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 […]

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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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Pill bottles and money representing medicare fraud.

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 […]

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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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Jeffrey Newman Law discusses the most common types of medicare fraud.

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 […]

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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 […]

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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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Whistleblower reporting an instance of medicare fraud.

How to Report Medicare Fraud

Medicare fraud costs the government a tremendous amount of money each year. In fact, the government estimates that Medicare fraud costs approximately $60 billion a year. In order to combat this practice and encourage individuals to report Medicare fraud, the government offers those who report fraud, also known as “whistleblowers,” financial compensation. Therefore, if you […]

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Hospitals pay $20 million to settle allegations of false claims to Medicare, Medicaid and TRICARE and for unnecessary spinal surgeries

Sanford Health, Sanford Medical Center and the Sanford Clinic (collectively, Sanford)  have agreed to pay $20.25 million to resolve False Claims Act (FCA) allegations that they knowingly submitted false claims to federal health care programs, including Medicare, Medicaid and TRICARE, resulting from violations of the Anti-Kickback Statute and medically unnecessary spinal surgeries. The Anti-Kickback Statute […]

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