Medical Fraud Archives - Page 6 of 33 - Medical Malpractice Lawyers

DaVita Pays Over $34M To Resolve Illegal Kickbacks Allegations

September 21, 2024

The U.S. Attorney’s Office of the District of Colorado announced on July 18, 2024 that DaVita Inc., which is one of the largest providers of kidney care services in the U.S. and which served approximately 250,200 patients at 3,042 outpatient dialysis centers (2,675 centers were located in the[...]

12 Skilled Nursing Facilities To Pay $21.3M For Allegedly Providing And Billing For Fraudulent Rehabilitation Therapy Services

September 15, 2024

The U.S. Department of Justice announced on July 10, 2024 that Strauss Ventures LLC, doing business as The Grand Health Care System, and 12 affiliated skilled nursing facilities have agreed to resolve allegations that they violated the False Claims Act by knowingly billing federal health care progra[...]

Washington Plastic Surgeon Agrees To Pay $5M For Illegally Manipulating Consumer Ratings

September 4, 2024

The Washington State Office of Attorney General announced on July 2, 2024 that Allure Esthetic and Dr. Javad Sajan will pay $5 million to resolve a consumer protection lawsuit claiming that Allure and Sajan threatened patients with illegal non-disclosure agreements and falsified online reviews to i[...]

Texas Hospital Settles Concurrent Heart Surgeries Medicare Billing Allegations For $15 Million

August 30, 2024

The U.S. Attorney’s Office, Southern District of Texas announced on June 24, 2024 that Baylor St. Luke’s Medical Center (BSLMC), Baylor College of Medicine (BCM), and Surgical Associates of Texas P.A. (SAT) have jointly agreed to pay $15 million to resolve claims they billed for concurrent h[...]

Can Hospitals Pay Physicians For Referrals?

August 8, 2024

The United States Attorney’s Office for the Western District of Pennsylvania announced on May 28, 2024 that Penn Highlands Healthcare—a Pennsylvania not-for-profit corporation operating a hospital system in north, central, and western Pennsylvania—and several of its hospitals—including P[...]

Cape Cod Hospital Pays $24.3 Million To Resolve Allegations That It Failed To Comply With Medicare Cardiac Procedure Rules

July 25, 2024

Cape Cod Hospital has agreed to pay $24.3 million to resolve allegations that it knowingly submitted claims to Medicare for transcatheter aortic valve replacement (TAVR) procedures that failed to comply with Medicare rules specifying the way in which hospitals were required to evaluate patient suita[...]

Federal Appellate Court Reinstates False Claims Act Case Involving Radiology Practice

July 8, 2024

Eric Stenson, an Arizona-based information technology executive, sued Radiology Limited, LLC, a radiology facility inTucson, Arizona, alleging that it violated the False Claims Act (“FCA”) by submitting false claims to the Centers for Medicare and Medicaid Services (“CMS”). Stenson a[...]

California Woman Found Guilty In $24 Million Medicare Scam For Unnecessary Medical Equipment And Repairs

May 29, 2024

On June 27, 2023, Tamara Yvonne Motley, 54, a.k.a. “Tamara Ogembe,” of Redondo Beach, was found guilty by a federal jury of 20 counts of health care fraud, two counts of aggravated identity theft, and one count of conspiracy to commit money laundering for billing Medicare more than $24 million b[...]

United States Files Complaint Against St. Elizabeth’s Medical Center, Steward Medical Group, and Steward Health Care System Alleging Stark Law Violations

May 10, 2024

The U.S. Attorney’s Office has filed a complaint under the False Claims Act against Steward St. Elizabeth’s Medical Center of Boston, Inc. (SEMC); Steward Medical Group, Inc. (SMG); and Steward Health Care System, LLC (Steward) alleging that they violated the Physician Self-Referral Law (commonl[...]

Owner Of Telemedicine Companies Charged With $110 Million Medicare Fraud Scheme

May 5, 2024

The United States Attorney’s Office for the District of Massachusetts announced on February 16, 2024 that the owner of Expansion Media (Expansion) and Hybrid Management Group (Hybrid) has been charged and has agreed to plead guilty in connection with a $110 million telemedicine fraud scheme in[...]

Lawsuit Accuses Humana Of Using AI Illegally To Deny Medical Services For Elderly Patients

April 29, 2024

A federal lawsuit filed on December 12, 2023 in the United States District Court Western District of Kentucky alleges, in part: This putative class action arises from Humana’s illegal deployment of artificial intelligence (AI) in place of real doctors to wrongfully deny elderly patients care [...]

Moffitt Agrees To Pay $19.5 Million To Resolve Liability Relating To Self-Disclosure Of Improper Billing For Clinical Trial Costs

March 22, 2024

The United States Department of Justice announced on January 4, 2024 that H. Lee Moffitt Cancer Center & Research Institute Hospital Inc. (Moffitt), a non-profit cancer treatment and research center based in Tampa, Florida, has agreed to pay $19,564,743 to resolve its civil liability under the F[...]

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Category: Medical Fraud