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River Hills man imprisoned for healthcare kickbacks
A River Hills man was sentenced to 21 months in prison and ordered to pay more than $2.2 million in restitution to Medicaid for paying kickbacks in violation of the Anti-Kickback Statute in the Eastern District Court of Wisconsin.
Wisconsin Republicans quickly kill Medicaid expansion
Republicans who control the Wisconsin Legislature convened on Tuesday and within seconds ended a special session called by Democratic Gov. Tony Evers to expand Medicaid, dashing chances for the state to receive a one-time bonus of $1 billion in federal coronavirus relief funding.
Evers renewing call for Medicaid expansion opposed by GOP
Gov. Tony Evers will try again to expand Medicaid coverage in Wisconsin, announcing Wednesday that his state budget proposal will also have more than $150 million in other health initiatives, including bolstering student mental health support, addressing the opioid crisis and increasing telehealth accessibility.
Pharmacist to be arraigned on fraud charges
A Janesville pharmacist is set be arraigned in federal court this month on charges he cheated Medicaid and Medicare out of $1 million.
Increasing the use of ACA overpayment rule in DOJ enforcement actions
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.
State to get part of $38M settlement from nursing home chain (UPDATE)
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.
Avoid misclassifying independent contractors
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.
Settling a suit? Don’t forget Medicare’s share
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.
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.
Rule would boost Medicare whistleblower bounty to $10M
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.
Appeals court affirms hospital liens are enforceable after Medicare billing period expires
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.
Prevea Clinic agrees to settle lawsuit
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.
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- Wisconsin Supreme Court weighs judicial recusal rules
- Wisconsin settles Waupun prison death lawsuit for $3.75M
- Wisconsin settles $10M PFAS lawsuit against Tyco
- Poll: Most Americans think Supreme Court favors Trump
- FBI interviews Milwaukee officers in 2020 election probe
- Georgia-Pacific settles wrongful termination lawsuit
- Attorney reprimanded over witness payments
- Animal rights activists set for trial in beagle raid case
- Wisconsin ballot curing lawsuit seeks uniform voter rules
- Kenosha couple loses appeal in Brewers 50/50 raffle case
- State lawsuit seeks electronic ballots for disabled voters
- Attorney disbarred after sexual assault conviction
Case Digests
- Involuntary Medication-Competency to Stand Trial
- Informer Privilege Statute-Clear Error
- Sixth Amendment-Third-Party Perpetrator Evidence
- Plea Withdrawal-Manifest Injustice
- Ineffective Assistance of Counsel-Procedural Bar
- CHIPS Confidentiality-Remedial Versus Punitive Sanctions
- Insurance Law
- Breach of Contract-Rule 12(b)(6) Dismissal
- Constitutional Law-Qualified Immunity-First Amendment Retaliation
- Qualified Immunity-Excessive Force-Civil Rights
- Hostile Work Environment-Sexual Harassment
- Sufficiency of Evidence-McDonnell Douglas Framework
