October, 2015

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D.O.J. Announces $72.4 Million Settlement in False Claims Act/Stark Law Case Resolving a Decade of Litigation

The Health Law Firm

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law In a qui tam False Claims Act (FCA) case based on Stark Law violations, the United States Department of Justice (DOJ) and Tuomey Healthcare Systems, Inc. (Tuomey), reached a settlement of $72.4 million on October 16, 2015. This settlement put to rest a decade of litigation, including two trials and two US Fourth Circuit appellate decisions.

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Medicare Paid $171 Million for Ophthalmology Services Flagged by OIG for Questionable Billing

The Health Law Firm

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law According to the Department of Health and Human Services Office of Inspector General (OIG), Medicare paid a total of $171 million for ophthalmology services that now warrant further scrutiny. OIG flagged various providers as maintaining questionable billing practices for services rendered in 2012.

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Florida Board of Medicine Declares Arizona Homeopathic Doctor "Very, Very Dangerous"

The Health Law Firm

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law A doctor practicing homeopathic medicine was accused of administering a lethal dose of an unapproved drug to a toddler in Arizona. She was required to appear before the Florida Board of Medicine last Friday, October 9, 2015. It may seem odd that a doctor licensed and practicing medicine in Arizona would have to answer to the Florida Board of Medicine.

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Medicare Fraud Scheme Results in a Five-Year Prison Term for Owner of Orlando Health Care Clinic

The Health Law Firm

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law An Orlando health care clinic owner who engaged in a $2.4 million scheme to defraud Medicare will spend the next five years behind bars. Juan Carlos Delgado and his wife, Nereyda Infante, co-owners of the clinic, were charged with conspiracy to commit health care fraud.

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HIPAA Compliance: Can Your Organization Avoid Costly Government Penalties and Fines?

Colington Consulting was established in 2013 and helps organizations achieve HIPAA compliance and ensures clients stay current with the latest enforcement trends. We provide a full range of HIPAA compliance services and consulting. What separates us from our competitors is our knowledge of HIPAA compliance regulations and their application to each of our client’s particular scenarios and requirements.

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United States Appeals Court Determines District Court Did Not Err in Medicare Fraud Case

The Health Law Firm

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law The Fifth Circuit Court of Appeals upheld the convictions and sentences of defendant, Lawrence Dale St. John, and his son and employee, Jeffrey St. John, in a case involving Medicare fraud. The pair were convicted of conspiracy to commit health care fraud and 13 substantive counts of health care fraud.

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Adventist Health System to Pay $118.7 Million, One of the Largest Settlements in Health Care Fraud: Some Whistleblower is Going to Get Rich!

The Health Law Firm

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law Adventist Health System ("Adventist") recently reached a settlement with the United States government and four states, including Florida, totaling a whopping $118.7 million. A significant amount of that total--$47 million--is the result of allegations stemming from Florida Hospital Medical Group (owned by Adventist), and more than 30 Florida Hospitals throughout the state, including several central Flo

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