The nation’s top health care inspector is calling for aMedicare moratorium on new home health care agencies in Texas, where the largest number of companies are filing dubious claims, according to a report obtained by the Houston Chronicle. Nearly 40 percent of all...
Firm News
Adventist Health System Can’t Shake Qui Tam Case
A whistleblower case against Adventist Health Systems/Sunbelt for over-billing Medicare and Medicaid and Tricare survived an important step in the legal system. On July 30th, a Florida federal judge refused to toss the False Claims Act case filed by the James Hoyer...
Two Former Hospital Employees Plead Guilty to Participating in Kickback Scheme at New York City Hospital
WASHINGTON – Two former high-ranking employees of facilities operations at New York Presbyterian Hospital (NYPH) pleaded guilty today to an indictment charging them with conspiring to defraud NYPH, the Department of Justice announced. Former vice president of...
Detroit-Area Health Care Clinic Manager Sentenced to 40 Months in Prison for Role in $8.5 Million Diagnostic Testing Fraud Scheme
The manager of a Detroit-area health care clinic was sentenced today to serve 40 months in prison for his leading role in a $7.42 million Medicare fraud scheme, the Departments of Justice and Health and Human Services (HHS) announced. Miami-area resident Alejandro...
James Hoyer Makes Cy Pres Award to Help Fight Foreclosure
Pictured: Chris Hoyer, “Tony” Cabassa, Joan Boles, Tom DiFiore Tampa, FL – A Cy Pres Award from the James Hoyer Law Firm will make it possible for Bay Area Legal Services to continue helping low income homeowners facing foreclosure. The nearly $40,000 donation comes...
Countrywide Whistleblower Talks about Long Road to Successful Case
The life of a whistleblower takes a strong will and driving desire to make a difference. That was the case for Klye Lagow, a former housing appraiser with Countrywide Financial, who filed a lawsuit under seal in 2009 to expose what he saw as widespread appraisal fraud...
Fox Guarding the Hen House
MIAMI — Firms that are paid tens of millions of dollars to root out Medicare fraud are bidding on contracts to investigate companies they are doing business with — sometimes their own parent companies, according to a government report released Tuesday. Two-thirds of...
Army Spent $5B on camo that actually made soldiers visible
Essentially, the Army designed a universal uniform that universally failed in every environment,” said an Army specialist who served two tours in Iraq, wearing UCP in Baghdad and the deserts outside Basra. “The only time I have ever seen it work well was in a gravel...
SEC set to hand out up to $452M to whistleblowers
Talk about a federal stimulus plan. The Securities and Exchange Commission has amassed a $452 million pot of cash to be paid out to fraud busters across the country, according to a recent report. The cash is part of the regulator’s whistleblower program, which marked...
Asheville, Resident Pleads Guilty to Participating in $63 M Medicare Fraud
WASHINGTON – An Asheville, N.C., resident pleaded guilty today in U.S. District Court in Miami for her role in a health care fraud scheme that resulted in the submission of more than $63 million in fraudulent claims to Medicare and Medicaid in Miami and...