An Austin Firm Dedicated to Health Care Law

Health Care Investigations Archives

Scripps Health settles unauthorized claims case for $1.5 million

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.

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 urges HHS to renew its focus on feasible ways to drive the rate of improper payments below 10 percent.

Bounty hunters wreaking havoc

A recent article in a home health care industry publication lays out a compelling argument against a bounty system that punishes individuals and companies that have done nothing wrong. Their "crimes" are often little more than bookkeeping errors, insufficient documentation or simply being in the wrong place at the wrong time and getting pulled into one of many investigations launched in pursuit of big paydays from whistleblower lawsuits.

Feds: Medicare, Medicaid fraud risk assessment needed

In a fact sheet released last year, the Obama administration touted its efforts in "reducing fraud, waste, and abuse across the government." But many observers believe the federal government still isn't doing enough to prevent fraud in Medicare and Medicaid.

Texas judge stuns with record health care fraud sentence

A recent sentence handed out by a federal judge in the Southern District of Texas has legal experts puzzled, news outlets report. The defendant is a 53-year-old Sugar Land mother of twin 7-year-old boys who had been found guilty of Medicare fraud in what has been described as a "relatively routine case."

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.

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.

Health care fraud investigation results in two Austin arrests

Two Austin psychologists and a Houston physician are among the more 35 Texans charged in what federal prosecutors say is the largest medical fraud investigation in the Department of Justice's history. More than 400 people nationwide are accused of improperly prescribing and distributing opioids and other powerful drugs.

Privacy Policy | Business Development Solutions by FindLaw, part of Thomson Reuters.

back to top