Athena Health Insurance Fraud

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athenahealth Fined $18.25M for Illegal EHR Kickback …

(3 days ago) WebPublished: 29 Jan 2021. athenahealth will pay a $18.25 million fine after an illegal EHR kickback scheme to boost its EHR sales, according to a statement released by the Department of Justice for the District of Massachusetts. The Department of Justice alleged athenahealth violated the False Claims Act (FCA) and the Anti-Kickback Statute

https://www.techtarget.com/searchhealthit/news/366579335/athenahealth-Fined-1825M-for-Illegal-EHR-Kickback-Scheme

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Office of Public Affairs - United States Department of Justice

(Just Now) WebA national electronic health records (EHR) technology vendor based in Watertown, Massachusetts, athenahealth Inc. (Athena), has agreed to pay $18.25 million to resolve allegations that it violated the False Claims Act by paying unlawful kickbacks to generate sales of its EHR product, athenaClinicals, the Justice Department announced …

https://www.justice.gov/opa/pr/electronic-health-records-technology-vendor-pay-1825-million-resolve-kickback-allegations

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Athenahealth to pay $18.25M for alleged False Claims …

(6 days ago) WebThe U.S. Department of Justice announced this week that electronic health record vendor athenahealth had agreed to pay $18.25 million to resolve False Claims Act violation allegations. The federal …

https://www.healthcareitnews.com/news/athenahealth-pay-1825m-alleged-false-claims-act-violations

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Judge awards whistleblower $390K in athenahealth kickback case

(6 days ago) WebU.S. District Judge Nathaniel M. Gorton granted $391,125.33 to a whistleblower this past week in the wake of a settlement agreement between the government and the electronic health record vendor athenahealth. In January 2021, the U.S. Department of Justice announced that athenahealth had agreed to pay $18.25 …

https://www.healthcareitnews.com/news/judge-awards-whistleblower-390k-athenahealth-kickback-case

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Athena - $18.25 Million Whistleblower Law Collaborative

(2 days ago) WebIn January 2021, Athenahealth Inc. (Athena) settled two False Claims Act qui tam cases for $18.25 million. The settlements resolved allegations that Athena paid illegal kickbacks to generate sales of its electronic health record (EHR) product, athenaClinicals. In announcing the settlement, United States Attorney Andrew E. Lelling said:

https://www.whistleblowerllc.com/success/athena-18-25-million/

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Athenahealth to pay $18M to settle claims it provided kickbacks to

(2 days ago) WebHealth IT company Athenahealth will pay $18.25 million to settle federal False Claims Act (FCA) RELATED: DOJ recovers $1.8B in healthcare fraud settlements, judgments in 2020.

https://www.fiercehealthcare.com/tech/athenahealth-to-pay-18m-to-settle-claims-it-provided-kickbacks-to-generate-ehr-sales

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Athena to Pay $18 Million in False Claims Act Settlement (1)

(3 days ago) WebAthenahealth Inc. will pay $18.25 million to resolve allegations it violated the False Claims Act by paying unlawful kickbacks to generate sales of its electronic health records product, athenaClinicals, the Justice Department announced Thursday. Athenahealth allegedly violated the FCA and the Anti-Kickback statute through three …

https://news.bloomberglaw.com/federal-contracting/athena-to-pay-18-million-in-health-records-kickbacks-settlement

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AthenaHealth Whistleblower Adds to False Claims Fee Recovery

(Just Now) WebA False Claims Act whistleblower who helped the government secure an $18 million settlement with AthenaHealth Inc. is entitled to an increased recovery of attorneys’ fees. Geordie Sanborn, who had already been awarded $391,000 in fees, showed that he should get an additional $41,900, said Judge Nathaniel M. Gorton of the US District …

https://news.bloomberglaw.com/federal-contracting/athenahealth-whistleblower-adds-to-false-claims-fee-recovery

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Athenahealth to pay $18.25 mln to resolve kickback allegations

(6 days ago) WebElectronic health records company athenahealth Inc has agreed to pay $18.25 million to resolve federal prosecutors' allegations that it paid kickbacks to boost sales of its athenaClinicals product.

https://www.reuters.com/article/idUSL1N2K33HI/

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athenahealth Will Pay $18.25 Million To Settle Kickback Allegations

(2 days ago) WebEHR developer athenahealth has agreed to pay $18.25 million to resolve allegations that it violated the federal False Claims Act by paying kickbacks to generates sales of its athenaClinicals product. In its complaint, the US Justice Department claimed that athenahealth violated the False Claims Act and Anti-Kickback Statute by running …

https://www.healthcareittoday.com/2021/01/29/athenahealth-will-pay-18-25-million-to-settle-kickback-allegations/

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Electronic health records provider Athena to pay $18m settlement …

(5 days ago) WebElectronic health records (EHR) provider Athena has agreed to pay $18.25 million to settle claims the company was involved in an illegal kickback scheme. Athenahealth Inc., an EHR vendor based […]

https://insurancefraud.org/news_archives/electronic-health-records-provider-athena-to-pay-18m-settlement-in-kickback-lawsuit/

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Federal Action against EHR Vendors Continues - American Bar …

(7 days ago) WebAthenahealth, Inc., a privately held corporation based in Watertown, Massachusetts, agreed to pay $18.25 million to settle a complaint-in-intervention filed by the DOJ for violations of the False Claims Act and Anti-Kickback Statute by paying unlawful kickbacks to generate sales of athenaClinicals, its EHR product. 3 The complaint filed in the District of …

https://www.americanbar.org/groups/health_law/publications/health_lawyer_home/2021-april/red-act/

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Lawsuits, fines, complaints put pressure on Athena nursing homes

(4 days ago) WebAn Iowa-based insurance company has filed a federal lawsuit alleging that Athena, a self-insured company, has failed to pay more than $6 million in health insurance claims from its employees, an

https://www.courant.com/2023/01/15/lawsuits-fines-complaints-put-pressure-on-athena-nursing-homes-including-in-ct/

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Athena Healthcare Sued by Claim Auditing Service for - Law Street

(1 days ago) WebHealth Health Insurance. Athena Healthcare Sued by Claim Auditing Service for Breach of Contract. Facebook. The complaint cites breach of contract, interference with contract, fraud, unjust

https://lawstreetmedia.com/news/health/athena-healthcare-sued-by-claim-auditing-service-for-breach-of-contract/

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Ransomware attack on U.S. health care payment processor ‘most …

(9 days ago) WebBy Kevin Collier. Fallout from a ransomware attack on the country’s largest health care payment processor is “the most serious incident of its kind leveled against a U.S. health care

https://www.nbcnews.com/tech/security/ransomware-attack-us-health-care-payment-processor-serious-incident-ki-rcna141322

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Athena nursing homes behind on paying worker health claims, …

(5 days ago) WebAthena Health Care Systems, one of the largest providers of long-term care in Connecticut, is six months behind on paying health claims for workers on its health plan, President and CEO Lawrence

https://ctmirror.org/2023/12/05/athena-nursing-homes-ct-worker-health-care/

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Customer Service, Support and Contact Information athenahealth

(5 days ago) WebThe athenahealth, Inc. headquarters is located at Boston Landing, 80 Guest Street, Boston, MA 02135. Our locations. athenahealth seeks to provide holistic support services for users by creating accessible communications channels to …

https://www.athenahealth.com/about/contact-us

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ClaimDOC, LLC v. Athena Healthcare Associates, Inc. et al, 1:22-cv

(8 days ago) Web`29. Marsh McLennen Agency (“Marsh”) is an international insurance sales related ` `services company. ` `30. Marsh assisted, aided, abetted, and took part in the breach of fiduciary duty and ` `the interference with the ClaimDOC contract with Athena. ` `31. Marsh’s primary actors in this case were Lawrence Cass, Jason Daniewicz, and `

https://www.docketalarm.com/cases/Iowa_Southern_District_Court/1--22-cv-00012/ClaimDOC_LLC_v._Athena_Healthcare_Associates_Inc._et_al/1/1/

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Fraud & Abuse Aetna

(3 days ago) WebHelp us by reporting concerns of fraud, waste and abuse. If you see something suspicious on your plan statement, call us at the number on your ID card. You can also call our hotline at 1-800-338-6361 (TTY: 711) or email our Special Investigations Unit. To report your concerns anonymously contact the CVS Health EthicsLine.

https://www.aetna.com/about-us/fraud-waste-abuse.html

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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …

(5 days ago) WebIn February, Satine pleaded guilty to felony Medicaid fraud and theft by deception and was sentenced to 1½ to 5 years in state prison. He is required to pay $2.8 million dollars in restitution and previously repaid about $1.47 million to the Pennsylvania Department of Human Services in connection to this case.

https://www.attorneygeneral.gov/taking-action/four-people-plead-guilty-sentenced-for-multi-million-dollar-medicaid-fraud-scheme-that-involved-inflated-transportation-costs-other-phantom-services/

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Healthcare Fraud: A World Beyond the Anti-Kickback Statute

(8 days ago) WebTraditionally, the Anti-Kickback Statute (42 U.S.C. § 1320a-7b)—alone or in conjunction with the Federal False Claims Act (31 U.S.C. § 3729 et seq. )—has been the primary mechanism for

https://www.jdsupra.com/legalnews/healthcare-fraud-a-world-beyond-the-5156658/

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Ascension Health Data Breach Lawsuit Filed After May 2024 …

(7 days ago) WebThe 61-page Ascension Health data breach lawsuit says the Missouri-based entity’s systems, including its MyChart patient portal, were accessed via ransomware attack on or about May 9, 2024, and remained offline and inaccessible to patients in the wake of the incident. The case stresses that Ascension Health patients have been unable to

https://www.classaction.org/news/ascension-health-data-breach-lawsuit-filed-after-may-2024-cyberattack-affecting-mychart-portal

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Doctor Convicted of $6.3M Medicare Fraud Scheme

(3 days ago) WebThe jury convicted Toya of one count of health care fraud and five counts of false statements relating to health care matters. She is scheduled to be sentenced on Aug. 15 and faces a maximum penalty of 10 years in prison for health care fraud and five years in prison on each of the false statements relating to health care matters counts.

https://www.justice.gov/opa/pr/doctor-convicted-63m-medicare-fraud-scheme

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Ex-NBA Player Glen ‘Big Baby’ Davis Gets 40 Months for Fraud

(9 days ago) WebListen. 1:37. Former National Basketball Association player Glen “Big Baby” Davis was ordered to spend more than three years behind bars for participating in a scheme to defraud the league’s

https://www.bloomberg.com/news/articles/2024-05-09/ex-nba-player-glen-big-baby-davis-gets-40-months-for-fraud

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Healthcare Reimbursement athenahealth

(9 days ago) WebThe healthcare reimbursement system is an extremely complex framework of obtaining payment for services. One of the most problematic issues is that the “rules” governing healthcare reimbursement change frequently, with government payers sometimes changing on a day-to-day basis. Health insurance payers have a variety of healthcare

https://www.athenahealth.com/knowledge-hub/financial-performance/practice-management-healthcare-reimbursement

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CHP employee and 14 others charged in complex insurance fraud …

(7 days ago) WebThe San Bernardino County District Attorney's Office charged all 15 suspects with insurance fraud, grand theft by trick and false imprisonment. Law enforcement arrested 12 of the 15 suspects.

https://www.cbsnews.com/losangeles/news/chp-employee-and-14-others-charged-in-complex-insurance-fraud-ring/

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Arizona facing third wrongful death lawsuit related to Medicaid …

(1 days ago) WebThe lawsuit, filed by Russell's parents, is the third known wrongful death suit to be filed against the state this year connected with massive Medicaid fraud schemes that involved allegations of

https://www.azcentral.com/story/news/local/arizona-health/2024/05/04/arizona-facing-third-wrongful-death-lawsuit-related-to-medicaid-fraud/73548077007/

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Athena nursing homes pressured by lawsuits, fines, complaints

(7 days ago) WebAn Iowa-based insurance company has filed a federal lawsuit alleging that Athena, a self-insured company, has failed to pay more than $6 million in health insurance claims from its employees, an

https://ctmirror.org/2023/01/15/ct-athena-health-systems-nursing-home-lawsuit-massachusetts-rhode-island-connecticut/

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Ex-NBA player Glen Davis sentenced to 40 months in prison over

(9 days ago) WebMay 9, 2024. Former NBA player Glen Davis was sentenced to 40 months in prison for his role in defrauding the NBA Players’ Health and Benefit Welfare Plan, according to multiple reports Thursday

https://www.nytimes.com/athletic/5483054/2024/05/09/glen-davis-prison-sentence-fraud-nba/

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Commissioner Causey issues statement following Lindberg verdict

(6 days ago) WebNorth Carolina Commissioner of Insurance Mike Causey issued the following statement today regarding the federal jury guilty verdict against Greg Lindberg: “I wholeheartedly agree with the statement that U.S. Attorney Dena J. King made yesterday regarding the guilty verdict handed down against Greg Lindberg. "Since the day I was …

https://www.ncdoi.gov/news/press-releases/2024/05/16/commissioner-causey-issues-statement-following-lindberg-verdict

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Grandmother, 74, jailed over €28,000 insurance fraud - RTÉ

(7 days ago) WebLe Paul Reynolds. Crime Correspondent. A 74-year-old grandmother and mother of 14 has been jailed for insurance fraud after falsely claiming several times she had slipped and hurt herself on

https://www.rte.ie/news/2024/0516/1449522-grandmother-fraud-jailed/

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Lee’s Summit Man Pleads Guilty to Arson, Insurance Fraud …

(1 days ago) WebWandale J. Fulton, 40, pleaded guilty before U.S. District Judge Greg Kays on Thursday, Jan. 27, to one count of conspiracy to use fire in the commission of wire and mail fraud, one count of arson in the commission of a federal felony, and one count of conspiracy to commit bank fraud. Fulton also pleaded guilty to the charge contained in a

https://www.atf.gov/news/press-releases/lee%E2%80%99s-summit-man-pleads-guilty-arson-insurance-fraud-conspiracy

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Lawsuits, fines, complaints put pressure on Athena nursing homes

(1 days ago) WebAn Iowa-based insurance company has filed a federal lawsuit alleging that Athena, a self-insured company, has failed to pay more than $6 million in health insurance claims from its employees, an

https://www.wshu.org/connecticut-news/2023-01-16/lawsuits-fines-complaints-put-pressure-on-athena-nursing-homes

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