55 East Monroe Street
Suite 3300
Chicago, Illinois 60603-5792

Showing 35 posts in Healthcare Fraud.

Photo of

False Claims Act and the Opioid Crisis: First-ever Civil Injunction Filed by Justice Department to Combat Opioid Over-Prescription

In August 2018, the U.S. Department of Justice announced allegations against an Ohio doctor for violating the False Claims Act (FCA) in addition to violating the Controlled Substances Act (CSA) for prescribing opioid prescriptions in excessive amounts or to those who are not in need of the medication. Although an FCA case is not the most traditional approach to these issues, it is clear that the Justice Department is making the opioid crisis a top priority and therefore potentially invoking the FCA more often in these cases. The government's focus on the opioid crisis has been consistently increasing and expanding from targeting manufacturers of opioids to targeting prescribers and healthcare providers that submit claims to federal health care programs or to the federal government. 

  More

Photo of

US Government continues to combat health care fraud in Chicago

Both the False Claims Act and criminal health care fraud laws continue to be powerful tools for combating health care fraud—and many criminal health care fraud cases could also have been FCA cases, had a whistleblower come forward in time. More

Photo of

Chemed Corp. and Vitas Hospice Services settle FCA allegations for $75 million

The largest for-profit hospice chain in the United States paid $75 million in October 2017 to resolve FCA allegations against it, the Department of Justice reported. Vitas Hospice Services and its corporate parent Chemed Corp. were alleged to have submitted false claims to Medicare over an 11-year period between 2002 and 2013. This settlement represents the largest FCA recovery ever against a hospice provider. More

Photo of

Four Houston-Area Hospitals Pay $8.6 Million to Settle Ambulance Swapping Allegations

Four Houston-area hospitals have paid $8.6 million collectively to settle allegations of "ambulance swapping"—that ambulance companies paid kickbacks to the hospitals in exchange for the hospitals' lucrative Medicare and Medicaid transport referrals. The hospitals—Bayshore Medical Center, Clear Lake Regional Medical Center, West Houston Medical Center, and East Houston Regional Medical Center—are all affiliates of the Nashville-based Hospital Corporation of America. More

Photo of

Texas Nursing Home Settles FCA Rehab Services Fraud Claim for $600,000

Texas nursing home company Regent Management Services, L.P. paid $600,000 in August of this year to settle a False Claims Act case brought by one of its former employees in 2014. More

Photo of

2017 FCA Non-Compliance Trends Emerging at Hospitals

The Office of Inspector General (OIG), as part of the Department of Health and Human Services, plays a critical role in maintaining the integrity of the Medicare and Medicaid programs. Each year, the OIG releases a Work Plan that highlights its priorities and emerging issues in detecting and preventing fraud, waste, and abuse in the Medicare and Medicaid programs. More

Photo of

Billing Medicare for Fraudulent Hospice Care: Minnesota-Based Hospice Provider to Pay $18M

Hospice care is end-of-life care designed to offer terminally ill patients comfort and support in their final months of life. Often paid for by Medicare or other government healthcare programs, hospice care provides emotional support, dignity and pain management during a difficult time. For many families, the decision to place a family member in hospice care is difficult. Hospice medicare fraud deprives the Medicare system of much-needed funds, potentially making it more challenging for patients to get the medical support they need. More

Photo of

Pharmaceutical Fraud: Misleading Off-Label Marketing and the False Claims Act

Pharmaceutical fraud against the government takes many forms, but at the heart of the fraud is an effort to get the government, most commonly Medicare and Medicaid, to pay more for pharmaceutical products than it would have if the government knew the truth.   More

Photo of

HEAT: Medicare Fraud Task Force and the False Claims Act

The Health Care Fraud Prevention and Enforcement Action Team (HEAT) is a group of investigators from various agencies at the state, federal and local levels. HEAT was created by the Department of Justice (DOJ) and the Department of Health and Human Services (HHS) in May 2009 to help address the issue of healthcare fraud. More

Photo of

How the False Claims Act Protects Patient Safety

False or fraudulent claims in the healthcare industry deprive all citizens.  When government money is wasted on fraud, there is less to spend on providing legitimate care, and cost is borne by all taxpayers. The False Claims Act is designed to help prevent this type of fraud. Under the False Claims Act, it is illegal for medical providers to lie about billing or to submit falsified or false bills and claims. In addition, the False Claims Act allows whistleblowers to come forward with evidence of wrongdoing on the part of medical providers when fraud does occur. Under the act, whistleblowers can file a lawsuit on behalf of the government and may even be able to secure part of the recovery. More

Attorneys at Law

55 East Monroe Street
Suite 3300
Chicago, Illinois 60603-5792
Tel: 312-863-7222
Fax: 312.332.2196

Social