Aetna Agrees to Pay $117.7 Million to Resolve False Claims Act Allegations
Aetna Inc. has agreed to pay $117.7 million to settle allegations of submitting false diagnosis codes to inflate Medicare payments under the Medicare Advantage (MA) Program. The company allegedly submitted inaccurate diagnosis data to the Centers for Medicare & Medicaid Services (CMS) for its MA plan enrollees, inflating risk adjustment payments it received. Aetna’s chart […]
Whistleblower Lawyer Pharmacist and Two Pharmacies to Pay $1 Million False Claims Act Settlement
Whistleblower Lawyer the New York attorneys at Constantine Cannon are committed to helping whistleblowers report fraud and misconduct. Our platoon has expansive experience representing guests under whistleblower price programs offered by the Securities and Exchange Commission, the Commodity Futures Trading Commission, the Internal Revenue Service, the Department of Transportation, the False Claims Act, and original […]
Whistleblower Suit Sutter Health to Pay $90 Million in Largest Medicare Advantage Fraud Settlement
Whistleblower Suit Whistleblower suit one of the largest US health care providers, Sutter Health, has agreed to pay $90 million to settle allegations of violating the False Claims Act (FCA) resolving the 2015 whistleblower suit. California-based hospital operator was accused of knowingly submitting inaccurate information about their patients’ health status enrolled in Sutter Health’s contracted […]
Reporting Medicaid Fraud | What is a Medicare Whistleblower?
Reporting Medicaid Fraud Reporting Medicaid fraud occurs when individuals or healthcare providers intentionally submit false or misleading information to receive Medicaid benefits or payments that they are not entitled to. This type of fraud can take many forms, including billing for services that were not provided, providing unnecessary or excessive medical treatment, and misrepresenting patient […]
What kind of reward might a healthcare whistleblower cases receive?
What kind of reward might a healthcare whistleblower cases receive? Healthcare whistleblower cases. There are many factors that come into play when it comes to receiving a reward for bringing forth a successful whistleblower lawsuit. Rewards are dependent on the type of case and what particular program or act the suit or claim is filed […]
Healthcare Whistleblower Attorney and What is upcoding and why is it illegal?
Healthcare Whistleblower Attorney Healthcare Whistleblower Attorney. When a medical professional treats a Medicare patient, the provider must report what services were provided to make sure Medicare reimburses the doctor appropriately for the services rendered. Certain conditions are more severe than others and require more costly care, which may mean that doctors can receive higher reimbursements […]
What is a Qui Tam Lawsuit?
What is a Qui Tam Lawsuit? Qui tam lawyer Boston Qui tam lawyer Boston the False Claims Act was passed to target fraud in government contracting and against the government. Under this act, individuals with sufficient evidence that would otherwise be unknown to the government may file a qui tam lawsuit. The False Claims Act […]
Why is Medicare Fraud Whistleblower Such a Problem Today?
Medicare fraud whistleblower Medicare fraud whistleblower cases have become more prevalent in recent years due to a number of factors. One major factor is the aging of the Baby Boomer generation, which has resulted in an increased demand for healthcare services. This increased demand has created more opportunities for healthcare providers to commit fraud by […]