Health Care Whistleblower Claims

Listing Websites about Health Care Whistleblower Claims

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Health care employers face rise in whistleblower claims - Reuters

(1 days ago) WebThe COVID-19 pandemic prompted a substantial increase in the number of whistleblower complaints and referrals to OSHA concerning alleged pandemic-safety related violations. Prior to 2020, the

https://www.reuters.com/legal/litigation/health-care-employers-face-rise-whistleblower-claims-during-pandemic-2022-02-24/

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Understanding Medicare Fraud Reporting for Whistleblowers

(Just Now) WebBecause Medicare is a federal program, most claims of Medicare fraud advance under the False Claims Act (31 U.S.C. §§ 3729 et seq.). This federal law …

https://www.natlawreview.com/article/guide-all-medicare-whistleblowers

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Federal Agencies Launch Portal for Public Reporting of …

(2 days ago) Web“Americans depend on competitive health care markets to provide quality choices and lower costs for coverage. That’s why we are working to tackle …

https://www.ftc.gov/news-events/news/press-releases/2024/04/federal-agencies-launch-portal-public-reporting-anticompetitive-practices-health-care-sector

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Whistleblower Protection Coordinator Office of Inspector General

(Just Now) WebPursuant to the Whistleblower Protection Enhancement Act of 2012, the Department of Health and Human Services, Office of Inspector General, established a Whistleblower …

https://oig.hhs.gov/fraud/whistleblower/

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Update on Department of Justice Healthcare Fraud Investigations

(9 days ago) WebPer the indictment, from November 2019 through June 2023, they conspired to submit false claims for medically unnecessary and non-reimbursable COVID-19 tests to …

https://www.natlawreview.com/article/doj-secures-plea-50-million-medicare-fraud-and-kickback-scheme

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Elara Caring Agrees to Pay $4.2 Million to Settle False Claims Act

(Just Now) WebElara Caring, and its wholly owned subsidiaries JHH/CIMA Holdings Inc., CIMA Healthcare Management Inc., CIMA Hospice of Texarkana L.L.C., CIMA Hospice of …

https://www.justice.gov/opa/pr/elara-caring-agrees-pay-42-million-settle-false-claims-act-allegations-it-billed-medicare

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Medicare Whistleblower Insight: Reporting Healthcare …

(Just Now) WebWhistleblowers play a critical role in stopping healthcare fraud. Experts estimate that up to 10% of all healthcare spending results from false claims. That amounts to tens of billions of dollars a year in fraudulent …

https://constantinecannon.com/practice/whistleblower/whistleblower-types/healthcare-fraud/

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DOJ Releases FY 2022 False Claims Act Enforcement Data

(Just Now) WebSimilarly, whistleblowers continue to enter the False Claims Act ring at a rapid pace, filing 652 qui tams in FY 2022 (up from 598 in FY 2021), with 371 of those …

https://www.natlawreview.com/article/2022-false-claims-act-enforcement-data-shows-doj-s-continued-focus-healthcare-fraud

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Top Ten Healthcare Fraud Recoveries of 2021 - Constantine Cannon

(2 days ago) WebHere are the top ten healthcare recoveries of 2021 by the numbers: Generic Drug Price-Fixing – in October, three generic pharmaceutical manufacturers, Taro …

https://constantinecannon.com/whistleblower/whistleblower-insider-blog/top-ten-healthcare-fraud-recoveries-2021/

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Report Healthcare Fraud - Office of Inspector General

(Just Now) WebFalse or fraudulent claims submitted to Medicare or Medicaid, Kickbacks or inducements for referrals by Medicare or Medicaid providers, Medical identity theft involving Medicare …

https://oig.hhs.gov/FRAUD/REPORT-FRAUD/before-you-submit.asp

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Hospital to Pay More Than $3 Million to Settle Whistleblower Suit

(Just Now) WebThe settlement resolves a whistleblower suit filed in 2018 by JPS’s former Director of Compliance Erma Lee, whose complaint asserted that the hospital improperly …

https://www.justice.gov/usao-ndtx/pr/hospital-pay-more-3-million-settle-whistleblower-suit

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Whistleblowers Key in Rooting Out Healthcare Fraud, Recent FCA …

(Just Now) WebIn Fiscal Year 2021, whistleblowers helped the U.S. Department of Justice (DOJ) recover $1.6 billion in settlements, and the press release highlighted health care …

https://whistleblowersblog.org/false-claims-qui-tam-news/whistleblowers-key-in-rooting-out-healthcare-fraud-recent-fca-cases-show/

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Federal & State False Claims Act/Whistleblower Protections Policy

(1 days ago) WebFederal & State False Claims Act/Whistleblower Protections Policy. It is the policy of Johns Hopkins Health Plans to actively engage in efforts to prevent, detect, and mitigate …

https://www.hopkinsmedicine.org/johns-hopkins-health-plans/providers-physicians/health-care-fraud-and-abuse/federal-state-false-claims-act-whistleblower-protections-policy

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Healthcare Fraud & Whistleblower Protection Phillips & Cohen

(1 days ago) WebFor more than 30 years, Phillips & Cohen attorneys have had unmatched success in Medicare and Medicaid whistleblower cases, both in the number of successful qui tam …

https://www.phillipsandcohen.com/health-care-fraud/

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“Courageous” Whistleblowers Receive $5 Million in Record Health …

(Just Now) WebThe False Claims Act’s qui tam provisions enable private citizens to file lawsuits on behalf of the government if they know of an individual or company defrauding …

https://whistleblowersblog.org/false-claims-qui-tam-news/courageous-whistleblowers-receive-5-million-in-record-health-care-fraud-settlement/

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Whistleblower accuses Aledade, largest US independent primary …

(4 days ago) WebCredit: Pixabay/CC0 Public Domain. A Maryland firm that oversees the nation's largest independent network of primary care medical practices is facing a …

https://phys.org/news/2024-03-whistleblower-accuses-aledade-largest-independent.html

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Two Recent Healthcare FCA Settlements, Whistleblowers Awarded …

(2 days ago) WebAccording to the settlement agreement, a whistleblower filed a qui tam lawsuit in January of 2019 and alleged that Inform “violated the federal False Claims Act …

https://whistleblowersblog.org/false-claims-qui-tam-news/two-recent-healthcare-fca-settlements-whistleblowers-awarded-in-both-cases/

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WebThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Vendor that mishandled Pennsylvania virus data to pay $2.7 - MSN

(3 days ago) WebA large staffing firm that performed COVID-19 contact tracing for Pennsylvania and exposed the private medical information of about 72,000 residents will pay $2.7 million in a …

https://www.msn.com/en-us/money/news/vendor-that-mishandled-pennsylvania-virus-data-to-pay-27-million-in-federal-whistleblower-case/ar-AA1nZOhY

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Health Care Whistleblowers Hoyer Law Group, PLLC

(6 days ago) WebOur experienced whistleblower attorneys can help you determine if there is a violation, guide you through blowing the whistle in a manner calculated to protect your career, and …

https://www.hoyerlawgroup.com/whistleblower-law/whistleblower-rewards/healthcare-whistleblowers/

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The IRS Whistleblower Office Internal Revenue Service

(8 days ago) WebThe IRS Whistleblower Office was established by the Tax Relief and Health Care Act of 2006. Each year, the IRS receives thousands of award claims from …

https://www.irs.gov/about-irs/the-irs-whistleblower-office

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ReNew Health To Pay $7M To Settle COVID-19 FCA Claims

(2 days ago) WebBy Henrik Nilsson. Law360 (April 29, 2024, 11:46 PM EDT) -- ReNew Health Group LLC has agreed to pay the federal government and California $7 million to settle …

https://www.law360.com/articles/1830290/renew-health-to-pay-7m-to-settle-covid-19-fca-claims

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Change Healthcare cyberattack was due to a lack of multifactor

(9 days ago) Web3 of 5 . Protesters hold up signs saying “Stop Denying Us Care” as Andrew Witty, Chief Executive Officer of UnitedHealth Group, front, gathers his papers after …

https://apnews.com/article/change-healthcare-cyberattack-unitedhealth-senate-9e2fff70ce4f93566043210bdd347a1f

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Dallas Home Health Company to Pay $4.7 Million to Settle False …

(5 days ago) WebA whistleblower complaint resulted in Dallas-based Elara Caring paying $4.2 million to settle a False Claims Act allegation that the company submitted fraudulent …

https://www.dmagazine.com/healthcare-business/2024/05/dallas-home-health-company-to-pay-4-7-million-to-settle-false-claims-allegations/

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Health Care Fraud Whistleblower Law Collaborative

(1 days ago) WebManaged Care Fraud. More and more patients are enrolled in Medicare and Medicaid managed care plans offered by private insurers and paid for with government funds. …

https://www.whistleblowerllc.com/what-we-do/healthcare-fraud/

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Klobuchar Asks Regulators to Investigate MultiPlan Over Health …

(2 days ago) WebUnitedHealthcare, Cigna, Aetna and other major insurers use MultiPlan’s pricing recommendations, and the firm has boasted to investors that it is “deeply …

https://www.nytimes.com/2024/05/01/us/multiplan-health-insurance-price-fixing.html

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Chicago company to pay $1M for submitting false claims to …

(9 days ago) WebA Chicago healthcare company and its proprietor have agreed to pay $1 million to settle a civil lawsuit with the United States stemming from allegations of submitting false claims …

https://www.msn.com/en-us/money/companies/chicago-company-to-pay-1m-for-submitting-false-claims-to-medicare/ar-AA1o6DQB

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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) Web0:26. An Oradell-based hospice company allegedly defrauded the federal and state governments by putting nursing home residents who weren’t dying into hospice …

https://www.northjersey.com/story/news/health/2023/01/03/nurse-alleges-life-source-services-oradell-sent-patients-to-hospice-for-profit/69767967007/

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Federal & New York Statues Relating To Filing False Claims

(9 days ago) Webd. Health care fraud in the 2nd degree is filing false claims and annually receiving over $50,000 in the aggregate. It is a Class C felony. e. Health care fraud in the 1st degree is …

https://www.cdphp.com/-/media/files/home/false_claims_act_relevant_statutes.pdf

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Elara Caring Settles $4.2 Million Case over False Claims Act Violations

(3 days ago) WebI n a significant development in the realm of healthcare fraud, Elara Caring, along with its subsidiaries, has reached a settlement totaling $4.2 million to resolve allegations of False …

https://www.msn.com/en-us/money/companies/elara-caring-settles-42-million-case-over-false-claims-act-violations/ar-AA1o1SPQ

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Home Healthcare Kickback Liability Upheld, But Damages Need …

(6 days ago) WebIllinois home health-care companies violated the False Claims Act by engaging in a kickback scheme, but the $5.9 million damages award from a district court …

https://news.bloomberglaw.com/environment-and-energy/home-healthcare-kickback-liability-upheld-but-damages-need-redo

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Northern District of Illinois Chicago Health Care Company and Its

(6 days ago) WebCHICAGO — A Chicago health care company and its owner will pay $1 million to the United States to resolve a civil lawsuit arising from the submission of false claims …

https://www.justice.gov/usao-ndil/pr/chicago-health-care-company-and-its-owner-pay-1-million-settle-false-claims-act

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The hazards of excessive insurance claim denials - STAT

(6 days ago) WebMore than half of denied claims (51.7%) were eventually overturned and paid. Private payers overturned denials at a higher rate (54.3%) than Medicare and Medicaid …

https://www.statnews.com/2024/05/01/insurance-claim-denials-compromise-patient-care-provider-bottom-lines/

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Change Healthcare hackers broke in using stolen credentials — …

(5 days ago) WebChange Healthcare processes health insurance and billing claims for around half of all U.S. residents. According to Witty’s testimony, the criminal hackers “used …

https://techcrunch.com/2024/04/30/uhg-change-healthcare-ransomware-compromised-credentials-mfa/

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NJ Whistleblower Lawyer Skilled Cherry Hill, NJ Qui Tam Attorney

(8 days ago) WebNow, under the False Claims Act (31 U.S.C. §§ 3729–3733) the informant must not be affiliated with the government if they are planning to “blow the whistle” on …

https://www.begelmanorlow.com/blog/qui-tam-care/

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