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Health Care Investigations Archives

Two Texas women accused of over $30 million in healthcare fraud

A sheriff’s department in Texas has charged two office administrators at medical clinics with healthcare fraud. The state has accused the women of conspiring with a doctor at the clinic to file fraudulent claims with the Office of Worker’s Compensation.

Is it possible to overcome allegations of Medicare fraud?

Allegations of wrongdoing can haunt the accused for the rest of his or her life. This is particularly true when the allegations involve government allegations of breaking the law. Is it possible to overcome these allegations and move on to live a successful and fulfilling life? In short, the answer is yes, but the road to success is a difficult one. A recent political battle provides an example.

Husband and wife accused of healthcare fraud

The Department of Justice (DOJ) continues to crackdown on allegations of healthcare fraud. The agency’s most recent examples a psychologist and his wife who ran a psychological practice. The government has accused the couple of partaking in an elaborate billing scheme to defraud Medicaid.

Two cases that could change healthcare at a national level

Lawsuits can have a national impact. These two cases provide examples of lawsuits that could work their way up the system to the Supreme Court of the United States (SCOTUS) and change the application of health care law throughout the country.

Prep for Hurricane Florence pays off: 2 lessons for TX hospitals

Hurricane Florence struck the Southeast coast just days ago. Local hospitals took proactive steps to prepare for the storm, and the efforts paid off. Just days after the storm hit hospitals were able to resume normal operations.

Study questions physicians' ability to report conflict of interest

It is not uncommon for physicians to receive compensation from pharmaceutical and medical device manufacturers. In many cases such compensation is legal. However, a misstep can lead to allegations of wrongdoing potentially including the illegal use of kickbacks to support the use of a medical device.

FBI ramps up investigations of physician kickbacks in Dallas

The United States Federal Bureau of Investigation (FBI) has ramped up investigations of allegations of illegal medical kickbacks to physicians and health care businesses in the Dallas area. Since May, the agency has raided at least four separate, local health care businesses.

Hospice group agrees to pay $2.5 million in False Claims Act case

The government has increased its pursuit of hospice fraud cases throughout the country. Recent examples include a group that agreed to pay $2.5 million to settle a case involving allegation of False Claims Act (FCA) violations, another $1.2 million and still a third agreed to pay over $75 million to resolve similar claims.

Accused of healthcare fraud? Three tips to defend your practice

Estimates of losses due to healthcare fraud crimes range from $20 to $105 billion. As noted in a publication by the National Association of Criminal Defense Lawyers, these high financial stakes have translated to federal and state prosecutors giving priority to healthcare fraud investigations.

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