Weeden, C'Reda J
Courts have begun to address the use of computer models to predict and process other types of damages claims and found it to be an actionable abuse of computer models. In a recent case, a State court certified a class of GEICO policyholders who alleged that GEICO filtered their PIP claims ...
ALWAYS CONSULT THE CASES AND LAWS OF EACH PARTICULAR JURISDICTION AND AN ATTORNEY IN AND FAMILIAR WITH THE PARTICULAR JURISDICTION AND ITS LAWS, WHENEVER YOU TRY TO ADDRESS OR RESOLVE ANY LEGAL QUESTION. The information provided on this site is informational, only. We cannot represent, guarantee ...
On August 30, a California company that operates multiple healthcare providers agreed to pay $5 million to resolve claims that it violated the FCA and the California FCA by causing the submission of false claims to California’s Medicaid program. The government alleged that the company billed for...
“The Medicaid program is a valuable safety net, providing healthcare to some of the most vulnerable Americans,” said Acting US Attorney Joshua S Levy for the District of Massachusetts. “By deliberately failing to pay appropriate rebates to Medicaid, Nostrum used that program to divert resources...
Piedmont Healthcare has agreed to pay $16 million to the Department of Justice and State of Georgia to settle allegations by a whistleblower that it violated the False Claims Act and the Georgia False Medicaid Claims Act. The Atlanta-based nonprofit healthcare system was accused of improperly ...
to resolve allegations that the company violated the federal and North Carolina FCA The government alleged that the company fraudulently billed Medicaid for DME purportedly provided to individual Medicaid recipients, but the individuals never ordered or received the equipment; in some cases, the supposed...
These hospitalizations were drawn from 3 academic centers and 2 community hospitals in Massachusetts and Georgia. Hospitalizations were classified by reviewers as sepsis-positive if there was definite or possible infection and an increase in SOFA score by 2 or more points from baseline as a result ...
[47]House Bill 822, the Georgia Taxpayer False Claims Act, expands the scope of "false claims" beyond the limits previously existing under the Medicaid False Claims Act.[48]False claims liability is no longer confined to those who provide Medicaid-reimbursable services, and it extend...
Georgia physicians file lawsuit alleging that HMOs have not paid Medicaid claimstext editorEmerging Infectious Diseases