False Claims Act Archives - HIT Leaders and News

Hospital, Medical Imaging Services Company, and Others to Pay $3.1 Million to Resolve False Claims Act Allegations

Jason Free — Thu, 10 Apr 2025 11:30:44 +0000

The United States has reached agreements with several individuals and entities to resolve allegations of improper billing for medical imaging services at a surgical hospital in El Paso. Desert Imaging Services, L.P., In Tandem Solutions Group, LLC, and Leroy Candelaria agreed to pay the United States $693,913; Donald Burris and Vox Intus, LLC agreed to forfeit $325,000; and East El Paso Physician’s Medical Center, LLC, doing business as Foundation Surgical Hospital of El Paso, agreed to entry of a consent judgment in the amount of $2,081,739.

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The Grand Health Care System and 12 Affiliated Skilled Nursing Facilities to Pay $21.3M for Allegedly Providing and Billing for Fraudulent Rehabilitation Therapy Services

Jason Free — Fri, 12 Jul 2024 13:27:51 +0000

Strauss Ventures LLC, doing business as The Grand Health Care System, and 12 affiliated skilled nursing facilities (collectively, the Grand) have agreed to resolve allegations that they violated the False Claims Act by knowingly billing federal health care programs for therapy services that were unreasonable, unnecessary, unskilled or that simply did not occur as billed.

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United States Files Complaint Against St. Elizabeth’s Medical Center, Steward Medical Group and Steward Health Care System

Jason Free — Wed, 27 Dec 2023 15:56:53 +0000

The U.S. Attorney’s Office has filed a complaint under the False Claims Act against Steward St. Elizabeth’s Medical Center of Boston, Inc. (SEMC); Steward Medical Group, Inc. (SMG); and Steward Health Care System, LLC (Steward) alleging that they violated the Physician Self-Referral Law (commonly referred to as the “Stark Law”) and submitted and caused the […]

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Hospital Executive and Three Texas Physicians to Pay Over $880,000 to Settle Kickback Allegations Involving Laboratory Testing

Jason Free — Fri, 08 Dec 2023 13:05:22 +0000

Former hospital executive Peggy Borgfeld, of Lexington, Texas, and physicians Linh Nguyen, M.D. and Thuy Nguyen, M.D., of Dallas, and Heriberto Salinas, M.D., of Cleburne, Texas, have agreed to pay a total of $880,199 to resolve False Claims Act allegations involving illegal remuneration in violation of the Anti-Kickback Statute.

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Missouri Physicians and Pain Management Practices Agree to Pay Over $650,000 to Settle Kickback Allegations Involving Laboratory Testing

Jason Free — Tue, 26 Sep 2023 12:58:57 +0000

Gregory Stynowick, M.D. and his pain management practice, Pain Management Medical Center LLC, of Florissant, Missouri, and Chad Shelton, M.D., Michael Boedefeld, M.D., and their pain management practice, Pro Pain LLC, of St. Louis, have agreed to pay a total of $653,796 to resolve False Claims Act allegations that they received illegal kickbacks in violation of the Anti-Kickback Statute in return for referring patients for laboratory testing.

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Martin’s Point Health Care Inc. to Pay $22,485,000 to Resolve False Claims Act Allegations

Jason Free — Tue, 01 Aug 2023 13:31:04 +0000

Martin’s Point Health Care Inc. (Martin’s Point), headquartered in Portland, Maine, has agreed to pay $22,485,000 to resolve allegations that it violated the False Claims Act by submitting inaccurate diagnosis codes for its Medicare Advantage Plan enrollees in order to increase reimbursements from Medicare.

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Electronic Health Records Vendor NextGen Healthcare Inc. to Pay $31 Million to Settle False Claims Act Allegations

Jason Free — Mon, 17 Jul 2023 12:02:50 +0000

NextGen Healthcare (NextGen), an electronic health record (EHR) technology vendor, has agreed to pay $31 million to resolve allegations that NextGen violated the False Claims Act (FCA) by misrepresenting the capabilities of certain versions of its EHR software and providing unlawful remuneration to its users to induce them to recommend NextGen’s software.

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GCI Communications Corp. to Pay More than $40 Million to Resolve False Claims Act Allegations Related to FCC’s Rural Health Care Program

Jason Free — Tue, 16 May 2023 10:44:14 +0000

GCI Communications Corp. (GCI), located in Anchorage, Alaska, has agreed to pay $40,242,546 to resolve allegations that it violated the False Claims Act by knowingly inflating its prices and violating Federal Communications Commission (FCC) competitive bidding regulations in connection with GCI’s participation in the FCC’s Rural Health Care Program.

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Beverly Hills Plastic Surgeon Agrees to Pay Nearly $24 Million to Settle False Claims Act Allegations

Jason Free — Sun, 30 Apr 2023 17:30:45 +0000

A plastic surgeon in Beverly Hills, California, along with his son, medical practices, and billing company, have agreed to pay $23.9 million to resolve allegations that they violated the False Claims Act by submitting or causing the submission of false claims to both Medicare and Medicaid.

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Jet Medical and Related Companies Agree to Pay More Than $700,000 to Resolve Medical Device Allegations

Jason Free — Fri, 06 Jan 2023 06:12:30 +0000

Pennsylvania-based medical device distributor Jet Medical Inc. (Jet) agreed to pay $200,000 to resolve criminal allegations relating to a migraine headache treatment, and Jet and two related companies agreed to pay another $545,000 in a civil settlement involving the same device.

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