Case Results

24 02, 2021

Lake Country Pharmacy (M.D. Ga.)

By |2021-02-24T17:55:10+00:00February 24, 2021|

The Athens-area compound pharmacy and its owners settled claims brought by a former pharmacist that it was alleged to have submitted false claims to Medicare, Medicaid, and TRICARE by using [...]

24 02, 2021

William Beaumont Hospitals (E.D. Mich.)

By |2021-02-24T17:54:57+00:00February 24, 2021|

This $84.5 million settlement resulted from allegations that a hospital chain engaged in unlawful agreements with its providers in order to ensure that it received their patient referrals, in violation [...]

24 02, 2021

Georgia Pediatric Cardiology (N.D. Ga.)

By |2021-02-24T17:54:22+00:00February 24, 2021|

Our relators—an office manager and a pediatric echocardiographer—alleged that this pediatric cardiologist upcoded his claims to Medicare and Medicaid by, among other allegations, billing for more expensive scans than were [...]

24 02, 2021

Nashville Pharmacy Services, LLC (M.D. Tenn.)

By |2021-02-24T17:54:07+00:00February 24, 2021|

The Nashville-based AIDS specialty pharmacy settled allegations that it defrauded Medicare and TennCare by automatically refilling medications with patient approval, waiving copayments (a violation of the Anti-Kickback Statute), billing for [...]

24 02, 2021

Toccoa Clinic Medical Associates, LLC (N.D. Ga.)

By |2021-02-24T17:53:51+00:00February 24, 2021|

The North Georgia dermatology practice settled allegations that it performed and billed for medically unnecessary procedures, billed office (E/M visits) on the same days as procedures, and upcoded certain therapies [...]

24 02, 2021

Southern Spine & Pain (N.D. Ga.)

By |2021-02-24T17:53:37+00:00February 24, 2021|

Our relators—a nurse practitioner and front office worker—alleged that the owner of this pain management practice required patients to agree to medically unnecessary and undocumented procedures in exchange for prescription [...]

24 02, 2021

Signal Mountain Pharmacy (E.D. Tenn.)

By |2021-02-24T17:53:21+00:00February 24, 2021|

The Chattanooga-based compound pharmacy was alleged to have submitted false claims to Medicare for non-covered bulk product ingredients, while billing for brand-name pills.

24 02, 2021

Air Ideal, Inc. (M.D. Fla.)

By |2021-02-24T17:52:01+00:00February 24, 2021|

Businesses in Historically Underutilized Business Zones (HUBZones) receive special certifications to be used in bidding on government contracts, and in some cases, bids are restricted to HUBZone-certified companies. This government [...]

24 02, 2021

Dennis Jaffe, D.M.D. (N.D. Ga.)

By |2021-02-24T17:52:18+00:00February 24, 2021|

Our relator alleged that her dentist employer submitted false claims to Medicaid for services not provided, such as by performing simple extractions and billing for complicated surgeries, billing for multiple [...]

24 02, 2021

Guardian Hospice (N.D. Ga.)

By |2021-02-24T17:52:35+00:00February 24, 2021|

To be covered by Medicare, hospice services require a terminal prognosis of six months or less. This Atlanta hospice care provider paid Medicare $3 million to settle allegations that it [...]