Tagged Articles

health care fraud 35 articles

Health Care Fraud Task Force nets medical equipment supply operators in Medicare fraud scheme

In an effort to put a stop to health care fraud, the U.S. Department of Justice (DOJ) in 2007 established the Medicare Fraud Strike Force, which works as part of the department’s larger Health Care Fraud Prevention and Enforcement Action Team (HEAT). Since its inception, the Strike Force has charged more than 2,300 defendants who have bilked Medicare out of more than $7 billion. The latest lawbreakers to be caught in the DOJ net were accused of operating a $1.5 million Medicare fraud scheme. Amalya Cherniavsky and her husband, Vladislav Tcherniavsky, of Long Beach, Calif., were convicted of defrauding Medicare ... Read More

U.S. recovers $20 for every $1 spent investigating, prosecuting whistleblower cases

For every $1 the U.S. government invests in the investigation and prosecution of False Claims Act complaints brought by whistleblowers with inside knowledge of health care fraud, it receives a $20 return to federally funded health care programs, according to a recent study funded by the Taxpayers Against Fraud (TAF) Education Fund. The U.S. government spends nearly $3 trillion on health care annually for Medicare, Medicaid, and other taxpayer-funded programs. The vast scope and complexity of federal health care expenditures make oversight extremely difficult, if not impossible, in many cases, especially with the government’s limited resources. The False Claims Act, which ... Read More

Iowa home health care company pays $5.63 million to resolve False Claims Act allegations

An Iowa home healthcare company has agreed to pay the U.S. and the state of Iowa $5.63 million to settle False Claims Act allegations that it submitted false claims for home health care to Medicare and Medicaid. The U.S. Justice Department alleged that ResCare Iowa, a subsidiary of Louisville, Ky., based ResCare Inc., violated Medicare and Medicaid rules mandating that an independent physician certify the need for a patient’s home health care services. The physician must also determine the type and amount of home health care services the patient needs. According to the complaint, ResCare billed the government from 2009 to ... Read More

FDA services scaled back, employees furloughed due to government shutdown

The government shutdown that began midnight Tuesday will result in the Food and Drug Administration (FDA) temporarily stopping routine facility and food safety inspections. However, the agency will continue to conduct activities vital to public health, including emergencies, high-risk recalls, civil and criminal investigations and import entry reviews. The FDA is a federal agency within the Department of Health and Human Services. The agency is charged with protecting the public health by assuring the safety, effectiveness, quality and security of human and veterinary drugs, vaccines and other biological products, medical devices, most of our nation’s food supply, all cosmetics, dietary ... Read More

TV’s Dr. Drew was paid by drug maker to promote antidepressant

Celebrity doctor Drew Pinsky, best known as Dr. Drew on the HLN talk show of the same name, the daytime series Lifechangers on the CW, and Celebrity Rehab on VH1, accepted large payments from GlaxoSmithKline (GSK) to tout the benefits of the antidepressant Wellbutrin (bupropion) on some of his shows, according to court documents. The documents were made public as part of the $3 billion settlement of a health care fraud case against GSK by the U.S. Department of Justice. The government alleged that Pinskey received two payments – in March and April 1999 – from GSK to talk up the ... Read More