Category: Healthcare
In a newly unsealed suit under the False Claims Act, a fellow surgeon has alleged that his colleagues at Chicago’s prestigious Rush University Medical Center routinely overbooked their schedules and relied on residents to perform surgeries in violation of federal Medicare billing rules. A total of 6 surgeons, Rush University Medical Center,
Advanced BioNutrition Corporation, of Columbia, Maryland, and its former chief executive officer, David Kyle, paid the federal government $934,000, stemming from violations of the False Claims Act, federal prosecutors said Thursday. Advanced BioNutrition Corporation was awarded the first phase of a National Science Foundation Small Business Innovation Research grant in February 2005 to develop technology to micro-encapsulate probiotic bacteria into particles.
The Health Alliance of Greater Cincinnati, two of its member hospitals (The Fort Hamilton Hospital and The University Hospital), and University Internal Medicine Associates Inc. have agreed to pay the United States $2.6 million to settle claims that they violated the Anti-Kickback Statute and the False Claims Act by engaging in a kickback-for-referral scheme,
The owner and the vice president of a Detroit-area physical therapy clinic were convicted on June 22, 2010, by a federal jury for their roles in a $23 million Medicare fraud scheme, announced the Departments of Justice and Health and Human Services.
Evidence at trial established that Wayne County Therapeutic Inc.
A New York dermatologist settled a false claim lawsuit against him for $2.75 million. The physician was able to collect higher reimbursements from Medicaid by classifying himself as a primary care physician instead of as a dermatologist, allowing him to collect fees for services not actually provided.
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The Office of Inspector General is seeking new powers from Congress to exclude offending corporate executives from Medicare if their companies committed healthcare fraud. Under current law, OIG can only seek to bar executives from working for the companies that committed fraud. However, they are still able to work for other companies in the healthcare industry.
Cochlear America, a manufacturer of cochlear implants, has settled a false claims case against it, alleging that it made illegal payments to health care providers to induce the purchase of its implant systems. Cochlear implants are small, complex electronic devices that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing.
Johnson and Johnson filed a motion to dismiss a lawsuit against it under the False Claims Act for allegedly paying kickbacks to Omnicare, Inc to push Johnson & Johnson drugs to nursing home patients. Omnicare earlier settled a lawsuit against it for $98 million for accepting such kickbacks, although Omnicare denied liability.
The Department of Health and Human Services has begun a policy to eject executive of companies guilty of healthcare fraud if they were in a position to stop the fraud from occurring. The HHS policy reflects frustration with repeat offenders of healthcare fraud and acknowledges that while the government must continue to do business with some companies,
On Thursday, June 3, 2010, Senior U.S. District Judge Matthew J. Perry, Jr., ruled that Tuomey Healthcare System, based in Sumter, South Carolina, must pay $44,888,651 plus interest received from Medicare under physician contracts in violation of the Stark Law. This ruling from Judge Perry follows the March 29 jury verdict where a federal jury found that the hospital violated the Stark Law,