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$1.45 Million Settlement is a Bitter Pill to Swallow

North Carolina AG Josh Stein settled with Med First Immediate Care and Family Practice, P.A. to resolve False Claims Act allegations that the clinic operated as a “pill mill” for opioid prescriptions. According to the AG’s office, Med First allegedly filed false claims with Medicare and Medicaid for unnecessary testing, office visits that did not…

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NAAG and NASCO Convene to Discuss Challenges Facing Nonprofits, Benefits of Collaboration

On Wednesday, October 11, the National Association of Attorneys General (NAAG) and the National Association of State Charity Officials (NASCO) convened virtually at their 2023 annual conference to discuss the challenges facing the nonprofit sector and how regulators are working to support the sector, while preserving the public’s trust in these important organizations.

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Medi-Cal Fraud Settlements Net $68 Million

California AG Rob Bonta, in partnership with the DOJ, settled with four health care providers to resolve allegations that they violated state and federal False Claims Acts through the submission of fraudulent claims to Medi-Cal, California’s Medicaid program. According to AG Bonta, the allegedly fraudulent submissions were part of a scheme to wrongfully retain federal…

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Healthcare Provider Settles with Virginia AG for $3 Million to Resolve Fraudulent Medicare Billing Allegations

Virginia AG Jason Miyares reached a settlement with 1st Adult & Pediatrics Healthcare Services, Inc. to resolve allegations that the company violated the False Claims Act by submitting fraudulent billing to Virginia’s Medicaid program. AG Miyares alleges that 1st Adult & Pediatrics routinely billed Virginia Medicaid for reimbursements for services that were not provided, including…

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Medical Equipment Manufacturer Pays Out $24 Million to States and Federal Government to Resolve Health Care Fraud Allegations

A bipartisan coalition of eight AGs and the federal government settled with Phillips RS North America LLC (formerly known as Respironics Inc.), a medical equipment manufacturer, to resolve allegations that the company violated the federal False Claims Act and state false claims statutes by paying kickbacks to its suppliers to submit false claims to Medicaid.…

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