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Sharon Iglehart, a Houston Doctor, Indicted for Her Alleged Role in $158 Million Medicare Fraud Scheme

December 18, 2013 | Posted By: Hoyer Law Group, PLLC

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A Houston doctor has been arrested on charges related to her alleged participation in a $158 million Medicare fraud scheme involving false claims for mental health treatment. Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division, U.S. Attorney Kenneth Magidson of the Southern District of Texas, Special Agent in Charge Stephen L. […]

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Ruben Busquets, of Miami, Pleads Guilty to $63M Health Care Fraud

December 16, 2013 | Posted By: Hoyer Law Group, PLLC

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A former licensed mental health counselor at the defunct health provider Health Care Solutions Network Inc. (HCSN) pleaded guilty today in Fort Lauderdale, Fla., for his role in a $63 million health care fraud scheme. Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division, U.S. Attorney Wifredo A. Ferrer of the Southern […]

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Northrop Grumman Corp. Pays $11.4 Million to Resolve Allegations That It Improperly Charged Costs to Government Contracts

December 11, 2013 | Posted By: Hoyer Law Group, PLLC

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The Justice Department announced today that Northrop Grumman Corp. has paid the United States $11.4 million to settle a government claim for penalties provided under the Federal Acquisition Regulation (FAR)  and False Claims Act allegations stemming from its failure to abide by a 2002 settlement agreement with the Defense Contract Management Agency (DCMA).  The government […]

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Government Intervenes in False Claims Lawsuit Against IPC the Hospitalist Co. Inc. Alleging Overbilling of Physician Services

December 09, 2013 | Posted By: Hoyer Law Group, PLLC

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The government has intervened in a lawsuit against IPC The Hospitalist Co. Inc., and its subsidiaries (IPC), alleging that IPC submitted false claims to federal health care programs, the Justice Department announced today.  IPC, based in North Hollywood, Calif., is one of the largest providers of hospitalist services in the United States, employing physicians and […]

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Three Patient Recruiters for Carring Nurse Home Health Care Corp,a Miami Home Health Company, Plead Guilty for Roles in $48 Million Scheme

December 04, 2013 | Posted By: Hoyer Law Group, PLLC

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Three patient recruiters for a Miami health care company pleaded guilty today for their participation in a $48 million home health Medicare fraud scheme. Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division, U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Special Agent in Charge Michael B. Steinbach of […]

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CVS Will Pay $4.25 Million for Allegedly Denying Medicaid Claims for Reimbursement of Prescription Drug Costs

December 03, 2013 | Posted By: Hoyer Law Group, PLLC

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Caremark LLC, a pharmacy benefit management company (PBM), will pay the government and five states a total of $4.25 million to settle allegations that it knowingly failed to reimburse Medicaid for prescription drug costs paid on behalf of Medicaid beneficiaries, who also were eligible for drug benefits under Caremark-administered private health plans, the Justice Department […]

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Ensign Group Inc. a Skilled Nursing Facility Based in Mission Viejo, Calif. to Pay $48 Million to Resolve Allegations That Six Facilities Billed for Unnecessary Therapy

November 20, 2013 | Posted By: Hoyer Law Group, PLLC

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The Ensign Group Inc., a skilled nursing provider based in Mission Viejo, Calif., that operates nursing homes across the western U.S. has agreed to pay $48 million to resolve allegations that it knowingly submitted to Medicare false claims for medically unnecessary rehabilitation therapy services, the Justice Department announced today. Six of Ensign’s skilled nursing facilities […]

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FreshPoint Inc. to Pay $4.2 Million for Overbilling the Department of Defense for Produce

November 19, 2013 | Posted By: Hoyer Law Group, PLLC

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The Justice Department announced today that FreshPoint Inc., a Houston, Texas-based food distribution company and wholly owned subsidiary of Sysco Corp., has agreed to pay $4.2 million to resolve allegations that it overcharged the Department of Defense for fresh fruit and vegetables purchased under 15 separate contracts. The contracts were awarded to East Coast Fruit […]

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James Hoyer Creative Director Premieres JFK Documentary

November 08, 2013 | Posted By: Hoyer Law Group, PLLC

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James Hoyer Creative Director Larry Wiezycki is the director and editor of a fascinating, new PBS documentary about President John F. Kennedy’s visit to Tampa just days before he was assassinated. JFK in Tampa: The 50th Anniversary premiered November 7th at the Tampa Theatre to a standing room only crowd and will air multiple times […]

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Overcoming a Rule 9(b) Challenge in the 11th Circuit

November 07, 2013 | Posted By: Hoyer Law Group, PLLC

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After a qui tam complaint is filed, the Department of Justice investigates the relator’s allegations and then decides whether to intervene and join the action, or whether to decline. If the government declines to join in the lawsuit, the relator and his or her counsel may decide to proceed forward with the case on their […]

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LG CHEM MICHIGAN, INC. TO PAY OVER $1.2 MILLION TO RESOLVE ALLEGATIONS OF PAYING EMPLOYEES ENGAGED IN RECREATIONAL ACTIVITES

November 06, 2013 | Posted By: Hoyer Law Group, PLLC

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GRAND RAPIDS, MICHIGAN – U.S. Attorney Patrick A. Miles, Jr., announced today that LG Chem Michigan, Inc. (“LGCMI”) will pay the United States $1,231,319 to resolve allegations, under the federal False Claims Act, that the company improperly sought and obtained federal funds to pay employees who were engaged in recreational and volunteer activities. This amount […]

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Orlando Area Hospice Pays $3 Million to Settle Medicare Fraud Charges

November 05, 2013 | Posted By: Hoyer Law Group, PLLC

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Hospice of the Comforter Inc. (HOTCI) was accused of billing Medicare for patients who were not terminally ill, according to the Department of Justice.   The company has agreed to pay $3 million to resolve the allegations.  The government says evidence showed HOTCI violated the False Claims Act by submitting false claims to the Medicare program […]

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