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8 Jul 2013, 8:28 pm by Ben Vernia
According to the Department’s press release: Medical device manufacturer TranS1 Inc., now known as Baxano Surgical Inc., has agreed to pay the United States $6 million to resolve allegations under the False Claims Act that the company caused health care providers to submit false claims to Medicare and other federal health care programs for minimally-invasive spine surgeries, the Justice Department announced today [read post]
20 Jul 2007, 11:11 am
Louis Business Journal reports that the United States filed a civil complaint against Renal Care Group, Renal Care Group Supply Co. and Fresenius Medical Care Holdings Inc. alleging that the firms fraudulently billed the Medicare program for supplies and equipment provided to End Stage Renal Disease patients, according to U.S. [read post]
21 Aug 2021, 8:00 am by Peter Briccetti
Upcoding is a process where medical providers misrepresent elements of care or services provided as more serious or expensive than they actually were, thus achieving higher federal medical program payouts. [read post]
9 Oct 2014, 9:12 am
  The amount traditionally recoverable was “the reasonable value of medical services. [read post]
6 Jun 2016, 9:58 am by Steven Boutwell
“Indeed, compensation benefits, including for medical services and supplies, are required by law. [read post]
28 Nov 2009, 4:23 pm
Cannabis Science, Inc. is at the forefront of medical marijuana research and development. [read post]
25 Jul 2011, 2:22 pm by Rebecca Shafer, J.D.
    To complete the study, WCRI used medical billing data for two sets of claims — one prior to the effective date of the preauthorization reform and one after. [read post]
25 Jul 2011, 2:22 pm by Rebecca Shafer, J.D.
    To complete the study, WCRI used medical billing data for two sets of claims — one prior to the effective date of the preauthorization reform and one after. [read post]
23 Aug 2017, 3:25 pm by Ben Vernia
Third, this settlement resolves allegations that from Jan. 1, 2008, through Sept. 27, 2013, Sun Healthcare Group Inc., SunDance Rehabilitation Agency Inc., and SunDance Rehabilitation Corp. knowingly submitted or caused the submission of false claims to Medicare Part B by billing for outpatient therapy services provided in the State of Georgia that were (1) not medically necessary or (2) unskilled in nature. [read post]
5 Apr 2010, 5:00 pm by mcarzima@imediainc.com
A Federal Court in Nashville awarded the United States $19,366,705 plus interest after finding that Renal Care Group (RCG), Renal Care Group Supply Company (RCGSC) and Fresenius Medical Care Holdings, Inc. disregarded federal law when billing Medicare. [read post]
16 Feb 2016, 9:00 am by Samantha L. Walls
In Baisden, plaintiffs were the recipients of medical services from Mount Caramel Hospital in Ohio. [read post]