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DOJ Brings False Claims Act Suit Against Outside Billing Company

Jun 7, 2025 | False Claims Act, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

On June 3, the United States Attorney’s Office for the Southern District of Florida in Miami announced that it had filed a complaint under the False Claims Act (FCA) against Florida-based medical billing company AIMA.  According to the DOJ’s complaint,...

DOJ Inks $202 Million False Claims Act Settlement Involving Gilead’s Physician Speaker Program

Apr 30, 2025 | False Claims Act, Health Care, Health Care Fraud

On April 29, 2025, the U.S. Department of Justice (United States Attorney’s Office, Southern District of New York) announced that pharmaceutical giant Gilead Sciences agreed to pay a whopping $202 Million to resolve a False Claims Act investigation.  At issue...

Department of Justice Files False Claims Act Lawsuit Against Wound Care Provider

Apr 14, 2025 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

On April 4, 2025, the Department of Justice announced that it had filed a lawsuit under the federal False Claims Act against Vohra Wound Physicians Management and its founder, Dr. Ameet Vohra.  According to the DOJ, Dr. Vohra and his company allegedly submitted false...

MEDICARE’S “WITHOUT FAULT” PROVISION: A PROVIDER’S SECRET WEAPON?

Mar 24, 2025 | Administrative Law, Health Care, Medicare and Medicaid, Overpayment Appeals

Because Medicare processes over one billion fee-for-service claims annually, it is impossible for CMS and its contractors to review every claim – or even a substantial percentage of claims – on a pre-payment basis.  Accordingly, Medicare has set up various...

Opt-in DME Leads and Medicare’s Anti-Solicitation Rule

Feb 20, 2025 | DMEPOS, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

If you are a DMEPOS supplier and are purchasing opt-in Medicare leads, you should be aware of Medicare’s prohibition against telephone solicitation of beneficiaries. In order to enroll as a Medicare DMEPOS supplier, and as a condition of payment, DMEPOS providers must...
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Recent Posts

  • Scam Likely: 5 Men Pleaded Guilty to $36.9 million Investment Scam
  • DOJ Brings False Claims Act Suit Against Outside Billing Company
  • Georgia Tech’s “Creative Quarter” Could Transform Westside Atlanta’s Urban Fabric
  • Medicare Overpayment Appeals: Successful Strategies – Presented by Scott Grubman
  • Justice Department Seizes Domains Tied to International Malware Operation Targeting Millions

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