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Feds charge 200 in $2.7B health care fraud crackdown
WASHINGTON — Nearly 200 people have been charged in a sweeping nationwide crackdown on health care fraud schemes with false claims topping $2.7 billion, the Justice Department said. Attorney General […]
Court rejects bids to dismiss robocalls case
South Carolina, joined by 48 states, has been cleared to proceed with legal action against Avid Telecom for illegal robocalls.
Medicare fraud sends Mount Pleasant man to prison
COLUMBIA, S.C. — A Mount Pleasant man faces nine years in prison and must pay almost $99 million in restitution to the government in a Medicare fraud scheme. Federal District […]
Clinic ordered to pay almost $6M over false asbestos claims
BILLINGS, Mont. (AP) — A judge has ruled that a health clinic in a Montana town plagued by deadly asbestos contamination must pay the government almost $6 million in penalties and damages after submitting hundreds of false asbestos claims. The 337 false claims made patients eligible for Medicare and other benefits they shouldn't have received. The judgement against the Center for Asbestos Relate[...]
340B Medicare reimbursement cuts ruled unlawful by Supreme Court
By Daniel Avants, Tiffany Hetland and Amanda Bogle On June 15, the U.S. Supreme Court ruled in favor of the American Hospital Association and against the Department of Health and […]
Civil Practice – Judgment debtor didn’t delay payment owed to Medicare
A plaintiff who was owed a medical-malpractice judgment that would partially be reimbursed to Medicare had standing to sue the judgment debtor for delayed payment. However, the 37 days between […]
Executives fined $114M for Medicare fraud
The former CEO of a medical testing lab and the owners of a marketing firm must pay $114 million in civil damages and penalties after a federal judge in South […]
Contract – Medicare Provider & Insurer – Administrative Exhaustion – Claim Denials
Upstate Lung & Critical Care Specialists, P.C. v. Care Improvement Plus Practitioners, LLC (Lawyers Weekly No. 002-154-17, 8 pp.) (Mary Geiger Lewis, J.) 7:15-cv-04801; D.S.C. Holding: Although the parties’ contract […]
$340K arbitration award for doc who split with business partner
A physician who had a falling out with his business partner has received a nearly $340,000 arbitration award after quashing the defense’s effort to try the case in front of […]
Insurance – Health – ERISA Plan – ‘Inactive’ Employee – Medicare – Primary Insurer
Perkins v. US Airways, Inc. (Lawyers Weekly No. 002-187-15, 26 pp.) (Bruce Howe Hendricks, J.) 6:14-cv-02577; D.S.C. Holding: For years, the defendant-ERISA plan mistakenly paid its disabled employee’s medical expenses […]
PI lawyers stymied by Medicare secondary payer process
Long-awaited regulations governing the way litigants in personal injury cases with future medical bills should reimburse the government for Medicare payments could come as soon as this year. But new […]
Administrative – Medicare – Convicted Doctor – Hydrocodone Samples – Statutory Ban
Morgan v. Sebelius A physician who obtained hydrocodone samples for his personal use by misleading sales representatives into believing the samples were for patients, and who pleaded guilty to knowingly obtaining a controlled substance by fraud, cannot avoid the ban on participating in the Medicare and Medicaid programs by arguing that the statutory ban under 42 U.S.C. § 1320a-7(a)(3) on[...]
Business Law
- Economy forces attorneys to get down to business
- Business Court judges trawl for customers
- Va. company's Web site did not subject business to personal jurisdiction in S.C., appeals panel rules
- Former running back from S.C. wins courtroom victory in contract dispute
- Contract – Government Contract – Qui Tam – False Claims Act
- Licenses & Permits – Beer & Wine Permit – Restrictive Covenant – Suitable Location
- Consumer Protection – FCRA – Auto Loan – Bank Accounting Errors
- Licenses & Permits – Veterinarian – Vaccine Maintenance
- Tort – Business Tort – Va. Computer Crimes Act – Trade Secrets
- Textile firm, railroad settle Graniteville train wreck lawsuit
- State regulators look at car dealer accused of lying to customers
- Subprime mortgage meltdown hits securities law
Commentary
- When is a PIP an adverse employment action?
- Legally Speaking: What spring can teach us about active listening
- A useful patent management government notice
- The third option: Why your best employees are quietly losing their edge
- ‘AI won’t take your job’ and other things CEOs say before the layoffs
- When not to believe (your lyin’ eyes)
- Conduct a technology audit to improve law firm efficiency
- When the client brings ChatGPT to the consultation
- Where is she now, this model who was so beautiful?
- Content Marketing: Where law firms lose referrals and how to prevent it
- Your best people are not leaving for more money — they are leaving because you stopped paying attention
- Best at Work Insights: The choice we’re making about AI
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