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A general understanding of Medicare billing and reimbursement can increase a healthcare whistleblower’s chances for success. It is not a requirement for a whistleblower to be a Medicare billing or reimbursement expert to bring a successful qui tam case involving fraud...
REPORT FROM THE US ATTORNEY’S OFFICE – HONOLULU – B Wahiawa General Hospital (“WGH”) of Honolulu, Hawaii, will pay $451,428.00 to settle two lawsuits alleging that WGH improperly billed the Medicare program, the State of Hawaii Medicaid program, and TRICARE, the...
JEFFERSON CITY, Mo. – Tammy Dickinson, United States Attorney for the Western District of Missouri, announced that a Columbia, Mo., bank chairman pleaded guilty in federal court today to misleading federal investigators about his use of $381,000 in bank bailout funds...
New York-based Imagimed LLC, the company’s former owners, William B. Wolf III and Dr. Timothy J. Greenan, and the company’s former chief radiologist, Dr. Steven Winter, will pay $3.57 million to resolve allegations that they submitted to federal healthcare programs...
Under the False Claims Act, whistleblowers are required to provide the government with “substantially all material evidence and information” in their possession upon filing a qui tam lawsuit. This assists the government in performing an early analysis of the merits...
The government filed suit in the U.S. District Court for South Dakota against Dakota Laboratories LLC and its owner, Charles L. Voellinger, Sr., to block them from violating the Food, Drug and Cosmetic Act (FDCA) in connection with their alleged violations of Current...
A patient recruiter and a therapy staffing company owner pleaded guilty today in connection with a $7 million health care fraud scheme involving the now defunct home health care company Anna Nursing Services Corp. Acting Assistant Attorney General Mythili Raman of the...
As has been discussed before on this blog, whistleblowers play a critical role in reducing fraud against our government and protecting the American taxpayers, and they should be celebrated for their courage. But, because of the potential workplace stigma and concerns...
The Department of Justice announced today that Shands Hospitals will pay $26 million to settle charges of over-billing to Medicaid/Medicare for inpatient care. The whistleblower case was filed under the federal False Claims Act and the Florida False Claims Act. It...
The James Hoyer Qui Tam Team Whether from personal experience, reading the news or just watching television, most people have some understanding of the basic legal case: a plaintiff sues a defendant, both sides have lawyers that file pleadings and exchange evidence,...
