Healthcare Fraud

  • Virginia Sleep Centers Violate False Claims Act

    Sleep labs serve as vital sources of care for those suffering from a variety of sleep disorders, including obstructive sleep apnea (OSA). An estimated 22 million Americans show symptoms of moderate to severe OSA, which can only be treated following a series of in-home or in-lab sleep studies that diagnose and effectively manage the disorder. […]

  • Ex-Employee Blows Whistle on California’s Largest Nursing Home Provider

     Following an investigation that arose from a whistleblower suit, the corporate owner of four San Diego-area nursing homes has agreed to pay $6.9 million to resolve multiple fraud allegations. The sister facilities, owned by Los-Angeles based Brius Management Co., purportedly paid illegal kickbacks to cultivate patient referrals and subsequently file numerous false claims to Medicare […]

  • Bribery, Kickbacks, and Fraud – Oh My! California Settles Largest Medical Fraud at an Unprecedented $600 Million

    In what is being called the largest in California history, a now-defunct Long Beach hospital has been discovered to have engaged in an egregious healthcare fraud scandal – one that resulted in up to $600 million in claims being filed and consequently reimbursed. Pacific Hospital was involved in a variety of unscrupulous financial relationships in […]

  • Registered Nurse Defrauds Medicare for $17M in Home Healthcare Scheme

     A registered nurse based out of Texas was found to have utilized two separate home healthcare clinics to swindle the federal Medicare program for $17 million over the course of the seven-year scheme. The nurse, a resident of Fort Bend, Texas, owned and operated Preferred Health Services Inc. and Deligent Health Services Inc., both based […]

  • Massachusetts Home Health Facilities Pay Out $14M for False Claims

     A multi-facility home healthcare chain has reached a $14 million settlement to resolve claims which assert their role in a large-scale scheme to defraud MassHealth, Massachusetts’s Medicaid program. From 2010 to 2016, Centrus Premium Home Care Inc. was found to have submitted an array of improper claims regarding medically unnecessary services that are not covered […]

  • Nation’s Largest Healthcare Fraud Settlement Doesn’t Stop Medical Behemoth

    Even fifteen years after their colossal 2002 payout, which is still recognized as the largest fraud settlement in United States history, Hospital Corporation of America (HCA) remains a frequent topic of discussion at the Department of Justice. Surely, it’s not hard to see why; HCA owns and operates 162 hospitals and 113 surgery facilities, the […]

  • First Settlement of Its Kind Holds Medical Facility Accountable for AKS Violation

    The emergency transportation industry is well-known for being a hotbed of fraud, especially in cases involving shady alliances made with medical facilities; when it comes to settlements involving these schemes, allegations are generally brought against the ambulance companies themselves rather than their counterparts in the agreement – until now. In what is believed to be […]

  • Four Hospitals Pay $8.6M to Settle Allegations of Kickbacks, Ambulance Fraud

    In a case brought to light by three whistleblowers, four Texas-based hospitals were alleged to have been paid a substantial amount of kickbacks from an array of emergency transportation providers in exchange for Medicare and Medicaid referrals. This practice, a direct violation of the Anti-Kickback Statute, resulted in the four hospitals paying $8.6 million to […]

  • Texas Company’s Blatant Fraud: The $51,952 Ambulance Ride That Wasn’t

    A team of brothers based out of Houston, Texas were recently found to have committed multiple counts of fraud by using their healthcare company to submit over $6 million in false claims to Medicare, Medicaid, and TRICARE. The pair billed the three government programs for services that were not provided, utilizing fraudulent certifications from physicians […]