Consulting dermatologists to nursing homes to pay $4M in billing dispute
By
Marty Stempniak
Aug 31, 2018
A Florida dermatology practice that consults to nursing homes is being forced to pay $4 million to settle allegations that it overused radiation simulations and upcoded claims for the procedures.
False Claims Act cases could rise depending on Supreme Court ruling
By
Marty Stempniak
Jan 07, 2019
Whistleblowers in False Claims Act cases may no longer be able to “forum shop” depending on whether the nation’s highest court agrees to standardizing lawsuit timelines.
False Claims judge rejects HCR ManorCare
By
James M. Berklan
Nov 05, 2015
A federal court has rejected HCR ManorCare’s claim that alleged overbilling for therapy was an example of clinical disagreements over what constitutes a reasonable level of therapy.
Diversicare, DOJ settle for $9.5M in false claims case
By
Liza Berger
Apr 01, 2020
Diversicare Health Services disclosed in February that it agreed to pay $9.5 million to resolve false claims allegations.
False Claims Act reaches committee against providers’ wishes
Jul 17, 2008
The False Claims Correction Act (H.R. 4854) Wednesday made its way to the House Judiciary Committee for deliberation and a markup.
Whistleblower with millions at stake will appeal Consulate False Claims overturned verdict
By
Kimberly Marselas
May 08, 2018
Whistleblower Angela Ruckh plans to appeal an overturned False Claims verdict that likely cost her upward of $50 million.
Supreme Court upholds controversial False Claims liability theory
By
Jun 17, 2016
The Supreme Court on Thursday upheld a controversial legal theory that could increase False Claims Act scrutiny against healthcare providers.
Whistleblower allegations aren’t limited to employment dates, judge rules
By
John Hall
Mar 05, 2015
Healthcare industry whistleblowers alleging False Claims Act violations may get more wind in their sails thanks to a recent ruling in federal district court.
Justice Department to providers: Help us and we’ll decrease False Claims awards
By
Marty Stempniak
May 10, 2019
The Department of Justice has issued new guidance on how nursing facilities can obtain greater leniency in cases where they are accused of violating the False Claims Act.
Also in the News for Wednesday, April 26
By
Kimberly Marselas
Apr 26, 2023
Supreme Court expected to clarify ‘ambiguous’ False Claims standard … Most older patients embrace move toward deprescribing, poll finds … Facility’s careful monitoring results in opioid diversion...