Drug Medi-Cal Fraud Case Set for Trial in May 2016 For Alleged Submission of False Claims for Alcohol and Drug Treatment and Counseling for Students

Trial is set for May 10, 2016 in federal court in Los Angeles regarding the operation of a Caliornia Drug Medi-Cal provider  Atlantic Health...

OIG Exclusion and Reinstatement of Excluded Individuals and Entities

One of the collateral consequences of criminal convictions for health care professionals is exclusion by the Office of Inspector General (OI...

Pennsylvania Physician And One Other Plead Guilty To Health Care Fraud Charges Arising From Writing A Fraudulent Prescription in Another Person's Name

Writing a prescription in another person's name is a fraudulent prescription. When that visit or prescription in the other person's ...

Riverside Woman Convicted in Federal Court of Stealing Identities of Residents of Medical Facility in Long Beach. Reason Facilities Need Strong HIPAA and Privacy Procedures.

One of the reasons medical facilities should have strong HIPAA policies and procedures, as well as enforcement and training, is to prevent e...

California Hospital to Pay More Than $3.2 Million to Settle Allegations That It Violated the Physician Self-Referral Law Following Self-Reporting in 2011

Hospitals walk a narrow path when they contract with doctors to run departments, fill on-call panels and serve on committees.  A federal ant...

Durable Medical Equipment Company Pays $600,000 to Settle False Claims Act Allegations for Using Unlicensed Technicians for Respiratory Therapy

On January 12, 2015,  J and L Medical Services, LLC in Connecticut entered into a civil settlement agreement with the federal and state gove...

President of Miami-Based Transportation Company Convicted at Trial of Conspiracy to Pay Health Care Kickbacks By Using His Company to Pay Recruiters for Mental Health Clinics

Marketing is the dirty secret in a lot of health care businesses. Many businesses are not compliant with the anti-kickback statutes. Some ma...

Physician Assistant Sentenced To 14 Months In Prison For Accepting Illegal Kickbacks for Referring Patients to Home Health, Physical Therapy and Medical Clinics

The U.S. Attorney's Office is willing to prosecute criminal cases even where small kickback amounts are at issue. A recent Michigan case...

Nation’s Largest Nursing Home Therapy Provider (Kindred/Rehabcare) Pays $125 Million to Settle Civil False Claims Act Allegations For Physical, Speech and Occupational Therapy Services Improperly Billed to Medicare

Skilled nursing facilities (SNFs) face many challenges in providing, documenting and billing therapies (speech, occupational and physical) t...

Dallas Compounding Pharmacy and Three Individuals Agree to Consent Decree With Permanent Injunction to Prevent Distributing Adulterated Drugs

Compounding pharmacies have been under scrutiny, and a recent case shows the difficulties compounding pharmacies are having complying with r...

Sacramento Dentist Pleads Guilty to Billing for Unnecessary or Unperformed Dental Work Billed to Delta Dental From 2008 to 2010

We have seen an increasing number of audits by Delta Dental where billing for services not provided is suspected . In some cases, the issue ...

Doctor Who Pre-Signed Prescriptions for Psychiatric Drugs Allegedly Diverted to Black Market and Billed to Medicare Sentenced to Nine Years in Federal Prison

A Los Angeles physician was sentenced to a long sentence after trial in an unusual case involving the prescribing of anti-psychotic medicati...

Former UCSD Professor's Tech Company That Applied for Government Grants and Contracts Admits and Pleads Guilty to Wire Fraud, Agrees to Forfeit $180,000. False Statements in Government Applications Carry Exposure. Owner Gets "Deferred Prosecution Agreement."

False statements in any documents submitted to the government for payment can result in fraud charges. During the 1990s, government qui tam ...