Tag Archives: Fraud

False Claims Act Settlements and Judgments Exceed $2.68 Billion

Medical Fraud Exposed

Wow! The False Claims Act exceeded $2.68 billion in settlements and judgments in 2023. Settlements and judgments under the False Claims Act exceeded $2.68 billion in the fiscal year ending Sept. 30, 2023, Acting Associate Attorney General Benjamin C. Mizer and Civil Division Principal Deputy Assistant Attorney General Brian M. Boynton announced today. The government and whistleblowers were party to 543 settlements and judgments, the highest number of settlements and judgments in a single year. Recoveries since 1986, when Congress substantially strengthened the civil False Claims Act, now total more than $75 billion. “Protecting taxpayer dollars from fraud and abuse is … Read More

HealthWatch Pain clinics made millions from “unnecessary” injections into “human pin cushions”

Medical Fraud Exposed

Michelle Shaw and her fiancé, Thomas Truss, said in interviews that Pain MD clinics turned patients into “human pin cushions,” requiring them to agree to unnecessary injections near their spines each month or be discharged. The unnecessary injections made many patients feel like "human pin cushions.” These unnecessary injections transformed Shaw and others into "human pin cushions," a term frequently used during the trial. Shaw begrudgingly accepted the injections so she would not lose access to her painkiller prescriptions, but Truss said he refused the injections and was “kicked out”. Unnecessary injections left patients feeling like “human pin cushions" and … Read More

Health Care Fraud – FBI

Medical Fraud Exposed

Health care fraud can be committed by medical providers, patients, and others who intentionally deceive the health care system to receive illegal benefits or payments. Health care fraud is not a victimless crime. It affects everyone—individuals and businesses alike—and causes tens of billions of dollars in losses each year. It can raise health insurance premiums, expose you to unnecessary medical procedures, and increase taxes. The FBI is the primary agency for investigating health care fraud for both federal and private insurance programs.  See More

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Advanced Pain Management (“APM”) Agree to Pay $1 Million to Resolve Allegations They Violated the False Claims Act and Anti-Kickback Statute

Medical Fraud Exposed

United States Attorney Matthew D. Krueger announced today that Advanced Pain Management (“APM”) has agreed to pay $1 million to settle claims asserting violations of the False Claims Act by paying kickbacks and by performing medically unnecessary laboratory tests. APM is a collection of companies including Advanced Pain Management Holdings, Inc. (“APMH”), its wholly-owned subsidiaries APM Wisconsin MSO and Advanced Pain Management LLC, and Advanced Pain Management S.C. (“APM SC”).  Read More

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