Aug 18, 2024 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
On August 16, 2024, the plaintiff’s law firm Phillips & Cohen announced that health insurance giant Humana agreed to pay $90 Million to settle a qui tam whistleblower lawsuit filed under the federal False Claims Act (FCA). According to the law firm’s...
Aug 13, 2024 | Health Care
On August 7, the Department of Justice (DOJ) announced the conviction of Eric Moesle, in Pataskala, Ohio. Mosele, an office manager for Elemental Dental, pleaded guilty to charges related to failing to pay over $750,000 in employment taxes and not filing the necessary...
Aug 7, 2024 | Health Care, White Collar Crime
The DOJ announced that Dr. Gregory J. Gerber has agreed to the entry of a consent judgment and permanent injunction to resolve allegations of violating the False Claims Act (FCA) and the Controlled Substance Act (CSA). According to the 2018 Complaint, between 2013 and...
Jul 3, 2024 | Health Care
The Justice Department has continued to intensify its investigative efforts to combat fraud draining billions of dollars from the United States health care system annually. On Thursday, Attorney General Merrick Garland announced charges against 193 people for their...
Jun 27, 2024 | Health Care
Earlier this month, we represented a podiatry practice in a Medicare Part B overpayment appeal before an Administrative Law Judge. The appeal involved the use of amniotic fluid injections used on patients in 2021. Medicare demanded an overpayment over $95K plus...
Jun 25, 2024 | False Claims Act, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
The False Claims Act, with its threat of treble damages and astronomical per-claim penalties, may not have been designed to punish substandard medical care, but as a recent $15 million FCA settlement demonstrates, the line between substandard medical care and...
