Author: ivan
DME Suppliers Cheat Medicare When They Bill for Skilled Nursing Facility Patients
Medicare pays a bundled payment to skilled nursing facilities that cover all of a patient’s needs, including the provision of durable medical equipment (DME). In...
Substantial Whistleblower Rewards are Available for Exposing Hospitals that Ignore National Coverage Determinations
False Claims Act (FCA) liability arise when a hospital bills Medicare for items or services that violate CMS’ National Coverage Determinations’ coverage requirements. This was...
Start-Up Medical Device Fraud is Rampant in Silicon Valley
Silicon Valley has become a hotbed for start-up medical device companies…and also some medical device fraud. In particular, several medical device companies are marketing their...
Hospital Fraud: It’s Not Just the Money
Hospitals that engage in fraud by encouraging and/or allowing unnecessary procedures, without adequate utilization review; and/or allowing patients to be admitted unnecessarily, are subjecting those...
Nurse Pleads Guilty to Taking Kickbacks from Drug Maker
Nurse Pleads Guilty to Taking Kickbacks From Drug MakerThe New York TimesJune 25, 2015 A Connecticut nurse has pleaded guilty to federal charges of accepting...
Medtronic Companies Pay Millions as Devices were Manufactured Outside of the United States
Recently, the United States alleged medical device fraud when Medtronic companies (Medtronic plc, Medtronic Inc., Medtronic USA Inc., and Medtronic sofamor Danek USA Inc.) were caught...
High Court Ruling on FCA Limitations Period, Bar on Filings Gives Providers Mixed Result
High Court Ruling on FCA Limitations Period, Bar on Filings Gives Providers Mixed ResultBloomberg BNAJune 3, 2015 On May 26, 2015 a unanimous decision was...
DOJ Recovers Funds from Physician Who Allegedly Received Kickbacks
Last year, medical device maker CareFusion agreed to pay the government $40.1 million to settle False Claims Act (FCA) allegations that it paid kickbacks to...
Are Some Medical Device Companies Trying to Induce Hospitals to Perform Unnecessary Inpatient Procedures?
As medical technology has advanced, more and more surgical procedures have become outpatient procedures. Medicare has encouraged this migration out of the hospital by only...