by Lee Wallace | Nov 7, 2017 | Uncategorized
Medicare and Medicare Advantage are overpaying medical providers by $60 billion a year, according to testimony from James Cosgrove, who directs health care reviews for the Government Accountability Office, to the House Ways and Means oversight committee. But just how...
by Lee Wallace | Nov 3, 2017 | Uncategorized
Most False Claims Act cases start out as civil cases, when a whistleblower files a civil lawsuit. The Government, however, can use the False Claims Act criminally, also. In each of the following cases, a defendant was convicted criminally for violating the False...
by Lee Wallace | Oct 31, 2017 | Uncategorized
Just a week ago I blogged about a False Claims Act case involving ambulance fraud, but already I have another entry for my whistleblower law blog. Four Houston hospitals will be paying $8.6 million to resolve claims they took kickbacks from ambulance companies. ...
by Lee Wallace | Oct 27, 2017 | Uncategorized
For many people, one of the worst things about turning 50 is that you are supposed to get a colonoscopy. But it turns out things could be much worse. Imagine this scenario: you go through all the worry and the unpleasant prep for your colonoscopy and the doctor puts...
by Lee Wallace | Oct 16, 2017 | Uncategorized
A drug manufacturer will repay the Government $ 28.8 million for promoting off-label use of one of the most expensive drugs in the world. Aegerion Pharmaceuticals also pled guilty to failing to give complete and accurate information about how to diagnose the...
by Lee Wallace | Oct 12, 2017 | Uncategorized
Hurricanes Harvey, Irma and Maria left a trail of destruction across the southeast and the Caribbean. Now the federal and state governments are pouring billions of dollars into disaster relief in Texas, Florida, Georgia, Puerto Rico and the U.S. Virgin Islands. But...
by admin | Oct 10, 2017 | Uncategorized
Apparently the patients at a Macon, Georgia, hospital were so desperate to get home that the hospital gave them ambulance rides. Last month Medical Center Navicent Health paid Medicare $2.5 million to settle claims of ambulance fraud because it had billed Medicare...
by admin | Oct 5, 2017 | Uncategorized
Is DOJ going to start holding doctors accountable for prescribing expensive and unnecessary home health care? Maybe, if a Houston case is a bellwether. A 62-year old doctor from Houston, Harris County, Texas, may get jail time for home health fraud. DOJ accused...
by admin | Sep 12, 2017 | Uncategorized
Thanks to a whistleblower, the makers of the EpiPen will pay the Government $465 million to resolve claims that they falsely classified the drug as generic so that they could decrease the rebates they had to pay to Medicaid. A pharmaceutical company called...
by admin | May 11, 2017 | Uncategorized
On April 25, 2017, DOJ announced that a durable medical equipment (DME) provider would be paying $11.4 million in the face of allegations that it had provided home oxygen equipment to patients without getting a doctor’s approval. The Government also said that Pacific...
