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Will CMS Choose to Fight Medicare Fraud with Moratoriums? – 10/27/11

The Centers for Medicare & Medicaid Services (CMS) has yet to impose a single moratorium on new Medicare providers and suppliers, an authority CMS officials were given by President Obama’s health care reform eight months ago. Concerned about CMS’ inaction,  Senators Chuck Grassley (R-Iowa) and Orrin Hatch (R-Utah) have written a letter to Heath & […]

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Wyoming Medical Center Accused of Defrauding Medicare and Medicaid—10/26/11

In a recently unsealed lawsuit, whistleblower Gale Bryden accused Wyoming Medical Center of defrauding Medicare and Medicaid. The lawsuit claims that the hospital’s records clerks altered hospital records by changing patient admission status without physician orders, which resulted in increased reimbursements. Hospital attorney Dick Williams states, “We have denied from day one that there was […]

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Whistleblower Forger against Champion Industries Sentenced to Two Years in Federal Prison—10/26/11

Former sales executive with Champion Industries, William Burch, has been sentenced to two years in federal prison for giving bogus evidence to federal prosecutors in a whistleblower investigation against Champion Industries. Burch forged a letter from competitor Honeywell to support the whistleblower suit he filed in 2008, which implied that Honeywell had notified Champion of […]

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Oracle False Claims Settlement Could Go Over $200M—10/7/11

Software company Oracle Corp. and Oracle America will pay $199.5 million plus interest to the General Services Administration. The settlement is expected to be the largest false claims settlement ever collected by the General Services Administration. The settlement falls under the whistleblower provisions of the False Claims Act, as the company failed to meet its […]

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News Corp. Launches Internal Whistleblower “Alertline” —10/7/11

News Corp. has established an internal whistleblower system in the form of a 24-hour “alertline,” which is meant for employees to report company violations. This action comes in the aftermath of the News of the World incident that involved Murdoch employees bribing police officers to obtain protected documents. The new hotline will also ensure that […]

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Internal Investigations to be Released for lawsuit with 13 major banks—10/7/11

The chairman of a Senate consumer-protection panel has called on the DOJ and the Department of Veterans Affairs to release any internal investigations regarding the lawsuit accusing 13 major banks of defrauding veterans from hundreds of millions of dollars with illegal fees to refinance home loans. Chairman of the Senate Banking Subcommittee on Financial Institutions […]

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U.S. Files Lawsuit Against VP of Kennewick Industrial for Kickbacks and Fraud —10/3/11

The United States Attorney’s Office for the Eastern District of Washington has filed a false claims case against George Peterson, Vice President of Kennewick Industrial & Electrical Supply Inc. The U.S. alleges that Peterson engaged in kickback and fraud schemes, which led to defrauding the Department of Energy of hundreds of thousands of dollars.   […]

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Hill-Rom Will Pay $42M in False Claims Act Settlement—9/28/11

Hill-Rom Holdings Inc. will pay $42 million in its settlement regarding Medicare fraud. According to the charges Hill-Rom billed for extended periods “without making any reasonable effort to determine if the patients for whom it submitted the claims continued to meet Medicare conditions for payment.” The whistleblowers will receive $8 million in rewards, announced the […]

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Improper Medicare Payments Waste Almost $50 Billion a Year—9/27/11

Improper payments cost Medicare $48 billion last year. Some even suggest that the total amount resulting in Medicare fraud is up to $100 million a year. Medicare officials say they have taken significant action, with federal spending on the fight against Medicare fraud, waste, and abuse. Read more at: http://www.thefiscaltimes.com/Articles/2011/09/27/How-Medicare-Wastes-Almost-50-Billion-a-Year.aspx#page1

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