A Janesville pharmacist is set be arraigned in federal court this month on charges he cheated Medicaid and Medicare out of $1 million.

Tagged with: Mark Johnson Medicare Stephen Meyer

The U.S. Department of Justice recently scored victories in two False Claims Act cases involving providers’ alleged failure to return overpayments as mandated by the Patient Protection and Affordable Care Act of 2010.

Tagged with: Affordable Care Act Medicaid Medicare Whyte Hirschboeck Dudek

A nursing home chain has agreed to pay $38 million to resolve allegations that it billed Medicare and Medicaid for substandard care at nearly three dozen facilities around the country, the Justice Department announced Friday.

Tagged with: DOJ Medicaid Medicare

On Sept. 15, the U.S. Department of Labor announced it awarded more than $10 million in grants to 19 states to help improve efforts to detect employers who improperly classify employees as independent contractors.

Tagged with: Medicare Social Security Unemployment insurance

Personal-injury and defense attorneys trying to reach a settlement must remember that the federal government always wants to be paid first and is not choosy about where the money comes from, particularly in cases involving Medicare-eligible plaintiffs.

Tagged with: Medicare personal injury

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.

Tagged with: Medicare

A proposed rule to drastically increase whistleblower rewards paid for information leading to successful Medicare fraud actions to as high as nearly $10 million was proposed by the Department of Health and Human Services this week.

Tagged with: abuse fraud Medicare waste

A recent decision from the Wisconsin Court of Appeals affirmed that the University of Wisconsin Hospital could pursue a hospital lien against a Medicare-eligible patient even after the Medicare billing period had expired.

Tagged with: Court of Appeals John Albert liens Medicare Wisconsin Court of Appeals

The U.S. Attorney's Office says a company that provides health care in northeastern Wisconsin has agreed to settle a lawsuit claiming it submitted false Medicare claims.

Tagged with: Medicare whistleblower

11-2809 Abraham Lincoln Memorial Hospital v. Sebelius

Tagged with: 7th Circuit Digest Civil Digest Medicaid Medicare Public Health Digest

GERMANTOWN, Wis. (AP) – A Washington County company and its parent firm will pay nearly $5 million to settle a health care fraud claim by two whistleblowers. The two former employees of Abri Health Plan of Germantown claimed the company ...

Tagged with: Medicare settlement whistleblower