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Sixteen hospitals across seven states have agreed to a $15.7 million settlement with the federal government to resolve claims that the providers improperly billed Medicare for Intensive Outpatient Psychotherapy, according to a Department of Justice statement.
The Department of Justice has filed a False Claims Act complaint against HCR ManorCare, alleging that the home health provider "knowingly and routinely" submitted Medicare and Tricare claims for rehabilitation therapy services that were not medically necessary.
Three former managers of the AIDS Healthcare Foundation (AHF) have filed a lawsuit against the nation's largest provider of medical care for HIV and AIDs, alleging violations of the False Claims Act and the Anti-Kickback Statute.
The False Claims Act dates back to Abraham Lincoln's presidency, but the longevity of the law hasn't alleviated any concerns surrounding it, particularly for those in the healthcare and life sciences industries.
A False Claims Act case against a water purifying company accused of fraudulently billing the U.S. government could have implications for the healthcare industry, particularly when it comes to whistleblower actions.
A recent false claims settlement and perpetrator sentencing highlight the issue of alleged and proven fraud linked to respiratory therapy.
Fraud fighters use the federal False Claims Act, originally created to oversee the defense industry, to follow the money trail into healthcare. Last year, nearly 88 percent of about $3 billion dollars recovered through whistleblower-filed false claims cases came from U.S. Department of Health and Human Services contractors, The Pittsburg Post-Gazette reported.
Press Releases
- New NCQA eMeasure Certification Program to Expand HIT Data Use in Measure Reporting
- Leidos Defense Healthcare Management System Modernization contract
- More than $38 million awarded to improve coordinated health information sharing in communities across America
- Covered California Announces Rate Increases for 2016; Consumers Should Consider "Hidden Premium" From Narrow Networks, High Deductibles, When Shopping For Insurance Says Consumer Watchdog
- Most Wired Hospitals Focus on Security and Patient Engagement
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