Tags » Medicaid Fraud

Community Health Systems Resolves FCA Allegations

Community Health Systems, Inc. (CHS), the nation’s largest operator of acute care hospitals based in Franklin, Tennessee, has agreed to pay $98.15 million to resolve allegations that the company knowingly billed government health care programs for inpatient services that should have been billed as outpatient services and that one of the company’s affiliated hospitals, Laredo Medical Center, improperly billed Medicare for certain inpatient procedures and for services in violation of the Stark Law according to a… 212 more words

Medicare Fraud

Drug, alcohol counselor accused of Medicaid fraud

LAWTON, Okla. – A drug and alcohol counselor is accused of Medicaid fraud for billing for services she never performed.

She allegedly even charged a patient who had died. 260 more words


Physical Therapy Goals

The following is from a denial a client sent last week.  The clinical record was originally requested as a routine ADR and payment was denied related to the Face-to-Face document.  That denial was overturned in favor of my client but the claim was denied again for a new reason.  You have to see this in order to believe it: 669 more words

Medicare Fraud And Abuse

Some NJ patients can't access medical records after Medicaid fraud bust

JERSEY CITY, N.J. (PIX11) – “Where are the patients supposed to go?”

This question is not only on the mind of Rebecca Porter but also other former patients of American Imaging MRI Centers throughout northern New Jersey. 264 more words


Omnicare, Inc. to Settle False Claims Act Allegations

Thanks to a False Claims Act case filed by Donald Gale, a former Omnicare employee, the nation’s largest provider of pharmaceuticals and pharmacy services to nursing homes has agreed to pay $124.24 million to resolve allegations that the company offered improper kickbacks to skilled nursing facilities, according to a… 139 more words

Medicare Fraud