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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[...]

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[...]

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[...]

$45.6M Consent Judgment Against Six California Skilled Nursing Facilities To Settle Allegations Of Kickbacks To Referring Physicians

February 1, 2024

On November 15, 2023, the United States Attorney’s Office for the Central District of California announced that Prema Thekkek, her Vacaville-based management company, Paksn Inc., and six skilled nursing facilities (SNFs) owned by Thekkek and/or operated by Paksn have agreed to enter into a $45[...]

$29M Settlement For Overbilling Medicare For Oxygen Equipment

November 8, 2023

The United States Attorney for the Eastern District of Washington announced on August 29, 2023 that Lincare Holdings, Inc., a Florida-based, wholly-owned subsidiary of German multinational chemical corporation Linde plc, has agreed to pay $29 million and perform extensive corrective actions to resol[...]

Former CEO Of Medical Device Company Indicted For Allegedly Selling Fake Pain Treatment Device

October 12, 2023

CEO Indicted For Selling Fake Pain Treatment Device: On March 9, 2023, the United States Attorney for the Southern District of New York announced the filing of a two-count Indictment (the “Indictment”) charging Laura Perryman, the former Chief Executive Officer (“CEO”) of STIMWAVE LLC, a Flo[...]

Owner Of Telemedicine Companies Charged With $44 Million Medicare Fraud Scheme

October 4, 2023

The United States Attorney’s Office District of Massachusetts announced on July 24, 2023 that the owner of Conclave Media (Conclave) and Nationwide Health Advocates (Nationwide) has been charged and has agreed to plead guilty in connection with a $44 million telemedicine fraud scheme involving[...]

U.S. Supreme Court Rules Government Has Broad Right To Dismiss False Claims Act Cases

August 18, 2023

Government Has Broad Right To Dismiss False Claims Act Cases: One useful and effective avenue to recover money erroneously spent by the U.S. government on fraudulent health care claims has been the False Claims Act, which allows lawsuits to be filed by whistleblowers under its qui tam provisions. Un[...]

Two Florida Doctors Sentenced For Stealing $31M From Medicare

June 4, 2023

Two Doctors Sentenced For Stealing $31M: On April 20, 2023, two Florida doctors were sentenced for their respective roles in a scheme to defraud Medicare by submitting over $31 million in claims for expensive durable medical equipment (DME) that Medicare beneficiaries did not want or need and that w[...]

Maryland Hospital And Radiology Practice Pay $2M To Settle False Claims Act Case Regarding Billing of Services To Medicare and Medicaid

May 10, 2023

$2M To Settle False Claims Act Case: On March 20, 2023, the U.S. Attorney’s Office for the District of Maryland announced that Luminis Health Doctors Community Medical Center, Inc. (“DCMC”) and Diagnostic Imaging Associates, LLC (“DIA”), both located in Lanham, Maryland, have agreed to[...]

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