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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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.
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 [...]
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 [...]
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 [...]