By Steve Kardell | Published March 4, 2021 | Posted in Fraud | Tagged Tags: healthcare fraud, incorrect billing, Medicare Fraud |
Apria Healthcare Group, Inc. (Apria), a durable medical equipment provider that operates throughout the United States, recently agreed to settle a multistate billing fraud claim to the tune of $40.5 million. The lawsuit prompting the settlement alleged Apria routinely submitted false claims to federal health programs like Medicare and Medicaid to obtain reimbursement for non-invasive Read More
Read MoreMerit Medical Systems recently agreed to pay $18 million to resolve claims that it violated the Anti-Kickback Statute and the False Claims Act in paying physicians and healthcare facilities to use their products. As part of the settlement, the organization does not admit any wrongdoing, but will pay out the money that will be split Read More
Read MoreA nonprofit organization based in West Allis, Wisconsin agreed to pay $1.9 million to the federal government after reports from a whistleblower revealed the organization was simply repackaging Chinese products they claimed were made by visually impaired Americans. The organization is Industries for the Blind and Visually Impaired. Because of these claims, the organization was Read More
Read MoreMethodist Healthcare and West Cancer Center, both located in Memphis, Tennessee, were recently named in a whistleblower lawsuit revolving around illegal kickbacks to doctors. Former Methodist University Hospital CEO Jeff Liebman and former Vice Chancellor for the University of Tennessee’s Health Science Center Dr. David Stern filed the whistleblower lawsuit, alleging the fraudulent scheme resulted Read More
Read MoreBechtel Corp. and a subcontractor, Aecom, paid $58 million to settle claims of billing the Department of Energy for fraudulent labor expenses. The two companies have been working together on the vitrification plant at Hanford in Washington, a $17 billion venture. The lawsuit dates back to 2017, and was filed by several current or former Read More
Read MoreThe Commodity Futures Trading Commission (CFTC) announced a record judgment against JPMorgan Chase & Company and its subsidiaries. JPMorgan will pay out a record $920.2 million for a CFTC case, which includes the highest amounts of restitution, disgorgement and civil monetary amounts every for a “spoofing” case. Case background JPMorgan was accused of “manipulative and Read More
Read MoreAn ex-attorney for American International Group (AIG) filed a federal lawsuit claiming AIG fired him after he formally complained about fraudulent activity surrounding an effort to create a separate legal services company. Case background That whistleblower is Aaron Katzel, who worked at AIG for a decade and headed the Legal Operations Center (LOC) for the Read More
Read MorePotential whistleblowers in a medical setting should be familiar with HIPAA and its implications if they are to establish a viable case that does not violate the rights of other people. It’s generally suggested that whistleblowers have documentary proof to boost their credibility in a case and to demonstrate you have information that can lead Read More
Read MoreThe Commodities Futures Trading Commission (CFTC) announced this summer a whistleblower award of approximately $9 million, one of its most valuable awards yet. The award was granted to a whistleblower who provided specific, credible and timely information that led the CFTC to open an investigation that ultimately led to a successful enforcement action. It is Read More
Read MoreIn July, the U.S. District Court for the Central District of California entered a final judgment to resolve allegations from the Consumer Financial Protection Bureau’s (CFPB) allegations against Certified Forensic Loan Auditors, LLC (CFLA) and its owner, Andrew Lehman. CFLA offers foreclosure relief services. According to the CFPB, CFLA and Lehman regularly performed “deceptive and Read More
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