According to aA Department of Justice announcement in December 2016, the Government has recovered over $4.7 billion from False Claims Act cases in fiscal year 2016. The total amount recovered under the False Claims Act since 1987 is exceeds a whopping $53.1 billion. According to TAF Education Fundas Patrick Burns, $53 billion is equal to a […]
The post The Success of the Rewards Program of the False Claims Act first appeared on Qui Tam 101.In her abstract dated December 4, 2016, Elissa Phillip Gentry, a lawyer-economist says, “yes.” A She claims successful False Claims Act settlements against pharmaceutical companies have helped relinquish inappropriate off-label prescriptions. She posits that it is legal initiatives likeA the False Claims Act, rather than new scientific information, that leads to increased compliance. She states: These results […]
The post Does the False Claims Act Help Fight Fraud? first appeared on Qui Tam 101.Recently, the Department of Justice announced that it was increasing the civil monetary penalties for penalties assessed after February 3, 2017 for violations occurring after November 2, 2015. Pursuant to the 2015 budget bill which requires annual re-indexing of False Claims Act penalties for inflation, the minimum per-claim penalty which rose last year from $5,500 […]
The post Department of Justice Increases Civil Penalties for False Claim Act Violations first appeared on Qui Tam 101.Comprehensive Health Services, Inc., a Florida-based company, recentlyA agreed to pay the United States nearly $4 million to settle allegations under the False Claims Act that it submitted false claims to the United States by double-billing and mischarging for medical services in connection with work performed on an IRS contract. Comprehensive Health Services, Inc. is one […]
The post Comprehensive Health Services Inc. Settles Double-Billing and Mischarging Medical Services first appeared on Qui Tam 101.The year is still new.A The decision to become a whistleblower is not easy nor do False Claims cases resolve themselves quickly. However, A a whistleblower has the power and ability to bring sizeable and specific evidence of fraud to the United States government. It is a culture of fraud and not a routine mistake or […]
The post 2017 Is the Year to Speak Up Against Healthcare Fraud first appeared on Qui Tam 101.Recently, the U.S. filed aA complaint in partial interventionA in the Eastern District of Texas against East Texas Medical Center Regional Healthcare System, Inc., (together, aETMCa), Paramedics Plus, LLC, Emergency Medical Services Authority (aEMSAa), and EMSAas President, Herbert Stephen Williamson (aWilliamsona). The Complaint alleges False Claims Act violations and violations of the Anti-Kickback Statute. The U.S. alleges […]
The post US Interveneas in Whistlebloweras Lawsuit Alleging Kickbacks for Ambulance Services first appeared on Qui Tam 101.Transcript:A Senator Chuck Grassley (R-IA): In 1986, 10 years before you came to the United States Senate I got the False Claims Act passed. It has brought 53 billion dollars back into the federal treasury since then. If youare confirmed, will you pledge to vigorously enforce the wholesome aims of the False Claims Act and […]
The post Attorney General Sessions on the Value of Whistleblowers first appeared on Qui Tam 101.On January 10, Attorney General nominee Jeff Sessions faced the Senate Judiciary Committee confirmation hearings. As expected, he supported the False Claims Act (FCA) and its qui tam provisions. Demonstrating a familiarity with the FCA, his opening statement was very positive. Senator Sessions affirmed that the government: …must improve its ability to protect the United […]
The post Pro-FCA Attorney General To Be Jeff Sessions first appeared on Qui Tam 101.Lee Bentley, III, United States Attorney in the Middle District of Florida recently announced a $350 million settlement between Shire Pharmaceuticals LLC and the Government. Central to the allegation was the contention that Shire and Advanced BioHealing (ABH) (a company Shire Plc acquired in 2011) , used kickbacks as part of its scheme to induce […]
The post U.S. Government Collects $350 Million from Shire Plc Subsidiaries in False Claims Act Kickback Settlement first appeared on Qui Tam 101.Deputy Assistant Attorney General Benjamin C. Mizer, head of the Justice Departmentas Civil Division, announced recently that the Department of Justice obtained more than $4.7 billion in settlements and judgments from civil cases involving fraudulent claims against the government in fiscal year 2016. This is the third highest annual recovery in False Claims Act history, […]
The post Help Wanted: Healthcare Whistleblowers Needed To Fight Waste, Fraud and Abuse first appeared on Qui Tam 101.The Department of Justice recently announced that Genesis Healthcare Inc. will pay $53.6 million to resolve A allegations that it and its subsidiaries submitted false claims to government healthcare programs forA medically unnecessary therapy and hospice services, and grossly substandard nursing care. The case was brought by 7 whistleblowers who brought 6 separate federal lawsuits in the […]
The post Genesis Healthcare Inc. Agrees to Resolve Whistleblower Case for $53.6 Million appeared first on Medicare Fraud 101.
Prestige Administrative Services, LLC d/b/a Prestige Healthcare (Prestige), headquartered in Louisville, Kentucky has agreed to pay the United States to resolve genetic testing fraud allegations that it violated the False Claims Act. The Medicare false billing allegations involvedA unnecessary and fraudulent genetic testing.A Prestige is an owner/operator of nursing homes in several states, including four facilities […]
The post Prestige Healthcare Pays Government for its False Billing Role in Genetic Testing Fraud appeared first on Medicare Fraud 101.
Recently, the Department of Justice announced that TeamHealth Holdings (successor in interest to IPC Healthcare Inc.) has agreed to pay $60 million to resolve upcoding allegations by billing Medicare, Medicaid, the Defense Health Agency and the Federal Employees Health Benefits Program for higher and more expensive levels of medical service than were actually performed.A The […]
The post Hospital Service Provider Pays $60 Million to Settle Healthcare Fraud Allegations appeared first on Medicare Fraud 101.
“Ambulance service companies should be focused on the needs of the patients,a said HHS OfficeA of Inspector General Special Agent in Charge Phillip Coyne. He continued: Billing Medicare for ambulance rides thatA were unnecessary or at a higher rate than could be medically justified is unacceptable. Together withA our law enforcement partners, we will seek out and stop […]
The post Medicare Dollars Are Still Siphoned Through Ambulance Fraud appeared first on Medicare Fraud 101.
Deputy Assistant Attorney General Benjamin C. Mizer, head of the Justice Departmentas Civil Division, announced recently that the Department of Justice obtained more than $4.7 billion in settlements and judgments from civil cases involving fraudulent claims against the government in fiscal year 2016. This is the third highest annual recovery in False Claims Act history, […]
The post Civil Health Care Fraud Recoveries Have Exceeded $2 billion for the Seventh Consecutive Year appeared first on Medicare Fraud 101.
The vast majority of False Claims Act settlements involving kickback allegations have been instances where healthcare providers have allegedly received kickbacks for utilizing a manufactureras product. Recently, however, there have been a few successful recoveries where the alleged kickback recipient was not the ultimate decision-maker or even healthcare provider. While this is an expansion of […]
The post Anti-Kickback Statute Reaches Consultants Who Seek to Improperly Influence Healthcare Providers appeared first on Medicare Fraud 101.
Recently, the Justice Department announced a first-of-its-kind settlement involving allegations that a health system violated the False Claims Act by retaining Medicaid overpayments for more than 60 days after identifying that overpayments were made. This $2.95 million settlement with Mount Sinai Health System was the first settlement involving the Affordable Care Act provision that created […]
The post Government Recovers Millions from Hospital System that Allegedly Wrongfully Retained Medicaid Overpayments for Over 60 Days appeared first on Medicare Fraud 101.
In a recent Wall Street Journal article titled, aIn-Office Testing by Doctors Lifts Medicare Costs,a it was revealed that a sizeable chunk of the Medicare dollars are now going to physicians who utilize newly minted in-office medical devices. In fact, the WSJas analysis of recently released Medicare billing data showed that four of the top […]
The post Are Medically Unnecessary Tests Driving Growth of In-Office Procedures? appeared first on Medicare Fraud 101.
In recent years, the federal government has reviewed the issue of copayment assistance organizations that purport to help Medicare and Medicaid beneficiaries with their pharmaceutical copayments, but has not yet taken any public enforcement action to our knowledge. Now, the media seems to be taking a closer look, as seen in a recent Bloomberg article […]
The post Are Copayment Assistance Nonprofits to Funneling Kickbacks to Patients? appeared first on Medicare Fraud 101.
Over the last few years, the government has devoted substantial resources to pursue hospitals that inappropriately admit patients to inpatient stays. This month, the government intervened after initial declaration in a qui tam case against 14-hospital health system Prime Healthcare. The lawsuit included allegations that senior management would: criticize Emergency Department doctors and demand their […]
The post Are Hospitals Pressuring ER Physicians to Inappropriately Admit Patients? appeared first on Medicare Fraud 101.
Have you ever had the experience of getting tantalisingly close to a big opportunity in your creative career a but not quite making it? Maybe it was a pitch, or a competition, a publishing opportunity, a senior role, or a funding application. Maybe you got really positive feedback. They said you were great, your work […]
The post Are You in the Ballpark? (finally, The 21st Century Creative on YouTube) appeared first on Creative Coach | Mark McGuinness | Since 1996.
When the Covid 19 pandemic struck in 2020, human life on earth was massively disrupted. Not only the human tragedy of millions of lives lost, but also the social and economic damage caused by the virus and our attempts to control it. As a writer and a coach for creatives, I have been particularly concerned […]
The post Creative Disruption: How 12 Creatives on 5 Continents Rose to the Challenge of the Pandemic appeared first on Creative Coach | Mark McGuinness | Since 1996.
Welcome to Episode 10 of the Creative Disruption season of The 21st Century Creative, where we are hearing stories of creatives around the world who came up with a creative response to the challenges of the pandemic. Itas been my most ambitious season yet, with creatives from 5 continents and probably the closest Iall ever […]
The post How I Created, Funded and Launched My New Podcast (while the World Was in Meltdown) appeared first on Creative Coach | Mark McGuinness | Since 1996.
Welcome to Episode 9 of the Creative Disruption season of The 21st Century Creative, where we are hearing stories of creatives around the world who came up with a creative response to the challenges of the pandemic. This week we are off to Tokyo, to meet Ichi Hatano, a wonderful artist whose work has deep […]
The post From Tattoos to NFTs with Ichi Hatano appeared first on Creative Coach | Mark McGuinness | Since 1996.
Welcome to Episode 8 of the Creative Disruption season of The 21st Century Creative, where we are hearing stories of creatives around the world who came up with a creative response to the challenges of the pandemic. Have you ever had the idea for a creative project that youave never quite got round to starting? […]
The post Using Lockdown to Launch a Dream Project with Nicky Mondellini appeared first on Creative Coach | Mark McGuinness | Since 1996.
If you work on your own a in your office or studio, or your bedroom or at your kitchen table a it can feel like no one is watching. So it doesnat matter whether you show up. If you skipped a day on your novel, who would know? If you didnat go to the studio […]
The post All Arts Are Performing Arts appeared first on Creative Coach | Mark McGuinness | Since 1996.
Welcome to Episode 7 of the Creative Disruption season of The 21st Century Creative, where we are hearing stories of creatives around the world who came up with a creative response to the challenges of the pandemic. Today weare focusing on a creative sector that is close to my heart, which was massively disrupted but […]
The post Taking Deep Work Online with Laura Davis appeared first on Creative Coach | Mark McGuinness | Since 1996.
A few months ago I was listening to the DavidBowie: AlbumtoAlbum podcast, a terrific show about Bowie hosted by Arsalan Mohammed. In Season 3 episode 11 Arsalan spoke to Donny McCaslin, the leader of the jazz band that Bowie discovered in a New York club, and asked to work with him on what turned out […]
The post Sometimes You Have to Grind the Work Out appeared first on Creative Coach | Mark McGuinness | Since 1996.
Welcome to Episode 6 of the Creative Disruption season of The 21st Century Creative, where we are hearing stories of creatives around the world who came up with a creative response to the challenges of the pandemic. Today we are off to Australia in the company of Charlotte Abroms, a music manager based in Melbourne […]
The post Helping Musicians Through Lockdown with Charlotte Abroms appeared first on Creative Coach | Mark McGuinness | Since 1996.
Last week I suggested that if youare serious about achieving your creative ambitions, you need to think in terms of projects, not tasks. Because if you get up every morning and ask yourself aWhat should I work on today?a you risk making decisions based on what feels urgent right now, rather than what will make […]
The post Work on Multifaceted Projects appeared first on Creative Coach | Mark McGuinness | Since 1996.
Page took 5 seconds to load.