Tag Archives: HHS-OIG

Kentucky Hospital to Pay $40.9 Million to Settle False Claim Allegations

Ashland Hospital Corp. d/b/a King’s Daughters Medical Center (KDMC) will pay $40.9 million to the United States and Kentucky to resolve allegations it submitted false claims for medically unnecessary heart procedures to Medicare and Medicaid and maintained improper financial relationships … Continue reading

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OIG Reports Expected Recoveries of $3.1 Billion in First Half of FY 2014

The Department of Health and Human Services Office of Inspector General (OIG) expects to recover more than $3.1 billion for the first half of fiscal year (FY) 2014, according to its latest Semiannual Report to Congress released May 27. The … Continue reading

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Insurance Company Cheated Medicare Out of $1 Billion, Says Lawsuit

Josh Valdez took an executive level job in April 2010 expecting to improve medical services at two Puerto Rican Medicare Advantage health plans owned by a subsidiary of New Jersey company: Aveta Inc. But a few months after coming on … Continue reading

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First Call Ambulance Service Settles False Claims Act Allegations

False Claims Act will pay $500,000 to settle allegations that it violated the False Claims Act, according to David Rivera, U.S. attorney for the Middle District of Tennessee. The settlement resolves allegations by the United States and Tennessee that First … Continue reading

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Using Avastin for Eye Disorder Could Save U.S. $3 Billion

The U.S. could save almost $3 billion a year if Medicare patients were given Avastin instead of Lucentis to treat two diseases that could lead to blindness, according to a study in the journal Health Affairs. Both treatments are made … Continue reading

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Ambulance Company Owner and Son Sentenced for Conspiracy to Commit Healthcare and Wire Fraud

United States Attorney Thomas G. Walker announced that today, United States District Judge Terrence W. Boyle sentenced PHYLLIS STALLINGS HARRELL and PAUL LYNN TRUEBLOOD, both of Belvidere, North Carolina.  HARRELL was sentenced to 72 months imprisonment followed by 3 years of … Continue reading

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OIG Proposes Expanding, Reorganizing CMP Rules

The Department of Health and Human Services Office of Inspector General (OIG) published May 11 a proposed rule (79 Fed. Reg. 27080) to codify its expanded authority under the Affordable Care Act (ACA) to impose civil monetary penalties (CMPs) for fraud … Continue reading

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Ninety Defendants Charged in Nationwide Medicare Fraud Strike Force Operations

A multi-state Medicare Fraud Strike Force takedown has resulted in charges against 90 individuals for their alleged participation in Medicare fraud schemes involving approximately $260 million in false billings, Attorney General Eric Holder and Department of Health and Human Services … Continue reading

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Podcast: Adverse Events in Skilled Nursing Facilities

Jeremy Moore, a team leader for the Office of Evaluation and Inspections in Dallas, is interviewed by Lyndsay Patty, a team leader for the Office of Evaluation and Inspections. http://oig.hhs.gov/newsroom/podcasts/reports.asp#adverse14

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