Cigna to Pay $173M to Settle False Claims Act Litigation Filed by Whistleblower

A medicare insurance kit with stethoscope and other medical equipment.

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…

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Lincare To Pay $29M to Settle Medicare Overbilling Healthcare Fraud Case

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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…

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Brain Health Scan Company Founder Settles False Claims Act Whistleblower Lawsuit

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The co-founder of a New York-based company that purported to provide brain health scans (EEGs) for early detection of cognitive impairments has agreed to pay $220,000 to resolve allegations he violated the False Claims Act. The company, Evoke Neuroscience Inc., also will pay $225,000. According to the U.S. Department of Justice, David Hagedorn, Evoke’s co-founder…

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Laboratory Owner, Serial Entrepreneur Target of DOJ Complaint Alleging He Violated the False Claims Act

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A man who dubbed himself a “serial entrepreneur†is the target of a complaint alleging he violated the False Claims Act by submitting more than 24,000 false claims to Medicare for more than 300,000 respiratory pathogen panel tests that were not ordered by healthcare providers, not medically necessary, or never performed. The defendants billed and received…

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