Search results for: Corporate integrity agreement
Failure to Abide by Corporate Integrity Agreement Can Trigger Additional Woes
On June 1, the Departmental Appeals Board (DAB) voted to uphold an order issued by the Department of Health and Human Services Office of the Inspector General (HHS-OIG) against a group of Tennessee-based home health companies to pay $1,322,500 in stipulated penalties for breaches of their Corporate Integrity Agreement (CIA). OIG negotiates Corporate Integrity Agreements…
Read MorePET Scan Company and Owner to Pay $85M to Settle Anti-Kickback Statute Allegations
An Illinois healthcare imaging company and its founder, owner and CEO have agreed to pay $85.5 million to settle claims that the company allegedly paid kickbacks to physicians to refer Medicare patients for cardiac scans using “sham” medical supervision agreements in violation of the Anti-kickback statute. The Settlement Agreement Cardiac Imaging Inc. (CII) and Florida…
Read MoreCigna to Pay $173M to Settle False Claims Act Litigation Filed by Whistleblower
Health insurance giant Cigna agreed to pay nearly $173 million to resolve allegations it violated the False Claims Act by knowingly submitting false diagnosis codes under the federal Medicare Advantage program to increase its payments. In a lawsuit filed last year, the feds alleged that between 2014 and 2019, Cigna submitted to the Centers for…
Read MoreLincare To Pay $29M to Settle Medicare Overbilling Healthcare Fraud Case
Florida-based Lincare Holdings has agreed to pay $29 million to settle allegations it overbilled Medicare and Medicare Advantage plans for oxygen equipment provided to patients with respiratory-related illnesses. The settlement, which is the largest ever healthcare fraud settlement in the Eastern District of Washington settles claims that Lincare violated the False Claims Act. Lincare Agrees…
Read MoreTexas Drug Testing Lab to Pay Nearly $6M to Settle Kickbacks to Marketers, False Claims Act Violations
An Austin, Texas drug testing lab agreed to pay nearly $6 million to settle allegations it violated the Federal False Claims Act by paying volume-based commissions to marketers for six years.
Read MoreOIG Revises Self-Disclosure Protocol
For the first time since 2013, The U.S. Department of Health & Human Services Office of Inspector General has issued updates to its Healthcare Fraud Self-Disclosure Protocol. Created in 1998, the protocol can be used to create a process to voluntarily identify, disclose and resolve instances of potential fraud involving federal healthcare programs. The OIG…
Read MoreClinical Lab Settles Fraud Allegations
A Nevada-based clinical lab and two of its owners recently agreed to pay up to $16 million to settle allegations that the lab submitted false claims for payment to Medicare, Medicaid and other federal healthcare programs. In addition, the lab, MD Spine Solutions LLC (MD Labs Inc.), and its co-founders, Denis Grizelj and Matthew Rutledge,…
Read MoreUM to Pay $22M to Settle Whistleblower Lawsuits
The University of Miami recently agreed to pay $22 million to settle three whistleblower lawsuits alleging violations of the False Claims Act. The cases were first filed between 2013 and 2014. The government alleged that UM knowingly engaged in improper billing relating to its hospital facilities. Medicare regulations allow medical systems to convert physician offices…
Read MorePharma Giant Novartis Settles FCA Claims
Pharma giant Novartis has agreed to pay more than $642 million to resolve claims it violated the False Claims Act (FCA). The company also will forfeit $38.4 million under the Civil Asset Forfeiture Statute. In the first settlement, the company agreed to pay $51.25 million to settle allegations it illegally paid the copay obligations for…
Read MoreOIG Details Anti-fraud Efforts, Recoveries in Report to Congress
The U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) recently reported that its investigative work is expected to lead to the recovery of $1.51 billion and 443 criminal actions for the period between October 1, 2019 and March 31, 2020. That is down from $2.3 billion during the same period…
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