Woman Blows the Whistle on Genesys for Overbilling

A former internal auditor for the Genesys Regional Medical Center will receive $133,882 for her part in a whistleblower suit that resulted in a $669,413 settlement between the Center and the U.S. Justice Department. The auditor, Wendy Domke, filed a whistleblower lawsuit against Genesys after becoming concerned that the company was overcharging Medicare in 2006….

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NJ Health System Pays U.S. $7.95 Million for Overcharging Medicare

A $7.95 million settlement was reached between the parent company of two New Jersey hospitals and the federal government. The original whistleblower case was brought by Tony Kite, a private health care consultant, who will receive $356,000, plus interest, from the settlement. The settlement was reached with Our Lady of Lourdes Health Care Services Inc.,…

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Oklahoma Hospital System Pays $13 Million for False Claims Violations

The United States government will receive more than $13 million from St. John Health System to settle allegations of violating the False Claims Act by trying to induce referrals for medical services. The hospital, headquartered in Tulsa, Oklahoma, allegedly submitted claims to Medicare and Medicaid that may have been corrupted by financial relationships with referring…

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U.S. and MI Receive $9.5 Million from Visiting Physicians Association for False Claims Allegations

Visiting Physicians Association will pay the U.S. government and the state of Michigan $9.5 million, settling allegations of False Claims violations relating to submitting false claims to Medicare, TRICARE and the Michigan Medicaid program. The settlement is based on allegedly unnecessary home visits and care plan oversight services, as well as unnecessary tests and procedures….

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U.S. Gov. and New York State Receive $24 Million from Home Health Care Programs for False Claims

The Department of Justice has reached settlement agreements with three home health agencies for $9.7 million to resolve allegations of false claims to the New York Medicaid and Medicare programs. One company, Nursing Personnel Home Care, allegedly supplied aides with phony training certificates to two other home care agencies and then billed Medicaid for the…

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For-Profit University to Pay $78.5 Million in False Claims Act Suit

The nation’s largest for-profit university, The University of Phoenix, agreed to a $78.5 million settlement based on two whistleblowers’ False Claims Act lawsuit. The suit alleges the University defrauded the U.S. Department of Education by obtaining federal student loan and Pell Grant funds based on false statements. The University previously paid $9.8 million to the…

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Whistleblower Receives $4.5 Million for Helping FBI in Case Against MPC

A whistleblower involved in a Federal Bureau of Investigation (FBI) case against MPC Products Corporation to uncover a decade long scheme of over-billing the federal government will receive $4.5 million for his part in the investigation. The whistleblower is a former pricing analyst for MPC, a Skokie, Illinois defense contractor. After being fired, allegedly for…

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