Monday, January 04, 2010
U.S. and MI Receive $9.5 Million from Visiting Physicians Association for False Claims Allegations
Visiting Physicians Association will pay the U.S. government and the state of Michigan $9.5 million, settling allegations of False Claims violations relating to submitting false claims to Medicare, TRICARE and the Michigan Medicaid program.
The settlement is based on allegedly unnecessary home visits and care plan oversight services, as well as unnecessary tests and procedures.
The settlement resolves four qui tam lawsuits filed by whistleblowers, who will collectively receive a total of approximately $1.7 million.
The U.S. Department of Health and Human Services, Office of Inspector General; the FBI; and the Michigan Attorney General’s Office investigated this matter. The Justice Department’s Civil Division, the U.S. Attorney’s Office for the Southern District of Ohio, the U.S. Attorney’s Office for the Eastern District of Michigan, and the Michigan Attorney General’s Office handled the lawsuits.
Click here to read the full article, “Visiting Physicians Association to Pay $9.5 Million to Resolve False Claims Act Allegations"
Posted by Qui Tam Admin on 01/04 at 03:41 PM
Oklahoma Hospital System Pays $13 Million for False Claims Violations
The United States government will receive more than $13 million from St. John Health System to settle allegations of violating the False Claims Act by trying to induce referrals for medical services.
The hospital, headquartered in Tulsa, Oklahoma, allegedly submitted claims to Medicare and Medicaid that may have been corrupted by financial relationships with referring physicians.
The settlement is a result of a self-disclosure report filed in 2008 by St. John acknowledging that the financial relationships with the physicians may have not been fully in line with federal law.
Click here to read the full article “Oklahoma Hospital Group Pays U.S. $13 Million to Settle False Claims Act Allegations"
Posted by Qui Tam Admin on 01/04 at 03:38 PM
NJ Health System Pays U.S. $7.95 Million for Overcharging Medicare
A $7.95 million settlement was reached between the parent company of two New Jersey hospitals and the federal government. The original whistleblower case was brought by Tony Kite, a private health care consultant, who will receive $356,000, plus interest, from the settlement.
The settlement was reached with Our Lady of Lourdes Health Care Services Inc., of Camden, N.J., which operates several other medical centers. The lawsuit alleged that one of the medical centers inflated charges to Medicare patients to receive outlier payments for cases which would not normally be so costly.
The settlement was the result of work conducted by the Justice Department’s Civil Division, the U.S. Attorney’s Office for the District of New Jersey, the Department of Health and Human Services Office of Inspector General and the Centers for Medicare and Medicaid Services and the Federal Bureau of Investigation.
Click here to read the full article “N.J. health system to pay $8 million to settle Medicaid fraud case"
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Posted by Qui Tam Admin on 01/04 at 03:36 PM