The routine waiver of government health care beneficiaries’ copayment amounts is Durable Medical Equipment fraud. Medicare Part B only cover 80% of the cost of DME supplies. The patient must pay the remaining 20%. If a DME supplier ...
When a patient returns DME supplies to a DME supplier, the supplier must reimburse Medicare for the amount of the claim. If it fails to reimburse Medicare for the order, the DME supplier may have engaged in Durable Medical Equipment ...
Ross Wolfe Law Representing Whistleblowers Nationwide ‘Ross M. Wolfe, Esq. represents whistleblowers nationwide in Qui Tam lawsuits under the False Claims Act to help secure the largest whistleblower recovery possible. Mr. Wolfe ...
On January 12, 2016, United States Attorney Deirdre M. Daly and Connecticut Attorney General George Jepsen announced that J&L MEDICAL SERVICES, LLC has entered into a civil settlement agreement with the federal and state ...
ADMITTING UNQUALIFIED PATIENTS INTO HOSPICE CARE Whistleblowers have assisted the US Government is combating hospice fraud. Per Medicare rules, hospices can only admit, and receive payment for, patients who are “terminally ...
A few days ago, the Department of Justice announced that it had reached a settlement with Good Shepherd Hospice, Inc., to resolve a whistleblower lawsuit filed under the qui tam provisions of the civil False Claims Act alleging hospice ...
On January 9, 2015, the Department of Justice announced that Daiichi Sankyo Inc., a global pharmaceutical company with its U.S. headquarters in New Jersey, agreed to pay the federal government and state Medicaid programs $39 million to ...
An optometry practice as agreed to pay the U.S. Government $800,000 to settle a whistleblower lawsuit filed under the federal False Claims Act. The whistleblower suit alleges that the optometry practice employed a optometrist who ...
Per Medicare’s Regulations and the Social Security Act, DME suppliers are prohibited from making unsolicited calls to Medicare beneficiaries regarding the furnishing of a covered DME item, except in three specific situations: (1) the ...