Healthcare Fraud Articles
January 20, 2018. By Anne Wallace.
Washington, DC The Department of Justice announced that Kmart Corporation has agreed to pay $32.3 million ($59 million including state law issues) to settle a lawsuit that claims in-store pharmacies overbilled Medicare Part D, Medicaid, and TRICARE. The healthcare fraud scheme, which a Kmart pharmacist stumbled upon only when he had his own prescription filled, allegedly affected drug reimbursements in 46 states. The pharmacist was awarded $9.3 million under the whistleblower qui-tam provisions of the False Claims Act (FCA).Read [ Kmart settles healthcare fraud lawsuit for $32.3 million ]
December 8, 2017. By Brenda Craig.
Tampa, FL: It did not take long for Kathleen Siwicki to notice something was very wrong in the Florida cardiologist’s office where she was working. Siwicki, an experienced Certified Cardiovascular Technologist, immediately began to see the services the doctor was providing did not match the billing statements he was submitting for payment. In November 2014, after just six months working for Dr. Arthur Portnow she quit her job and shortly after filed an action under the False Claims Act.Read [ Healthcare Whistle Blower Awarded $351,000 ]
November 27, 2017. By Anne Wallace.
Washington, DC It’s not the users. It’s the doctors. In a November 22 interview with lawyersandsettlements.com, attorney Jason Brown told a strange two-track story where healthcare whistleblower lawsuits meet the opioid epidemic. It’s not pretty. He believes that 2018-2019 will bring a proliferation of whistleblower lawsuits that target the real villains – the doctors and the healthcare system within which they operate.Read [ Untold Story of Opioid Epidemic: Attorney Explains Kickbacks and Billing Fraud ]
October 31, 2017. By Gordon Gibb.
Boston, MA: Not one, but two healthcare fraud lawsuits against the renowned Massachusetts General Hospital and its operator allege double-booking of surgeries that possibly put patients at risk. There are also allegations that patients are misled into assuming their procedures will be performed by experienced surgeons, when in fact residents and fellows often perform various aspects of a procedure while the primary surgeon is out of the room.Read [ Whistleblower Healthcare Fraud Lawsuit Alleges Surgical Double-Booking ]
October 4, 2017. By Anne Wallace.
Columbus, OH: The Department of Justice has announced that Olympia Therapy, Inc. (Olympia), an Ohio nursing home, and its management service provider, Provider Services, Inc. (Provider) have agreed to settle a healthcare fraud lawsuit brought by Vladimir Trakhter, a former Olympia employee. The case puts a uniquely human face on the damage done by Medicare fraud.Read [ Whistleblower Nets $2.9 Million in Healthcare Fraud Lawsuit ]
September 7, 2017. By Gordon Gibb.
Camden, NJ: A former employee of Cooper Health System in New Jersey has filed a whistleblower healthcare fraud lawsuit after the paramedic claims he was fired for raising concerns about poor treatment of patients, potential billing fraud and other allegations related to regulatory violations.Read [ Whistleblower Alleges Healthcare Fraud in Lawsuit ]
July 30, 2017. By Brenda Craig.
Washington, DC: Rooting out healthcare fraud is a top priority for the Department of Justice (DOJ) and on July 17, 2017 the DOJ announced a massive $1.3 billion crackdown on healthcare professionals involved in schemes to defraud Medicare, Medicaid and healthcare services for US veterans and their families.Read [ Healthcare Fraudsters Caught in Giant DOJ Sweep ]
March 3, 2017. By Brenda Craig.
Dallas, TX A Dallas doctor decided in 2009 to blow the whistle on a physician over a billing scam that was costing the healthcare system and American taxpayers millions and millions of dollars. Six years later, after a long investigation by the Department of Justice (DOJ), Dr. Bijan Oughatiyan’s former employer, IPC Healthcare Inc., was ordered to pay $60 million plus interest, to settle a false claims case brought against the company based on the information the whistleblower doctor provided.Read [ Doctor from Dallas Collects $11.4 million for Blowing the Whistle on Healthcare Fraud ]
February 19, 2017. By Jane Mundy.
Washington, DC: “We even have qui tam whistleblower cases that involve doctors paying illegal runners to find people who are destitute on Medicare. They get a little treatment but the doctor bills for a lot,” says attorney Jason Brown. “They figure these people won’t complain but employees of that practice will blow the whistle.”Read [ Qui Tam Whistleblowers and Healthcare Fraud: “It’s a Completely Criminal Enterprise” ]
December 15, 2016. By Brenda Craig.
The US government doesn’t like to be cheated. In fact, the government dislikes being cheated so much that it will pay people to tell on fraudsters that submit false or inflated bills for government services or try to avoid paying money they owe to the government.Read [ Cash for Whistleblowers in the Health Care Industry ]
- Healthcare CEO Files Whistleblower Lawsuit By Heidi Turner (Feb-5-16)
- Healthcare Fraud Cost Pharmaceutical Almost $150 Million in Settlements By Gordon Gibb (Jan-6-16)
- Healthcare Whistleblower Wins $4.5 Million By Heidi Turner (Dec-7-15)
- Healthcare Fraud Whistleblowers to Split $38 Million By Gordon Gibb (Nov-2-15)
- Healthcare Fraud Lawsuit Results in $115 Million By Heidi Turner (Oct-23-15)
- Auditor Recommends Reauthorizing Medicaid Fraud False Claims Act By Heidi Turner (Sep-17-15)
- First Healthcare Fraud Whistleblower Lawsuit under Obamacare Settles for $6.88 Million By Gordon Gibb (Aug-24-15)
- Medicare Fraud Whistleblower Lawsuit Settled for $17 Million By Heidi Turner (Jul-1-15)
- Tennessee Hospital Settles Alleged Whistleblower Healthcare Fraud for $1.3 Million By Gordon Gibb (Jun-1-15)
- Florida Whistleblower Healthcare Fraud Lawsuit Settles for $7.5 Million By Gordon Gibb (May-17-15)
- Healthcare Fraud Whistleblowers Allege Medicaid and Medicare Out Millions By Gordon Gibb (Apr-12-15)
- Whistleblowers Integral to the Fight against Medical and Healthcare Fraud By Gordon Gibb (Mar-1-15)
- $23.4 Million for Medical Sales Exec Who Blew the Whistle By Brenda Craig (Mar-24-11)
- AARP Joins Forces with Qui Tam Whistleblower By Jane Mundy (Oct-20-10)
- Attorney Discusses Whistleblowers and Qui Tam Lawsuits By Jane Mundy (Sep-9-10)