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The current administration is working hard to combat health care fraud. Health care providers can reduce the risk of becoming the subject of an investigation into this type of crime by avoiding what are referred to as the common “badges of fraud.” A recent piece in...
Allegations of health care fraud can cause serious harm to a health care provider’s reputation. As such, it is not surprising that those who find themselves the subject of an investigation or face accusations of this form of fraud seriously consider accepting a...
SightLine Health LLC, a Texas radiotherapy center, recently took steps to end an ongoing investigation by the Department of Justice (DOJ). The DOJ was looking into allegations that the practice violated the Anti-Kickback Statute when it offered financial incentives to...
Emergency Medical Services Alliance (EMSA) recently agreed to settle a claim based on allegations of Medicare fraud. Federal officials claimed that the ambulance service provider was submitting false claims for compensation from Medicare and Medicaid. This allegedly...
A family operation faced accusations of healthcare fraud in Dallas. The operation, Anderson Optical & Hearing Aids Center, allegedly defrauded Blue Cross Blue Shield of Texas of over $16.7 million. A father and son run the facility. The father was convicted on 15...
It is understandable that health care professionals and health care providers are under constant scrutiny for the service and work they provide. Medical care is highly specialized, and any mistake or issue that may arise could lead to serious complications for...
A Brooklyn medical assistant faced accusations of providing medical services without the necessary license. The accusations also claimed the care provided was unnecessary and given to the patient solely for the purpose of filing false claims with Medicare and...
The Nursing Home Reform Law of 1987 states that a nursing home facility is not allowed to transfer or discharge a resident unless it can establish certain criteria. This law was passed as a result of complaints by residents throughout the country about evictions.These...
He played quarterback on the frozen tundra of western New York State. Shane Matthews did not have the kind of with the Buffalo Bills that he had enjoyed in college with the University of Florida Gators, however.Matthews was recently sentenced to three months in prison...
A suburban New York City surgeon has been sentenced to spend 13 years in a federal prison for submitting false claims to Medicare. The Long Island doctor was convicted of health care fraud, making false statements related to health care matters and money laundering by...