Scripps Health, a health care system based in San Diego, has agreed to settle federal False Claims Act allegations for $1.5 million. The Department of Justice accused the system of allowing unauthorized physical therapists to bill Medicare and TRICARE.As you may know,...
Health Care Investigations
Can technology end Medicare fraud?
The Office of Inspector General recently issued a report card for the Department of Health and Human Services. It said that while HHS met many of the requirements in a 2002 law to curb improper payments, it did not fully comply for fiscal 2016. The Inspector General...
Kool Smiles and management company settle False Claims case
The U.S. Department of Justice announced recently that it has achieved a settlement with Kool Smiles dental clinics and their management company, Benevis. The clinics and management company are accused of charging Medicaid programs in 17 states for unnecessary...
Court rejects Medicare fraud appeals
"Upon thorough review and with the benefit of oral argument, we affirm on all issues," the U.S. Court of Appeals for the Eleventh Circuit said as it shot down the hopes of a doctor and three therapists. The four had appealed their convictions on conspiracy to commit...
Texas podiatrist enters plea agreement on health care fraud charge
It takes about four hours to drive north from Austin to Frisco, Texas. We are not sure how long it would take to walk those 220 miles, but we're pretty certain that you might need to visit a podiatrist after you arrive.With the help of an effective attorney, a Frisco...
Physicians can pay a heavy price for billing errors
People who have received a medical bill and people who have sent out medical bills can both testify to the truth of a recent report that says most medical bills contain errors. In fact, the error rate might be as high as 80 percent, says a health care advocacy group....
Fraudulent Medicare billing charges filed against cancer centers
21st Century Oncology has three locations in the state of New York: Utica, Mt. Kisco, and closest to New York City, a location in Yonkers. Florida Cancer Specialists & Research Institute says it has nearly 100 treatment locations in the Sunshine State. Together,...
The hammer falls on Texas doctor convicted of health care fraud
As our regular Austin legal blog readers know, we have more than once written about the ongoing case of a 60-year-old Dallas-area doctor. People across Texas have been wondering when the hammer would fall on Jacques Roy and how hard it would hit.Those questions have...
National Report Health Care Fraud Week is underway
If you are like most New York City residents, your 2017 calendar includes mentions of the Fourth Of July, Labor Day, Memorial Day, Thanksgiving, Christmas and maybe even Groundhog Day. It probably does not include notes marking National Report Health Care Fraud Week,...
Home health care fraud sentence announced
Regular readers of our New York health care blog know that we share news of health care investigations that sometimes include allegations that can threaten professional licensing and even to the freedom of the accused.We read recently of a case far from us that...

