Phillipsandcohen.com

Prime, doctors pay $37.5M to settle whistleblower kickbacks case

WebLOS ANGELES, JULY 19, 2021 — Prime Healthcare, its founder and CEO, Dr. Prem Reddy, and a California cardiologist have agreed to pay a total of $37.5 million to the …

Actived: 1 days ago

URL: https://www.phillipsandcohen.com/prime-healthcare-its-founder-and-doctor-pay-37-5m-in-whistleblower-kickbacks-stark-case/

Lack of Medical Necessity and the False Claims Act

WebWhistleblowers have been responsible for stopping many instances of unnecessary medical care. Whistleblower cases have alleged a lack of medical necessity in the treatment of …

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Upcoding & Unbundling Fraud Explained: Healthcare …

WebUpcoding, unbundling, and fragmentation represent common types of healthcare fraud, involving the manipulation of billing practices to illicitly increase reimbursement from …

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CenCal & Other Healthcare Providers Settle 95.5M Case Phillips …

WebSan Francisco, August 30, 2023—Under seven separate settlement agreements, CenCal Health, a California county organized health system (COHS), along with seven hospitals …

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Eisenhower Med. Center pays $8 million to settle whistleblower …

WebEisenhower Medical Center has paid the federal government $8 million in settlement of a whistleblower lawsuit, which alleged the southern California hospital …

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Houston hospital to pay $15.5 million to settle qui tam case …

WebHOUSTON, TX – A Houston-area hospital system will pay more than $15.5 million to the federal government to settle a whistleblower lawsuit, brought by Phillips & …

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Health care providers must report and return overpayments, NY …

WebReporting and returning overpayments from government health care programs will be the most important Medicaid program integrity issue in 2011, according …

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Medical lab kickbacks cost ex-CEO, others $114M in whistleblower …

WebMay 23, 2018. May 24, 2018, CHARLESTON, SC – A federal judge in South Carolina issued an order of judgment Wednesday that imposes civil damages and penalties totaling more …

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Nursing home whistleblower case settles for $14 million

WebUnder the terms of the settlement agreement, Schron, Grunstein, Forman and the nursing home chains have paid $7.8 million to the federal government and $6.1 …

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Utah doctors will share in $745 million settlement of Columbia qui …

WebOlsten Corp. paid the federal government nearly $41 million last year to settle allegations that it had acted with Columbia to defraud Medicare. Phillips & Cohen …

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WV hospital pays $50M to settle whistleblower case alleging Stark

WebWHEELING, WV, Sept. 9, 2020 – Wheeling Hospital has agreed to pay $50 million to the government to settle a whistleblower lawsuit filed by Phillips & Cohen LLP.. The “qui …

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Home Health Care Settles Telehealth Fraud Allegations for $9.9M

WebWashington, DC— January 5, 2024— Atlantic Home Health Care, LLC agreed to pay $9.9 million – on an ability to pay basis – to settle allegations the company treated …

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Whistleblower Cases

WebThe biggest whistleblower case settlements ever – GlaxoSmithKline ($3 billion) and Pfizer ($2.3 billion) – were largely a result of qui tam cases brought by Phillips & Cohen. …

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Maine Healthcare Provider Settles $22.5M False Claims Case

WebWashington, DC, July 31, 2023—Martin’s Point Health Care Inc., a provider of healthcare in Maine and New Hampshire, agreed to pay $22.48 million to resolve allegations that it …

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KPMG Settles Medicare Fraud Lawsuit For $9 Million

WebQuorum Health Group earlier this year paid $85.7 million to settle cost report fraud charges made in a separate whistleblower lawsuit that the government joined. The …

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Medicare Advantage Risk Adjustment: Does your plan's strategy …

WebAny person who violates the FCA is liable for a civil penalty of up to $11,000 for each violation, plus three times the amount of the damages sustained by the United States. 31 …

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Medicare Advantage whistleblower lawsuit settles for $32.5M

WebMay 30, 2017. TAMPA, Florida, May 30, 2017 – A whistleblower lawsuit filed by Phillips & Cohen LLP on behalf of Darren Sewell, a Florida doctor, against Freedom Health, …

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Whistleblower lawyer

WebThe government joined Phillips & Cohen’s whistleblower lawsuit – which was not publicly known until today because it was under seal – after investigating the …

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TAP Pharmaceuticals whistleblower case settles for $875 million

WebTAP Pharmaceuticals Inc. (TAP) agreed today in Boston to pay the United States government $559.5 million and state governments $25.5 million to settle one of …

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NY attorney general says state needs a false claims act

WebNew York State Attorney General Eliot Spitzer has asked state lawmakers to pass two bills he says are needed to rein in Mediacid fraud. One is a state version of the …

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