Seventh Circuit: No Fraud in Billing Medicaid More than Private Insurers for Drugs

Last Wednesday the Seventh Circuit affirmed the dismissal of a whistleblower suit brought by a pharmacist against his former employer, the Shopko pharmacy chain, for what he alleged was fraudulent billing of Medicaid by Shopko stores across the nation. Carl Thulin’s theory was imaginative—and complicated.  …

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U.S. Accuses NYC of Massive Fraud in Program for Developmentally Challenged Toddlers

It’s the city that never sleeps.  So when it does something, it can do it in a big way.  That applies to Medicaid fraud, according to a suit filed yesterday by the U.S. Attorney for the Southern District of New York. The city also has a tough-as-nails reputation.  So maybe we shouldn’t be too surprised …

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KENTUCKY HOSPITAL PAYS $41 MILLION TO SETTLE FRAUD CHARGES

Yesterday Kentucky’s largest hospital, King’s Daughters Medical Center, in Ashland, announced its agreement to pay $40.9 million to settle charges that it committed Medicare and Medicaid fraud by billing for coronary procedures that were unnecessary and by falsifying medical records related to those …

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