The United States has filed a major False Claims Act complaint against Teva Pharmaceuticals USA Inc. and Teva Neuroscience Inc. (Teva), alleging that they illegally paid the Medicare co-pays for their multiple sclerosis (MS) product, Copaxone, through purportedly independent foundations that the companies used as conduits in violation of the Anti-Kickback Statute, the Department of […]
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What is Medicare Fraud?
Medicare fraud is a practice that involves the claiming of Medicare health care reimbursement to which a claimant is not legally entitled. Medicare fraud is routinely committed by individuals, pharmaceutical companies, medical teams, and healthcare facilities. Medicare fraud negatively affects taxpayers and the government, which is why the government encourages those with knowledge of Medicare […]
Continue reading…Laboratory company pays $17million settling False Claims Act case alleging fraudulently billing Medicare for medically unnecessary feces tests
Genova Diagnostics, A laboratory company will pay the government $10 Million for allegedly tested patients’ feces unnecessarily and billed the federal government, leading to charges of Medicare fraud. Now, they’ll pay between $17-43 million to settle those allegations and others, according to the Department of Justice. A lawsuit filed in federal court alleged Genova improperly submitted […]
Continue reading…Newman Law Offices False Claims Act whistleblower case against nursing home chain Saber Healthcare settles for $10 Million
The nursing home chain, Saber Healthcare Group LLC, and related entities, (Saber) have agreed to pay $10 million settling a whistleblower case in which it is alleged that Saber violated the False Claims Act by knowingly causing certain of its skilled nursing facilities (SNFs) to submit false claims to Medicare for rehabilitation therapy services that […]
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Federal Government Uncovers $150 Million Medicare Fraud Scheme
A federal jury recently found four Michigan physicians guilty of Medicare fraud for their roles in a scheme that involved administering unnecessary treatments to patients in exchange for medically unnecessary prescriptions. The doctors required patients to receive the injections in order to get the prescriptions, and some of these were resold on the street by […]
Continue reading…Guardian Elder Care therapy company pays $15.4 Million to settle False Claims Act case for billing medically unnecessary Rehab services to Medicare
Guardian Elder Care Holdings Inc., and related companies Guardian LTC Management Inc., Guardian Elder Care Management Inc., Guardian Elder Care Management I Inc., and Guardian Rehabilitation Services Inc., (Guardian) agreed to pay $15,466,278 to resolve False Claims Act allegations that they knowingly overbilled Medicare and the Federal Employees Health Benefits Program for medically unnecessary rehabilitation […]
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Common Types of Medicare Fraud
Medicare fraud, which is a widespread problem in the United States, occurs when an individual, medical team, pharmaceutical company, or healthcare facility claims reimbursement for services to which they aren’t entitled. This practice costs the government and taxpayers billions of dollars each year, which is why the government requests that people report instances of Medicare […]
Continue reading…U.S. Government joins healthcare fraud suit against Omnicare and CVS for billing invalid prescriptions to elderly and disabled
[T]he United States has filed a civil healthcare fraud lawsuit against OMNICARE, INC., and its parent company, CVS HEALTH CORPORATION. The Government’s Complaint seeks damages and civil penalties under the False Claims Act for fraudulently billing federal healthcare programs for hundreds of thousands of non-controlled prescription drugs dispensed based on stale, invalid prescriptions to elderly […]
Continue reading…Genetic testing company pays $42.6 Million to settle kickback and medical necessity claims
UTC Laboratories Inc. (RenRX) has agreed to pay $41.6 million,to resolve allegations that they violated the False Claims Act by paying kickbacks in exchange for laboratory referrals for pharmacogenetic testing and for furnishing and billing for tests that were not medically necessary. RenRX, a laboratory company headquartered in New Orleans, Louisiana, also agreed to a […]
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Answers to Common Medicare Fraud Whistleblower Questions
Medicare fraud is a widespread problem in the United States, and it occurs when a person or entity claims reimbursement for services to which they aren’t entitled. Medicare fraud costs the government billions of dollars every year, which is why the government encourages people to report fraud whenever it is discovered. In order to ensure […]
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