Monthly Archives: February 2013

Tennessee Supreme Court Upholds Jury Verdict Against Assisted Living Facility For Wrongful Death Resulting From Understaffing

In a unanimous decision, the Tennessee Supreme Court reinstated a jury verdict against an assisted living facility, finding that there was material evidence to support the jury’s determination that understaffing at the facility caused the death of a resident. Significantly, … Continue reading

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Social Worker Receives $160,000 For Exposing Ambulance Transport Fraud

A clinical social worker will receive $160,000 for filing a whistleblower lawsuit that exposed a fraudulent scheme in which Medicare was improperly billed for routine, non-emergency ambulance transports that were not medically necessary.  According to the allegations in the lawsuit, … Continue reading

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Doctor Receives $4,046,000 For Filing Whistleblower Lawsuit

A pathologist who formerly worked at a clinical laboratory will receive $4,046,000 as a reward for filing a whistleblower lawsuit that exposed fraudulent Medicare billing practices, including the payment of illegal kickbacks and the billing of medically unnecessary services to … Continue reading

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Skilled Nursing Facility To Pay $700,000 To Resolve False Claims Act Allegations

Fairfax Nursing Center, a skilled nursing facility based in Fairfax, Virginia,  and its owners have agreed to pay $700,000 to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to Medicare of false … Continue reading

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New Medicare Regulations Require Face-To-Face Physician Encounters For Durable Medical Equipment Orders

The Center for Medicare & Medicaid Services (“CMS”) recently published a final rule implementing several changes to policies relating to payment of physicians.  Among the changes is a new requirement that certain items of durable medical equipment (“DME”) can only … Continue reading

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