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Category Archives: Healthcare Billing Fraud

MedMal8

DOJ Files False Claims Act Lawsuit Against Florida Based Medical Services Company

By Guttman, Freidin & Celler |

According to a report from Fierce Healthcare, the Department of Justice (DOJ) has filed a False Claims Act whistleblower lawsuit against Modernizing Medicine, Inc. (ModMed) a healthcare software company with a main headquarters in Boca Raton, Florida. Based on allegations originally filed by a former ModMed representative from Vermont, the DOJ alleges that ModMed… Read More »

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MedMal19

Florida Heath Company Will Pay $20 Million To Resolve False Claims Act Claim

By Guttman, Freidin & Celler |

On April 6th, 2022, the Department of Justice (DOJ) announced that BayCare Health System Inc.—a nonprofit health care organization based in Tampa, Florida—will pay $20 million to settle a False Claims Act case. Several hospitals affiliated with BayCare Health System Inc. were also cited as part of the enforcement action. In this article, our… Read More »

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Money

Federal Contractor Pays More Than $900,000 To Resolve False Claims Act Case (Health Care Billing Misconduct)

By Guttman, Freidin & Celler |

On March 8th, 2022, the United States Department of Justice (DOJ) issued a press release confirming that Comprehensive Health Services LLC (CHS)—a healthcare industry services contractor based in Florida—has agreed to pay the federal government $930,000 to resolve a False Claims Act (FCA) lawsuit. The claim was initially filed by a whistleblower. In this… Read More »

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Legal14

Qui Tam Lawsuit: A Florida Diabetic Shoe Company Pays More Than $5.5 Million To Settle False Claims Act Case

By Guttman, Freidin & Celler |

On January 12th, 2022, the United States Department of Justice (DOJ) announced that Foot Care Store, Inc.—a diabetic shoe company based in Palm Beach County, Florida—agreed to pay more than $5.5 million to settle a federal False Claims Act (FCA) case. The lawsuit was filed after a whistleblower brought a qui tam claim alleging… Read More »

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Lit3

The Stark Law And Whistleblower Claims

By Guttman, Freidin & Celler |

Healthcare billing fraud is a significant problem in the United States. It occurs when providers in the medical industry—hospitals, physicians, clinics, pharmacies, etc—improperly bill private insurance companies or government programs. For health providers that accept government dollars (Medicare, Medicaid, etc), there are especially strict billing regulations in place. The Stark Law refers to a… Read More »

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MedBills

Florida Medical Device Company Will Pay $16 Million To Resolve False Claims Act Whistleblower Claim

By Guttman, Freidin & Celler |

According to a report from Reuters, a medical company will pay $16 million to resolve a False Claims Act lawsuit filed by a whistleblower. Arthrex Inc., a Southwest Florida medical device manufacturer, allegedly paid a medical professional (orthopedic surgeon) in Colorado several million in illegal kickbacks to use and recommend its products. In this… Read More »

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