SC Woman Charged with Healthcare Fraud and Identity Theft

Woman Indicted on Charges of Identity Theft, Medicare Fraud, and Healthcare Fraud On Friday, July 5th, a woman from Andrews, SC was indicted on charges of healthcare fraud, Medicare fraud, and identity theft, according to United States Attorney General Bill Nettles. Queen Edwards Nesmith, 53 years old, was indicted by a federal grand jury on two … [Read more...]

Emory University to Pay $1.5 Million to Settle Whistleblower Lawsuit

Emory University Settles Whistleblower Lawsuit Over Fraudulent Medicare and Medicaid Billing Emory University in Atlanta, GA has agreed to pay $1.5 million to settle claims in a whistleblower lawsuit that claim the school falsely billed Medicare and Medicaid for clinical trials that the government agencies do not cover. Reportedly, about $70,000 … [Read more...]

Tuomey Hospital Execs Resign, Possibly Due to False Claims Charges

Possible Settlement of False Claims Charges for Tuomey Hospital as Two Execs Resign On September 26th, Tuomey Healthcare System’s CEO Jay Cox, and Vice President/COO Gregg Martin, resigned. The move is seen as possibly part of a deal to settle the False Claims and Stark Law charges against the health care organization. The two executives … [Read more...]

Lance Armstrong Asks for Dismissal of Federal Whistleblower Lawsuit

Former Racing Cyclist Asks Federal Judge for Dismissal of Whistleblower Lawsuit Lance Armstrong and his attorneys on Tuesday, July 23rd, asked a federal judge to dismiss the $120 million whistleblower lawsuit against Armstrong and his former racing team. The whistleblower lawsuit accuses the 7-time Tour de France champion of defrauding the team’s … [Read more...]

Whistleblower Lawsuit Against Home Health Company Goes to Federal Court

US Attorney’s Office Joins Whistleblower Lawsuit Against Home Health Company The United States Attorney’s Office has intervened in a whistleblower lawsuit against a health care company that is accused of Medicare fraud. A Plus Home Health Care and the company’s owner Tracy Nemerofsky are accused of running a fraudulent kickback scheme that used … [Read more...]

Hilton Head Hospital Faces Medicaid Fraud Charges

Hilton Head Hospital Accused of Medicaid Fraud and Kickbacks The parent company of the Hilton Head Hospital allegedly committed Medicaid fraud by giving kickbacks to an island clinic for directing expectant mothers who were illegal immigrants living the US to the hospital for care, in order to increase Medicaid revenue. The company is denying … [Read more...]

Miami Psychiatrist and Six Therapists Charged in Massive Health Care Fraud Scheme

$63 Million Medicare Fraud Scheme Lands Seven People with Health Care Fraud Charges A psychiatrist, who has been practicing in Miami since the 1970’s, along with six psychologists, have been indicted on health care fraud charges for planning to defraud the Medicare program of $63 million. Roger Rousseau, 71 years old, is the former director of … [Read more...]

Whistleblower Declares “War” Against Lance Armstrong

Whistleblower Anti-Doping Lawsuit Against Lance Armstrong Takes Aggressive Turn The anti-doping whistleblower lawsuit against Lance Armstrong, filed by former Armstrong teammate Floyd Landis, has gone from battle to all-out war. Landis’s attorneys have invoked the Wartime Suspension of Limitations Act in order for the whistleblower lawsuit to … [Read more...]

Louisiana Recovers $124 Million in Medicaid Fraud Money

Louisiana Leads National Effort to Recover Money from Medicaid Fraud The state of Louisiana recovered more than $124 million from Medicaid fraud payments during the last fiscal year, according to federal health officials. The state leads national efforts to recover money from Medicaid fraud. The Federal Centers for Medicare and Medicaid Services … [Read more...]

Whistleblower Lawsuit Accuses Vanderbilt Medical Center of Medicare Fraud

Vanderbilt Medical Center Faces Whistleblower Lawsuit, Accused of Over a Decade of Medicare Fraud A federal court unsealed a whistleblower lawsuit against Vanderbilt University Medical Center this week, claiming that the university perpetrated Medicare fraud for more than a decade. The whistleblower lawsuit was filed in 2011 by three doctors … [Read more...]

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