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CMS Issues Final Regulations Regarding Medicare 60-Day Rule

Nov 11, 2024 | Health Care, Medicare and Medicaid

When the Affordable Care Act was passed and signed into law by President Obama in 2010, one of its provisions required Medicare providers and suppliers to report and refund Medicare overpayments within 60 days of “identifying” such an overpayment.  Violating this...

New England Doctor Faces up to 10 Years in Prison for Drug Distribution Conspiracy

Nov 8, 2024 | Health Care, Health Care Fraud

The DOJ announced that Adnan S. Khan, M.D., a New England doctor, has pleaded guilty to one count of conspiring to illegally distribute controlled substances. Khan now faces up to 10 years in prison after admitting to illegal distributing controlled substances through...

Wisconsin Woman Faces More Than 35 Years in Prison for Health Care Fraud Scheme Related to Prenatal Care Coordination

Oct 22, 2024 | Health Care

The DOJ announced that a Wisconsin federal jury has indicted Lakia Jackson, former owner of We Care Services, for her role in an alleged health care fraud and kickback scheme related to prenatal and childcare services provided to low-income women. According to DOJ,...

Pharmaceutical Giant Teva Agrees to Pay $450 Million to Resolve False Claims Act and Antitrust Matters

Oct 14, 2024 | False Claims Act, Health Care, Health Care Fraud, White Collar Crime

On October 10, 2024, the DOJ announced that Teva Pharmaceuticals had agreed to pay $450 million to resolve two matters, one of which was the result of an investigation conducted pursuant to the False Claims Act (FCA). According to the DOJ, the settlement encompasses...

New Orleans Jury Awards $421 Million to Doctors in Case against Blue Cross

Sep 25, 2024 | Health Care

Doctors at the Center for Restorative Breast Surgery (“Breast Center”) and St. Charles Surgical Hospital (“Hospital”) in New Orleans, sued Blue Cross Blue Sheild, claiming the insurer tried to coerce the doctors into their network.  The Breast Center and the Hospital...

Walgreens Pays Over $106 Million to Resolve False Claims Act Case

Sep 15, 2024 | DOJ, False Claims Act, Fraud Investigations, Health Care, Medicare and Medicaid

Late last week, the Department of Justice announced that Walgreen had agreed to pay over $106 million to resolve allegations that it violated the False Claims Act by billing government health care programs for prescriptions that were never dispensed. According to the...
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