Tag Archives: Alleged

Najee Clarke, 24, Struck by Alleged DUI Driver; Justice for Family?

Najee Clarke Rear-Ended by Alleged DUI Driver, Passes Away From Injuries. (Stock Photo: MurrayLegal.com) Gwinnett County News A motor vehicle accident involving multiple vehicles tragically resulted in the death of a young man early Saturday morning, May 11, 2019. According … Continue reading

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false advertising claim based on alleged misbranding of drug as supplement fails

Amarin Pharma, Inc. v. Int’l Trade Comm’n, Nos. 2018-1247, 2018-114, 2019 WL 1925649, — F.3d – (Fed. Cir. May 1, 2019)The court of appeals upheld the ITC’s decision not to institute an investigation into Amarin’s complaint of an unfair method … Continue reading

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Pennsylvania Operating Officer Charged Along With Her Husband With Mail Fraud, Embezzlement from Healthcare Benefit Program for Alleged False Reimbursement Expenses

Given that hospital employees are paid essentially out of government healthcare and insurance funds, cases involving hospital officers and key employees are often prosecuted in a higher profile and federal manner than other types of businesses. In addition, government employees … Continue reading

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Sutter Health LLC, a Medicare Advantage Provider, Pays $30 Million To Settle Alleged Overpayment Based on Beneficiaries' Health Status Risk Scores

It is not just fee-for-service providers that have audits and civil qui tam cases. Managed healthcare is facing review as well. Even providers who are paid capitation fees should be mindful of the codes submitted to managed care. A recent … Continue reading

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Sacramento Area Neurosurgeon Charged With Workers' Compensation Fraud and Insurance Fraud For Alleged Upcoding and Ghost Billing For Services Not Provided

On April 9, 2019, Dr. Laura Anderson, a neurosurgeon from Carmichael, California, was charged with multiple counts of medical insurance fraud, workers’ compensation fraud, and grand theft. A felony complaint is not evidence and Dr. Anderson is presumed innocent.The prosecution … Continue reading

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