNewswire/ -- Joel M. Androphy and Janis Gorton of the Berg & Androphy law firm, along with the United States and the State of Texas, have reached a $5 million settlement in False Claims Act litigation against Health Services Management, Inc. (HSM) and Huntsville Health Care Center (HHCC). The case, filed on behalf of the U.S. and state, alleged … [Read more...]

Filed Under: Media Tagged With: False Claims Act, texas medicaid, texas medicaid fraud

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Conduent Stock Price Watch

As the Texas Medicaid fraud suit against Xerox/Conduent moves towards trial, watch the company's stock price. The company's 52-week high was on June 14 at $20.85.

Most Viewed Posts & Pages

  • Texas Settles with Xerox for $235 Million Out of "Desire to Buy Peace and Avoid Further Litigation"
    Texas Settles with Xerox for $235 Million Out of "Desire to Buy Peace and Avoid Further Litigation"
  • "I approved all of them regardless" - Xerox/Conduent Dental Director on Ortho PAs
    "I approved all of them regardless" - Xerox/Conduent Dental Director on Ortho PAs
  • Xerox/Conduent Settling Its $2 Billion Dental Medicaid Fraud Case with Texas?
    Xerox/Conduent Settling Its $2 Billion Dental Medicaid Fraud Case with Texas?
  • Analyst Predicts Xerox/Conduent to Pay $500 Million to Texas to Settle Medicaid Fraud Lawsuit - Share Price Drops
    Analyst Predicts Xerox/Conduent to Pay $500 Million to Texas to Settle Medicaid Fraud Lawsuit - Share Price Drops
  • Did Texas OAG Forget to Sue Xerox For $133 Million Owed the Feds for Medicaid Orthodontic Prior Authorization Debacle?
    Did Texas OAG Forget to Sue Xerox For $133 Million Owed the Feds for Medicaid Orthodontic Prior Authorization Debacle?

Recent Comments by Readers

  • Joe Knows on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Beans on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Graham D. Shea, DDS on Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”
  • TDMR on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • TEX Provider on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • TDMR on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs

Recent Media of Interest

Xerox Quality Assurance Checks on Ortho PAs Apparently Consisted of Re-checking the Addition of HLD Score Sheets

February 18, 2019

Voters in four states have approved Medicaid expansion by ballot. Will Texas do the same?

February 15, 2019

Thousands of Texans shocked by surprise medical bills. Requests for help overwhelm the state.

February 15, 2019

Ohio joins alleged overbilling and fraud settlement with Walgreens

February 15, 2019

Lessons for Distributors from Dental Lawsuits

February 14, 2019

Minnesota Attorney General Ellison’s office wins state’s largest medicaid fraud case

February 12, 2019

DOJ Announces More Than $21M in Home Health Fraud, Kickback Schemes

February 12, 2019

Texas lawmaker introduces bill requiring name and photo be added to Lone Star card to fight fraud

February 11, 2019

Federal indictment in Ohio charges 6 in $48M Medicaid fraud

February 8, 2019

Georgia hospital enters $5M settlement with feds to resolve false claims case

February 8, 2019

California man sentenced, ordered to pay $1.5 million for healthcare fraud

February 7, 2019

5 best, 5 worst states for dental health

February 6, 2019

UT Health Science Center Pays More than $2.3 Million to Resolve Allegations

February 6, 2019

Florida doctor charged with health care fraud

February 5, 2019

Arkansas dentist charged with fraud

February 1, 2019

Los Angeles dentist pleads guilty to health care fraud charges

February 1, 2019

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