Healthicity Blog

1. Mental Health Center to Pay $4 Million under AG Settlement for Illegally Billing MassHealth for Unlicensed Patient Care –

1. Roseville Dermatologist Accused Of Billing Patients For Procedures Never Performed –

1. Medicare Fails To Recover Hundreds Of Millions Of Dollars In Lab Overcharges - “Five years ago, Companion DX Reference Lab hoped to cash in on cutting-edge genetic tests paid for by Medicare.

1. Houston doctor is eighth person convicted in $13 million healthcare fraud case: A Houston physician was convicted in federal court Wednesday for his role in a $13 million fraudulent Medicare billing scheme involving hundreds of patients-for-hire.

A couple weeks ago, Medstar Ambulance Inc. settled False Claims Act allegations with the government for $12.7 million. The allegations were first brought to the attention of the government through a former billing office employee who filed a qui tam (i.e., whistleblower) lawsuit under the False...

Most of the time, whistleblowers are employees or someone internal to an organization. In the recent guilty verdict of Dr. Syed Ahmed, a surgeon in New York, it appears from court documents that patient complaints triggered the HHS-OIG and FBI investigations which led to the doctor’s trial.

In January of 2012, Collen Herren, former clinical nursing director for specialty clinics at Marshall Medical Center (Placerville, CA), filed a lawsuit (Case 2:12 -cv-00098-JAM-KJN) under the False Claims Act