Owner Of Pennsylvania Medical Staffing Company Sentenced For Billing Medicaid for Services Not Provided, Provided by Others or Not Qualified to Provide Services

Medical staffing companies need to be careful when billing for services and for providers. One issue that arises is when a licensed provider...

Teva Pharmaceutical Enters Into Deferred Prosecution Agreement And Agrees to Pay More Than $283 Million in Fines For Paying Government Officials in Various Countries to Promote Drugs and Paying Doctors in Mexico to Prescribe Its Drugs

What's the difference between the way the government treats large or public healthcare businesses and medium to small sized businesses w...

New York Doctor Charged With Taking Kickbacks In Test-Referral Arrangement With Clinical Lab. Huge Case With 27 Doctors Pleading Guilty.

Federal health care fraud cases involving payments for referrals are getting larger, involving more health care providers and get prosecuted...

Houston Psychiatrist Sentenced to Long Sentence (144 Months) in Prison for Role in False Claims for Mental Health Treatment and Partial Hospitalization Program

When physicians refer or admit patients to a hospital or outpatient program, if there is deemed to be a lack of medical necessity or fraud, ...

Connecticut Office Manager Pleads Guilty to Health Care Fraud Charges for Billing for Psychotherapy Services Using Social Worker's Provider Number Who Did Not Provide Services

Mental health audits and prosecutions are on the rise in  “behavioral health” which includes a wide variety of health care providers who pro...

Florida Man Indicted for Receiving $20 Million in Marketing Fees From Compounding Pharmacy For Patients Covered by Tricare Health Insurance and Paying Telemedicine Companies to Prescribe Compounded Medication Prescriptions

Compounding pharmacies are facing investigations for marketing arrangements, drug misbranding as well as for health care fraud in billing wo...

Eyeland Optical Centers Settles Civil False Medicaid Claims Case For Billing for More Than 4 Lenses Per Year and Not Self Reporting

On December 6, 2016,  Eyeland Optical Centers, a chain of eye care centers in Pennsylvania settled  allegations under the False Claims Act w...

Unlicensed Michigan Physician Who Saw Patients at Home Under Other Doctors' Names for 8 Years Pleads Guilty to Conspiracy to Commit Wire Fraud for Role in Billing Medicare Over $6 Million

Home visits must follow the same rules as billing at a physician's office. In addition, in certain clinics we have seen an increase in o...

Owner Of New Jersey Mobile Diagnostic Testing Facility Sued For Submitting Claims To Medicare for Cardiologist Who Was on Pre-Payment Review

A recent federal criminal and civil qui tam case relate to a Medicare provider billing for services provided by another provider who was on ...

New Jersey Woman Pleads Guilty to Role In Medicare Fraud by Clinical Laboratory Billing for Genetic DNA Testing on Seniors Where Healthcare Providers Were Paid for Authorizations

Fraud prosecutions in clinical laboratories are on the rise. Marketing is usually at the heart of these cases. A recent case involving DNA t...

California Facilities Owned By Rideout Health to Pay Civil Monetary Penalties and Agree to 3-Year Compliance Plan to Resolve Controlled Substance Act Claims

The  Drug Enforcement Administration (DEA)  is becoming more aggressive about enforcing recordkeeping and other rules for controlled substan...

Two Apparel Executives and Their Accountant Plead No Contest to Workers' Compensation Premium Fraud for Underreporting Payroll to Insurance Carriers

On December 1, 2016, t wo clothing manufacturing executives and their accountant pleaded no contest for their roles in underreporting worker...

Hospice Care Provider Settles False Claims Lawsuit Involving Allegations that Hospice Paid Doctor for Referrals By Donating To Doctor's Charity

On December 2, 2016, Vitas Health Corporation Midwest and related entities agreed to pay $200,000 to resolve allegations that they violated ...

Redondo Beach Neurologist Pleads to Overprescribing Painkillers in Los Angeles County Case

On December 1, 2016, a Redondo Beach neurologist  Gerard Goryl  plead guilty to selling narcotics to undercover police officers two years ag...