By Steve Kardell | Published June 11, 2018 | Posted in Fraud, Whistleblower Litigation | Tagged Tags: Centerlight Health System, Whistleblower Billing Fraud Case, Wrongdoing included false claims |
Centerlight Health System to Pay Nearly $60 Million in Whistleblower Billing Fraud Case
Centerlight Health System, Inc., a New York-based healthcare provider primarily serving elderly and disabled Medicaid patients, reached a new $10.3 million settlement in a case with state and federal elements over long-term care payments made to residents of adult homes, even if they were not eligible for coverage. Centerlight will pay this amount in addition Read More
Read MoreWhistleblowers are Critical in Preventing, Limiting Medicare Fraud
During a recent interview with the AARP, U.S. Attorney General Jeff Sessions said Medicare fraud must be taken as seriously as the war on drugs in this country. That’s saying something, considering the hardline stance Sessions has taken on the enforcement of drug laws. However, it’s not difficult to see why he’s so passionate about Read More
Read MoreNinth Circuit Court Dismisses Challenge to Consumer Arbitration in AT&T Case
In the case of Roberts v. AT&T Mobility, the Ninth Circuit court made a quick dismissal of a First Amendment challenge to consumer arbitration, finding there was no state action in this circumstance. The plaintiffs in the case filed a class action lawsuit stating AT&T was guilty of falsely advertising its phone service as “unlimited,” Read More
Read MoreWhistleblower Reveals Healthcare Fraud Scheme in Twin Cities
Information a whistleblower provided recently led to federal prosecutors bringing a fraud case against a dermatology chain in the Twin Cities of Minnesota. According to an announcement by the U.S. Attorney’s Office in Minneapolis, Skin Care Doctors and its founder, Michael Ebertz, settled the case with a payment of $850,000. Prosecutors alleged the practice routinely Read More
Read MoreOwners of Texas Clinic Accused of Healthcare Fraud
A group of health clinic owners in Houston will head to federal court after being indicted for conspiracy to commit wire fraud, money laundering and kickbacks, according to a joint announcement by federal officials and investigators. A grand jury returned the indictment on November 2 and named Anukul “Andy” Dass, his sister Anurag “Anna” Dass Read More
Read MoreFormer FBI Agent Warns of Prevalence of Healthcare Fraud in Talk
Valdosta State University in Georgia recently hosted a presentation in recognition of International Fraud Awareness Week (November 12-18), a global initiative developed to minimize the effects of fraud by promoting anti-fraud awareness and outreach efforts. Former FBI agent Victor Hartman was a presenter at the event, and he focused primarily on healthcare fraud. Since he Read More
Read MoreWhistleblower Claim Worth $112 Million to Proceed Against Duke and Researchers
A federal judge has ruled that a whistleblower lawsuit filed against Duke University and a pair of researchers can proceed. The lawsuit alleges the university and researchers were able to secure $112 million in federal funding based on fraudulent work. The lawsuit was initially filed under the False Claims Act in 2013. If successful, it Read More
Read MoreDOJ Claims UnitedHealth Group Overbilled Medicare by Hundreds of Millions
The U.S. Department of Justice recently sued UnitedHealth Group, claiming the company’s senior executives were aware it was overbilling Medicare by hundreds of millions of dollars annually and that they put a stop to a repayment plan in 2014 to meet revenue expectations. The official complaint was filed in May in the U.S. District Court Read More
Read MoreJudge Issues Stay on Enormous Judgement Against Nursing Home Care Providers
A federal judge in Florida has issued a stay on more than $350 million in False Claims Act judgments in fear that the nursing homes ordered to pay them could suddenly shut down as a result. In his action, the U.S. district judge prohibited enforcement agencies from collecting on the judgments as the nursing home Read More
Read MoreFINRA Changes Sanctions Guidelines on Several Key Issues
The Financial Industry Regulatory Authority (FINRA), a self-regulatory agency, has updated its sanctions guide to ensure in-house judges consider whether broker-dealers took advantage of elderly or vulnerable clients when making their rulings. The agency also expanded its guidance related to how judges should adjust penalties when sanctions have been imposed by other federal agencies, in Read More
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