Tag: False Claims Act

Fromer Eye Centers Settles $2.3 Million Healthcare Fraud Allegations

Fromer Eye Centers settles a $2.3 million case under the False Claims Act for improper billing. Explore the implications for healthcare compliance and fraud prevention.

Aetna Settles $117.7 Million in Medicare Advantage False Claims Act Allegations

Aetna agrees to $117.7 million settlements over Medicare Advantage claims, highlighting the need for compliance in healthcare risk adjustment practices.

DOJ Targets Health Care Fraud: Record Settlements and Regulatory Enhancements

The DOJ targets health care fraud with record settlements and focuses on Medicare compliance. Reassess your strategies to navigate heightened scrutiny effectively.

Key Priorities for Enforcing the False Claims Act at the Qui Tam Conference

Explore the DOJ's priorities on the False Claims Act and its implications for healthcare and compliance practices at the Qui Tam Conference.

Changes in False Claims Act Enforcement: Impact on Insurance and Healthcare

Explore the implications of False Claims Act changes for insurance and healthcare. Stay informed on compliance, fraud prevention, and legal strategies.

LaFontaine Management Settles $1.5M PPP Loan Eligibility Dispute

LaFontaine Management agrees to $1.5 million settlement over PPP loan eligibility, emphasizing evolving federal guidelines and compliance in pandemic relief enforcement.

First Circuit Affirms Labs Can Rely on Doctor Orders to Establish Medical Necessity for Medicare Tests

The First Circuit rules that clinical labs can rely on doctors' orders to demonstrate medical necessity under Medicare, impacting FCA fraud claims and regulatory compliance.

Arnold & Porter Lawyers Named Top Legal Experts in Healthcare and Corporate Litigation

Arnold & Porter's Brian Dunphy and Giselle Joffre earn recognition in Boston Magazine's 2025 Top Lawyers list for their expertise in healthcare and corporate litigation, including government investigations and regulatory compliance.

Mindpath Care Centers Settles $1.9M Medicare False Claims Allegation

Mindpath Care Centers settles $1.9 million Medicare false claims case involving behavioral health psychotherapy billing violations. Impact on compliance and regulatory enforcement.

Health First Urgent Care Settles $2.8M Medicare Medicaid Overbilling Case

Health First Urgent Care agrees to $2.8 million settlement for Medicare and Medicaid overbilling linked to improper diagnostic test billing practices in Washington State.