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Houston-Area Doctor Sentenced to 63 Months in Prison for Role in $17.3 Million Medicare Fraud Scheme

March 15, 2013 | Posted By: Hoyer Law Group, PLLC

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A Texas doctor was sentenced today to serve 63 months in prison for conspiring to commit health care fraud by falsifying plans of care for Medicare beneficiaries, including patients whom he did not treat, as part of a $17.3 million Medicare fraud scheme. Today’s sentence was announced by Acting Assistant Attorney General Mythili Raman of […]

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Tennessee-Based Therapy Providers, Grace Healthcare LLC, to Pay $2.7 Million to Resolve False Claims Act Allegations

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

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The Justice Department announced today that Chattanooga, Tenn., based nursing home manager Grace Healthcare LLC and its affiliate Grace Ancillary Services LLC (collectively, Grace) have agreed to pay $2.7 million, plus interest, to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to the Medicare and TennCare/Medicaid programs […]

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Owners of Miami Home Health Companies Sentenced to Prison in $48 Million Health Care Fraud Scheme

February 27, 2013 | Posted By: Hoyer Law Group, PLLC

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The owners and operators of two Miami health care agencies were sentenced to nine years and more than four years in prison today, respectively, and ordered to pay millions in restitution for their participation in a $48 million home health Medicare fraud scheme that billed for unnecessary home health care and therapy services. The sentences, […]

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Illegal Marketer of Medicare Information Admits Role in Detroit-area Home Health Care Fraud Scheme

February 25, 2013 | Posted By: Hoyer Law Group, PLLC

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A health care worker who sold Medicare beneficiary information to Detroit-area home health agency operators as part of a $24.7 million home health care fraud conspiracy pleaded guilty today for his role in the scheme, which sought to profit by billing for home healthcare services that were medically unnecessary and not provided. The guilty plea […]

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Feds join civil fraud case against Lance Armstrong

February 22, 2013 | Posted By: Hoyer Law Group, PLLC

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The federal government finally has stated its opinion on the Lance Armstrong case. It believes the former cyclist committed fraud through cheating and lies. And now it wants its money back times three – possibly around $100 million. According to a federal official with knowledge of the matter, the U.S. Department of Justice has joined […]

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False Claims Case Against Adventist Health System Clears Major Hurdle

February 22, 2013 | Posted By: Hoyer Law Group, PLLC

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The whistle-blower case against Adventist Health System/Sunbelt, Inc. got the go ahead to move forward on claims that the hospital owner fraudulently over-billed Medicare, Medicaid and Tricare for emergency department services.  A federal judge in Florida refused to toss out claims by two former employees, denying the company’s Motion to Dismiss. The James Hoyer Law […]

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Fairfax Nursing Center to Pay $700,000 to Resolve False Claims Act Allegations

February 13, 2013 | Posted By: Hoyer Law Group, PLLC

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Fairfax, Va.-based skilled nursing facility Fairfax Nursing Center (FNC) and its owners have agreed to pay $700,000 to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to Medicare of false claims for non-reimbursable rehabilitation therapy services, the Justice Department announced today. The settlement resolves claims that FNC […]

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Former Nurse Sentenced in Miami to 111 Months in Prison in Connection with $63 M Mental Health Care Fraud Scheme

February 12, 2013 | Posted By: Hoyer Law Group, PLLC

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A former registered nurse was sentenced today to serve 111 months in prison for his role in a health care fraud scheme involving defunct health provider Health Care Solutions Network Inc. (HCSN), announced Assistant Attorney General Lanny A. Breuer of the Justice Department’s Criminal Division; U.S. Attorney Wifredo A. Ferrer of the Southern District of […]

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California-Based Granite Construction Company to Pay U.S. $367,500 to Resolve False Claims Allegations

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

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Granite Construction Company, a California-based construction company specializing in roads, tunnels, bridges, airports and other infrastructure-related projects, reached a settlement with the United States following an investigation of alleged false claims in connection with federal construction projects across the country, the Justice Department announced today. Granite has agreed to pay the United States $367,500. The […]

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Catholic Health to Pay $4.9 Million in St. Joseph Overbilling Case

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

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The previous owner of University of Maryland St. Joseph Medical Center has agreed to pay the federal government $4.9 million for overbilling the Medicaid and Medicare system by keeping patients in the hospital longer than needed. Catholic Health Initiatives, which recently sold the hospital to University of Maryland Medical System, did not admit to wrongdoing […]

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Department of Justice Uses FIRREA in Suit Against S & P

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

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From the beginning of his tenure, the Attorney General established twin commitments to the American people: that the Department of Justice will devote significant resources to combating financial fraud, and that we will be as aggressive and creative as we can be in holding accountable those who, in violating the law, contributed to the financial […]

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Missouri Judge orders HCA to pay foundation $162 million

January 25, 2013 | Posted By: Hoyer Law Group, PLLC

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A Missouri state judge has ordered HCA to pay a Kansas City charitable foundation $162 million and undergo extensive auditing after finding the for-profit hospital operator broke key agreements regarding charity care and capital expenditures in its billion-dollar purchase of hospitals from Health Midwest in 2002. In a 141-page opinion (PDF), Judge John Torrence of […]

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