Tag Archive | "qui tam"
Renal Care Group Slapped With $19.4 Million CMP
Mother company Fresenius denies fraud allegations with an appeal. The federal court’s verdict is guilty, and Nashville company Renal Care Group (RCG) gets $19.4 million penalty for taking advantage of Medicare’s End Stage Renal Disease (ESRD) program by organizing another…
Continue reading...Professional Whistleblower Nabs Another Hospital for False Outlier Payments
Friday, March 5, 2010
Hospital billing consultant knew exactly how to blow the whistle — and gets $613,000 for his trouble. Brookhaven Memorial Hospital Medical Center in Long Island, NY will pay the federal government $2.92 (excluding interest) to settle…
Continue reading...15-Bed Hospital, Physician Settle Medical Necessity Qui Tam Case
Monday, January 11, 2010
Faulty physician documentation was an Achilles heel in the case. Three patients who stayed multiple days in Wheaton Community Hospital in Wheaton, MN as inpatients — yet received only oral pain meds and PT during their hospital stays — is an…
Continue reading...Internal Auditor Turns Whistleblower at Cardiology Practice
Monday, January 4, 2010
Upcoding E/M services at heart of the case An internal auditor turned whistleblower when she felt a Michigan cardiology practice was ignoring her concerns about evaluation & management upcoding. A $669,413 settlement with the Department of Justice is the end result.…
Continue reading...‘Sub-Standard Care’ the Crux of Medicaid FCA Case
Monday, November 9, 2009
Therapists formerly employed at a residential treatment center blow the whistle. Many times, False Claims Act cases in health care hinge on the fact that claims were submitted to Medicare or Medicaid when no actual care was provided at all.…
Continue reading...FERA Expands Overpayment Liability with ‘Reverse False Claims’
Monday, November 9, 2009
Plus, why it’s easier than ever for folks to become whistleblowers. If you don’t know what a reverse false claim is, it’s time to figure it out. With the Fraud Enforcement and Recovery…
Continue reading...What To Do When Your Competitor Threatens to Blow the Whistle
Tuesday, August 25, 2009
Wikipedia photographer: Jarrett Campbell of Cary, NC Plus, 4 steps that protect you from whistleblowing competitors Quick. Think ‘whistleblower’ and ‘qui tam.’ Bet you think…
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Monday, April 5, 2010
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