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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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Physicians Group Services Fined by DOJ, Florida AG and HHS for Alleged False Urine Test Claims

Physicians Group Services, P.A. (PGS) has reached a settlement with the U.S. and Florida to resolve allegations that it submitted false or fraudulent claims to the Florida Medicaid Program. The allegations arose from a coordinated investigation by the U.S. Attorney’s Office for the Middle District of Florida, the federal Department of Health and Human Services,…

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Retail Energy Companies Resolve Regulatory Actions in Massachusetts, Pennsylvania

Massachusetts AG Maura Healey has reached a settlement with retail electricity supplier Utility Expense Reduction, LLC to resolve allegations that UER knowingly failed to make payments under the state’s renewable and clean energy programs, in violation of the state False Claims Act, Consumer Protection Act, and environmental statutes. Massachusetts law requires retail electricity companies to…

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