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Category Archives: HealthCare Billing Fraud

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Multi-Million Dollar Whistleblower Award Issued In Health Care Billing Fraud False Claims Act Case

By Freidin Brown, P.A. |

On July 20th, 2022, the United States Attorneys’ Office for the District of Massachusetts announced that Inform Diagnostics—a Texas based medical industry company that previously operated Miraca Life Sciences—has agreed to pay $16 million as part of a health care billing fraud case. The False Claims Act settlement includes a nearly $2.75 million whistleblower… Read More »

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Long-Term Care Company Pays More Than $5.5 Million In Whistleblower-Initiated False Claims Act Case

By Freidin Brown, P.A. |

On August 10th, 2022, the United States Attorneys’ Office for the Southern District of Indiana announced that American Senior Communities, L.L.C (ASC)—a long-term care company with a main headquarters in Indianapolis, IN—will pay more than $5.5 million to resolve a False Claims Act lawsuit. The case involves allegations of Medicare billing fraud. Here, our… Read More »

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False Claims Act: North Carolina Health Company Pays $2.1 Million To Resolve Medicaid Billing Fraud Case

By Freidin Brown, P.A. |

On June 1st, 2022, the United States Attorney’s Office for the Western District of North Carolina announced that  Healthkeeperz, Inc.—a health care behavioral services company with a main office in Robeson County, NC—has agreed to pay more than $2 million to resolve an improper Medicaid billing case. The legal claim was initiated by a… Read More »

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Health Company Pays $4.625 Million To Resolve False Claims Act Lawsuit

By Freidin Brown, P.A. |

On June 21st, 2022, the United States District Attorneys’ Office for the District of Massachusetts announced a $4.625 million settlement in a major False Claims Act case. The lawsuit—which was initiated by whistleblowers as part of a qui tam claim—was brought against Molina Healthcare, Inc. and one of its former subsidiary companies called Pathways… Read More »

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Physician Pays Nearly $800,000 To Resolve False Claims Act Violations

By Freidin Brown, P.A. |

According to the Department of Justice (DOJ), Vinay K. Malviya M.D. of Michigan will pay $775,000 to resolve False Claims Act allegations. The gynecologic oncologist allegedly billed federal health programs for operations and procedures that were “medically unnecessary.” The health bill fraud case was brought to light after three whistleblowers filed a qui tam… Read More »

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DOJ Files False Claims Act Lawsuit Against Florida Based Medical Services Company

By Freidin Brown, P.A. |

According to a report from Fierce Healthcare, the Department of Justice (DOJ) has filed a False Claims Act whistleblower lawsuit against Modernizing Medicine, Inc. (ModMed) a healthcare software company with a main headquarters in Boca Raton, Florida. Based on allegations originally filed by a former ModMed representative from Vermont, the DOJ alleges that ModMed… Read More »

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Florida Heath Company Will Pay $20 Million To Resolve False Claims Act Claim

By Freidin Brown, P.A. |

On April 6th, 2022, the Department of Justice (DOJ) announced that BayCare Health System Inc.—a nonprofit health care organization based in Tampa, Florida—will pay $20 million to settle a False Claims Act case. Several hospitals affiliated with BayCare Health System Inc. were also cited as part of the enforcement action. In this article, our… Read More »

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Federal Contractor Pays More Than $900,000 To Resolve False Claims Act Case (Health Care Billing Misconduct)

By Freidin Brown, P.A. |

On March 8th, 2022, the United States Department of Justice (DOJ) issued a press release confirming that Comprehensive Health Services LLC (CHS)—a healthcare industry services contractor based in Florida—has agreed to pay the federal government $930,000 to resolve a False Claims Act (FCA) lawsuit. The claim was initially filed by a whistleblower. In this… Read More »

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Qui Tam Lawsuit: A Florida Diabetic Shoe Company Pays More Than $5.5 Million To Settle False Claims Act Case

By Freidin Brown, P.A. |

On January 12th, 2022, the United States Department of Justice (DOJ) announced that Foot Care Store, Inc.—a diabetic shoe company based in Palm Beach County, Florida—agreed to pay more than $5.5 million to settle a federal False Claims Act (FCA) case. The lawsuit was filed after a whistleblower brought a qui tam claim alleging… Read More »

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The Stark Law And Whistleblower Claims

By Freidin Brown, P.A. |

Healthcare billing fraud is a significant problem in the United States. It occurs when providers in the medical industry—hospitals, physicians, clinics, pharmacies, etc—improperly bill private insurance companies or government programs. For health providers that accept government dollars (Medicare, Medicaid, etc), there are especially strict billing regulations in place. The Stark Law refers to a… Read More »

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