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 […]
Medicare Whistleblower NJ Pathology Practice to Pay $2.4 Million to Resolve False Claims Act Violation Allegations
In recent years, Medicare fraud has become a major concern in the United States. One way in which this issue is being addressed is through the actions of Medicare whistleblowers. In this blog post, we will explore what it means to be a Medicare whistleblower, why they are important, and the protections in place for […]
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 Attorney Miami Clinic Owner Charged with $38M Healthcare Fraud
Whistleblower Attorney Miami Clinic Owner Whistleblower attorney Armando Valdes, the owner and operator of a medical clinic in Miami, Florida, was arrested on Dec. 10 and charged with submitting approximately $38 million in fraudulent health care claims to United Healthcare and Blue Cross Blue Shield (BCBS), according to the US Department of Justice (DOJ). Valdes […]
Medicare Lawyer Near Me, Oak Street Health under Federal Investigation
Medicare Lawyer Near Me, Oak Street Health under Federal Investigation Medicare lawyer near me is a legal professional who specializes in dealing with Medicare issues and can provide advice and assistance to those who need it. Medicare is a federal health insurance program that is available to those who meet certain eligibility criteria. It can […]
Federal Government Asks to Join $800 Million Whistleblower Lawsuit Settlements Against Methodist Hospital
Whistleblower Lawsuit Settlements Whistleblower lawsuit settlements can result in settlements when companies agree to pay a certain amount of money to resolve allegations of fraud or wrongdoing. Settlements may occur before or after a lawsuit is filed and can be negotiated between the parties or ordered by a court. Here are some things to know […]
Health Care Fraud Lawyer, Five Former Celtics Players Charged in $ 4 Million
Health Care Fraud lawyer five former players of the Boston Celtics were listed among nearly two dozen ex-NBA players arrested and charged on October 7 after an alleged multi-million-dollar health insurance fraud scheme. Manhattan federal prosecutors indicted Terrence Williams, Glen Davis, Tony Allen, Milt Palacio, and Sebastian Telfair as well as 13 other ex-league players […]
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 […]