Health care fraud

Chapman Law Group Achieves Acquittal in Major Federal Health Care Fraud Case

Retrieved on: 
Thursday, February 8, 2024
Government, Health care fraud, Bias, Federation, FBI, History, Conspiracy, Conspiracy to defraud, Record, High

MIAMI, Feb. 8, 2024 /PRNewswire/ -- In a landmark ruling, Jonathan Meltz of Chapman Law Group secured a unanimous not guilty verdict for five health care professionals in a high profile federal fraud case, marking a significant moment in health care law. The verdict, delivered after a 5-week trial in the West District of Pennsylvania, marks a pivotal moment in the defense of healthcare professionals.

Key Points: 
  • Chapman Law Group Secures Not Guilty Verdict For Five Defendants Over The Federal Government in High Profile Fraud Case.
  • MIAMI, Feb. 8, 2024 /PRNewswire/ -- In a landmark ruling, Jonathan Meltz of Chapman Law Group secured a unanimous not guilty verdict for five health care professionals in a high profile federal fraud case, marking a significant moment in health care law.
  • In February 2021, Ms. Susan Gilbert faced serious charges, including Conspiracy to Defraud the United States, Health Care Fraud , and Obstruction of a Federal Auditor.
  • Ms. Gilbert's defense, led by Jonathan Meltz of Chapman Law Group, launched a comprehensive examination of the charges.

Ford O'Brien Landy LLP Hires Former Assistant U.S. Attorney as New Partner

Retrieved on: 
Monday, July 17, 2023
Seizure, Narcotic, Crime, Ford, Partner (business rank), Private practice, Government, United States Court of Appeals for the Fifth Circuit, United States Court of Appeals for the Armed Forces, Health care fraud, Environment, Cryptocurrency

NEW YORK, July 17, 2023 /PRNewswire/ -- Ford O'Brien Landy LLP, a white-collar defense and commercial litigation boutique law firm headquartered in New York City, is pleased to announce that Jamie Hoxie Solano has joined the firm as partner, effective July 12, 2023. Jamie will be based out of the firm's New York office.

Key Points: 
  • "As we continue our strategic growth, we are thrilled to welcome a talented and experienced former government professional like Jamie to the firm."
  • Jamie previously served as an Assistant U.S. Attorney for the Northern District of Texas and the District of New Jersey.
  • As a former Assistant U.S. Attorney in both Texas and New Jersey, she is in an excellent position to enhance our practice in both our New York and Austin offices," said Robert Landy, Managing Partner of Ford O'Brien Landy LLP's commercial litigation practice.
  • Ford O'Brien Landy LLP represents clients in commercial disputes, white collar criminal matters, and regulatory investigations, throughout all stages of litigation/arbitration and appeals.

Global Health Care Fraud, Enforcement and Compliance Guide 2021: Analysis of Corporate Integrity Agreements & Marketing and Pricing Fraud in the Pharmaceutical Industry, - ResearchAndMarkets.com

Retrieved on: 
Thursday, January 13, 2022
Legal, Professional Services, Health, Other Health, Congress, Harbor, Compliance, Safe harbor, Criminal law, Federal, Health care fraud, Law enforcement, Marketing, Corporate integrity agreement, Corporation, False Claims Act, Pharmaceutical industry, Medicaid

The "Health Care Fraud.

Key Points: 
  • The "Health Care Fraud.
  • Enforcement and Compliance" book has been added to ResearchAndMarkets.com's offering.
  • Health Care Fraud: Enforcement and Compliance is the most complete, essential and up-to-date guide for criminal and civil lawyers, law enforcement officials, health care providers and anyone interested in the health care industry.
  • Health Care Fraud: Enforcement and Compliance also includes detailed coverage of two important areas: compliance issues, including an analysis of Corporate Integrity Agreements; and marketing and pricing fraud in the pharmaceutical industry, including off-label, pricing, Medicaid rebate and kickback concerns.

SAS best in class in health care payment integrity, says Aite Group

Retrieved on: 
Wednesday, July 7, 2021
Articles, Business intelligence, Fraud, Crime, Contents, Healthcare in the United States, Crimes, Property crimes, Health care fraud, Analytics, SAS, Health care in the United States

Whether by inadvertent error or malicious fraud, payment integrity issues bleed an astounding $800 billion annually from the US health care system by some estimates.

Key Points: 
  • Whether by inadvertent error or malicious fraud, payment integrity issues bleed an astounding $800 billion annually from the US health care system by some estimates.
  • SAS analytics detect and prevent health care fraud, waste and abuse at every stage of the claims process, helping stop improper payments before claims are paid.
  • "Health care payers are on a quest to make informed decisions as they strive to optimize their claims processing and payment operations.
  • Aite Group notes SAS' core strengths include:
    Experience in fraud, waste and abuse (FWA) and health analytics.

AF Group Names Nina Burnett as Director of Investigative Services

Retrieved on: 
Wednesday, April 14, 2021
Fraud, Crime, Crimes, Property crimes, Articles, Insurance fraud, Insurance law, Health care fraud

b'LANSING, Mich., April 14, 2021 /PRNewswire/ -- AF Group\'s commitment to customers and to reducing workers\' compensation insurance fraud continues with the appointment of Nina Burnett as director of Investigative Services.

Key Points: 
  • b'LANSING, Mich., April 14, 2021 /PRNewswire/ -- AF Group\'s commitment to customers and to reducing workers\' compensation insurance fraud continues with the appointment of Nina Burnett as director of Investigative Services.
  • In her new role, Burnett will assume responsibility for Claim fraud strategies and related investigations for AF Group and its family of companies.\n"Our partnership with policyholders in protecting their businesses is paramount, and our investment in fraud prevention is critical to ensuring their success," said Paul Kearney, chief claims officer at AF Group.
  • "\nBurnett has more than 20 years of experience in investigating health care fraud and other complex fraud schemes.
  • Most recently, she was director of Health Care Investigations for Blue Cross Blue Shield of Michigan (BCBSM).

Fraud Case Brought By Whistleblower Nurses Results In Settlement In Home Health Case

Retrieved on: 
Monday, November 23, 2020
Fraud, Articles, Anti-corporate activism, Freedom of expression, Freedom of speech, Labour law, Whistleblower, Health care fraud, Human rights, Social issues

represents threehealthcare workers who blew the whistle on Florida-based home health agency Doctor's Choice Home Care, Inc. ("Doctor's Choice") resulting in a $5.8 million settlement.

Key Points: 
  • represents threehealthcare workers who blew the whistle on Florida-based home health agency Doctor's Choice Home Care, Inc. ("Doctor's Choice") resulting in a $5.8 million settlement.
  • The lawsuit is unsealed for the public, after the United States filed a notice of intervention and dismissal.
  • The whistleblowers are represented by Veronica Nannis, Sarah Chu and Jay Holland, who prosecute civil health care fraud cases nationwide.
  • They hope this encourages others to report fraud, especially the kind that affects patient care or risks patient health or safety."

Health Care Fraud Guide 2020: Focus on Enforcement and Compliance - ResearchAndMarkets.com

Retrieved on: 
Friday, November 20, 2020
Managed care, Health, Health sciences, Fraud, Health care, Health, Pharmaceutical industry, Pharmacology, Pharmacy, Health care fraud, Healthcare industry, Pharmaceuticals policy, Pharmaceutical fraud, Frank E. Sheeder III

The "Health Care Fraud.

Key Points: 
  • The "Health Care Fraud.
  • Enforcement and Compliance" book has been added to ResearchAndMarkets.com's offering.
  • Health Care Fraud: Enforcement and Compliance is the most complete, essential and up-to-date guide for criminal and civil lawyers, law enforcement officials, health care providers and anyone interested in the health care industry.
  • Health Care Fraud: Enforcement and Compliance also includes detailed coverage of two important areas: compliance issues, including an analysis of Corporate Integrity Agreements; and marketing and pricing fraud in the pharmaceutical industry, including off-label, pricing, Medicaid rebate and kickback concerns.

Constantine Cannon Announces $57 Million Whistleblower Settlement with the Largest Not-For-Profit Home Health Care Agency in the United States

Retrieved on: 
Friday, June 26, 2020
Fraud, Articles, Civil rights and liberties, Law, Health care fraud, Healthcare in the United States, False Claims Act, Whistleblower, Qui tam, James, Hoyer, Newcomer & Smiljanich, P.A.

This is the first reported False Claims Act settlement involving allegations of a home health agency failing to follow patient Plans of Care.

Key Points: 
  • This is the first reported False Claims Act settlement involving allegations of a home health agency failing to follow patient Plans of Care.
  • It also is the largest non-kickback False Claims Act settlement ever against a home health care company and the second largest settlement of any home health care fraud case.
  • Constantine Cannon has the world's largest international whistleblower practice , with offices in New York, Washington, D.C., San Francisco, and London.
  • Constantine Cannon 's experience spans across multiple practice areas that include antitrust and complex commercial litigation, whistleblower representation, government relations, securities, and e-discovery.

Shift Technology Joins National Health Care Anti-Fraud Association

Retrieved on: 
Thursday, April 2, 2020
Articles, Crime, Property crimes, Crimes, Health care fraud, Healthcare in the United States, Fraud deterrence, Fraud, Artificial intelligence, Healthcare industry

PARIS and BOSTON, April 2, 2020 /PRNewswire/ -- Shift Technology , a provider of AI-native fraud detection and claims automation solutions for the global insurance industry, today announced the company has joined the National Health Care Anti-Fraud Association (NHCAA) as a Platinum Member.

Key Points: 
  • PARIS and BOSTON, April 2, 2020 /PRNewswire/ -- Shift Technology , a provider of AI-native fraud detection and claims automation solutions for the global insurance industry, today announced the company has joined the National Health Care Anti-Fraud Association (NHCAA) as a Platinum Member.
  • As such, Shift joins with a significant number of the UnitedStates' leading health insurers and frontline government agencies committed to combating health care fraud.
  • The NHCAA is the leading national organization focused exclusively on the fight against health care fraud.
  • "We're incredibly proud to be part of the community that is working to effectively minimize the impact of fraud, waste and abuse on the health care industry," explained Jeremy Jawish, CEO and co-founder, Shift Technology.

Healthcare Fraud Shield announces AI-driven anomaly detection -- AIShield

Retrieved on: 
Tuesday, January 28, 2020
Fraud, HITRUST, Health care fraud, Articles, Health

CHESTERFIELD, Mo., Jan. 28, 2020 /PRNewswire/ -- Healthcare Fraud Shield (HCFS) is excited to announce the innovative new feature AIShield to its flagship FWAShield platform.

Key Points: 
  • CHESTERFIELD, Mo., Jan. 28, 2020 /PRNewswire/ -- Healthcare Fraud Shield (HCFS) is excited to announce the innovative new feature AIShield to its flagship FWAShield platform.
  • Karen Weintraub, Executive Vice President, explain, "Combating healthcare fraud is an ever-evolving challenge of identifying morphing behaviors and new fraud schemes using extraordinary large datasets.
  • Healthcare Fraud Shield ( www.hcfraudshield.com ), a HITRUST certified company, is one of the fastest growing providers of FWA systems in the healthcare industry.
  • By combining this cutting-edge technology with the most knowledgeable health care fraud prevention experts, Healthcare Fraud Shield is acknowledged as the most innovative and effective solution in the market today.