Amedisys Home Health Companies Agree to Pay $150 Million to Resolve Medicare Fraud False Claims Act Allegations

Written May 14, 2014 by Janine Arno

Last month, the U.S. Department of Justice announced that it had entered into a $150 million settlement with Amedisys Inc. and its affiliates to resolve claims concerning the company’s Medicare billing practices.  Amedisys is one of the largest providers of home health services in the United States.
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Florida Hospital System Agrees to Pay $85 Million to Settle Medicare Fraud False Claims Act Whistleblower Case

Written March 14, 2014 by Janine Arno

Halifax Hospital Medical Center and Halifax Staffing Inc. (Halifax), a Daytona Beach, Florida area hospital system, have agreed to pay $85 million to settle a Medicare fraud whistleblower lawsuit.   The lawsuit alleged that Halifax violated the False Claims Act by submitting claims to Medicare that violated the Physician Self-Referral Law, known as the “Stark Law.”
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Saint Joseph Health System Inc. Agrees To Pay Government $16.5 Million To Settle False Claims Act Lawsuit

Written February 1, 2014 by Robert Lu

On January 29, 2014, the U.S.

Department of Justice announced that Saint Joseph Health System Inc. has agreed to pay the government  $16.5 million to resolve civil allegations that it submitted false or fraudulent claims to the Medicare and Kentucky Medicaid programs for a variety of medically unnecessary heart procedures.
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South Carolina Hospital Ordered to Pay $237 Million in Whistleblower-Initiated Medicare Fraud Action

Written October 2, 2013 by Janine Arno

A federal judge has entered a $237 million judgment against South Carolina’s Tuomey Healthcare System (Toumey) in light of the jury’s finding that Tuomey submitted 21,730 claims in violation of the False Claims Act and the Stark Law, defrauding Medicare of more than $39 million.  The judgment includes monetary penalties under the False Claims Act of more than $119 million (calculated by multiplying the minimum False Claims Act penalty amount per violation of $5,500 by the 21,730 violations found by the jury) and treble punitive damages of more than $117 million (three times the jury’s verdict of $39 million).

The Stark Law prohibits a physician who has a “financial relationship” with a hospital from making a referral to that hospital for the furnishing of certain designated health services for which payment is made under Medicare.    A violation of the Stark Law, as in this case, can be the basis for False Claims Act liability.

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