Archive for July 2023
Florida Brothers Plead Guilty to $67M Genetic Testing and DME Fraud Scheme
A pair of Florida brothers pleaded guilty for their parts in a healthcare fraud scheme that bilked the federal government out of $67 million. The two were part of a larger scheme in which participants filed false claims with Medicare for genetic testing and durable medical equipment that patients did not need and that the…
Read MoreSCOTUS Ruling Gives Government Broad Authority in Dismissing FCA Whistleblower Cases
If a whistleblower files a False Claims Act lawsuit can the government dismiss the action? Yes, so long as the government first intervenes in the action. That was the recent ruling from the U.S. Supreme Court in a case styled United States el rel. Polansky v. Executive Health Resources, Inc., et al. The False Claims…
Read MoreFeds Charge 78 in Connection With Healthcare Fraud Schemes Totaling $2.5B
Seventy-eight people recently were charged in connection with healthcare fraud schemes that bilked the federal government out of $2.5 billion. The charges related to alleged telemedicine, prescription drug, opioid distribution, and clinical lab testing schemes that took place in 13 states, including Florida. Those charged allegedly defrauded programs for the care of the elderly and…
Read MoreMedicare Audit Finds Up To $888M in Improper Payments for Genetic Tests
Inadequate oversight by the Centers for Medicare & Medicaid Services (CMS) of payments for the highest paid genetic test risked up to $888 million in improper payments, according to a recent audit by the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG). OIG reviewed Medicare Part B claims for more…
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