New Jersey Hospital Owes $8,999,999

The Department of Justice announced that the United States Government will receive $8,999,999 from AHS Hospital Corp., Atlantic Health System Inc., and Overlook Hospital, located in New Jersey to resolve False Claims Act allegations.  The hospital falsely overbilled Medicare for patients that were considered outpatient or observation patients.

Hospice Company Pays $6.1 Million for Submitting False Claims

The United States government will collect $6.1 million from Hospice Care of Kansas LLC and its parent company, Ft. Worth, Texas-based Voyager HospiceCare Inc. as a result to resolve False Claims Act allegations. Former Hospice Care of Kansas nurse, Beverly Landis, under the qui tam, or whistleblower, provisions of the False Claims Act revealed that the hospice company was submitting false claims over a course of four years to Medicare for beneficiaries that did not have a terminal prognosis of six months or less.

Whistle-Blower Program Under Review By IRS

The Internal Revenue Service’s tax whistle-blower program has been scrutinized by lawyers and politicians. Now, the IRS will evaluate the program and improve its working practices and backlog. According to Deputy Commissioner for Services and Enforcement Steven T. Miller, the guidelines and procedures for managing whistle-blower complaints will be thoroughly examined by the IRS and by various internal and external stakeholders within a 90-day deadline.

Whistleblower’s Medicare Fraud Suit Leads To $5.4 Million Settlement By Ambulance Company

The United States Government will collect $5.4 million from the notional ambulance company, Rural/Metro Corp, to settle False Claims Act allegations.  The ambulance company was accused of Medicare fraud, which was brought to light by Carl Crawley under seal in U.S. District Court.  Daily, Mr. Crawley had witnessed various necessary Medicare documents being forged to bill Medicare and Medicaid for services that did not occur or that were unnecessary.

$5 Million Settlement In Federal Lawsuit Against Christus Spohn Health System

The United States Government collected $5 million from Christus Spohn Health System Corporation to resolve allegations of improperly admitting patients, which were filed under the False Claims Act.

Located in Texas, six hospitals of the Christus Spohn Health System Corporation falsely claimed outpatients as inpatients to be able to send false billings to Medicare.

Philadelphia Inquirer Article On The False Claims Act

There was a great article in the Philadelphia Inquirer on Thursday, June 14, 2012.  David Sell, who covers the pharmaceutical industry for The Inquirer’s Business Department, wrote about the False Claims Act and Acting Assistant Attorney General Stuart F. Delery’s speech at the American Bar Association’s Ninth National Institute on the Civil False Claims Act and Qui Tam Enforcement.

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