Archives: Medicare and Medicaid Fraud

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Physician Awarded $11.4 Million for Reporting Illegal Billing Scheme

False Claims Act SettlementsTeamHealth Holdings, a U.S. hospital service agreed to resolve allegations that its violated the False Claims Act by billing Medicare, Medicaid, the Defense Health Agency and the Federal Employees Health Benefits Program for more expensive levels of medical service than were performed (a practice known as “up-coding”).  TeamHealth agreed to pay $60 million, plus interest … Continue Reading

Community Health Systems to Pay $75 Million in False Claims Act Settlement

The Department of Justice announced yesterday that Community Health Systems Professional Services Corporation (CHSPSC) and three affiliated New Mexico hospitals (collectively CHS) agreed to pay the United States $75 million to settle allegations that they violated the False Claims Act.  The government alleged that the defendants made illegal donations to county governments that were used … Continue Reading