Tag: False Claims Act
HHS, DOJ pilot self-disclosure program for False Claims Act violations
October 26, 2026HME News Staff
WASHINGTON – The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice’s Civil Division have launched a six-month Healthcare False Claims Act Self-Disclosure Pilot Program for health care companies that voluntarily disclose potential civil violations of the federal False Claims Act.
Companies that meet the pilot’s requirements can resolve disclosed conduct through a coordinated civil release from liability under the federal False Claims Act and...
In brief: HHS’s fraud pilot, Dingell’s CRT letter, Medtrade’s registration
October 23, 2026HME News Staff
WASHINGTON – The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice’s Civil Division have launched a six-month Healthcare False Claims Act Self-Disclosure Pilot Program for health care companies that voluntarily disclose potential civil violations of the federal False Claims Act.
Companies that meet the pilot’s requirements can resolve disclosed conduct through a coordinated civil release from liability under the federal False Claims Act and...
Crown Medical agrees to $825K settlement for unnecessary DME
September 22, 2026HME News Staff
WASHINGTON – Crown Medical Solutions and its owners, Michelle and Philanzo King, have agreed to pay $825,000 to resolve allegations that they violated the False Claims Act by submitting false claims for payment to Medicare for durable medical equipment (DME), such as knee braces, heel stabilizers and back braces, according to the U.S. Department of Justice (DOJ). The government alleged that, from Nov. 1, 2017, through April 30, 2019, Crown and its owners billed Medicare for DME provided to...
In brief: Fraud resource center returns, Aetna settles claims, REMSleep names new CEO
March 13, 2026HME News Staff
WATERLOO, Iowa – VGM Government Relations has refreshed and reintroduced its Fraud, Waste & Abuse (FWA) Reporting Resource Center to help protect the integrity of the DMEPOS industry and reinforce its commitment to ethical, compliant care.
The enhanced online hub includes:
Direct links to every state’s fraud reporting system
CMS federal reporting tools and guidance
Educational content to help suppliers identify, prevent and report suspected FWA
Compliance resources for...
Aetna agrees to $117.7M settlement to resolve False Claims Act allegations
March 12, 2026HME News Staff
WASHINGTON – Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage plan enrollees to increase its payments to Medicare, according to U.S. Department of Justice.
The government alleges that Aetna:
Submitted inaccurate and untruthful patient diagnosis data to CMS to inflate the risk adjustment payments it received from CMS;
Failed to...
Kinex Medical Company agrees to pay $6.9M settlement
March 9, 2026HME News Staff
MILWAUKEE – Kinex Medical Company has agreed to pay $6.9 million to resolve allegations that it violated the False Claims Act by submitting false claims to Medicare, TRICARE, and other federal programs, according to the U.S. Attorney for the Eastern District of Wisconsin. Based in Waukesha, Wis., Kinex sells and distributes durable medical equipment (DME), including knee, shoulder, and hip braces, to patients across the United States. After receiving information from a whistleblower, the United...
Federal agencies unite to strengthen False Claims Act enforcement
July 8, 2025HME News Staff
WASHINGTON – The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) have formed a False Claims Act Working Group to strengthen their coordination and better advance priority enforcement areas.
As part of their work:
HHS shall make referrals to DOJ of potential violations of the FCA that reflect Working Group priorities. In addition to priority FCA matters previously announced by the Assistant Attorney General of the Civil Division, the Working...
In brief: Rhône to buy Invacare Holdings, Numotion to buy Motion & DOJ, HHS to target false claims
July 3, 2025HME News Staff
LONDON – Investment vehicles affiliated with Rhône, a transatlantic, middle-market private equity firm, have entered exclusive discussions to acquire a majority shareholding in both Invacare Holdings and Direct Healthcare Group (DHG).
The two companies have complementary capabilities and products lines in the design, manufacture and distribution of medical devices that support an individual’s mobility, safety and care.
“We are thrilled with this proposed...
Doctor agrees to settle fraud claims
September 16, 2024HME News Staff
WILMINGTON, Del. – Dr. Vishal Patel, a Wilmington, Del., physician, has agreed to pay more than $1 million to resolve allegations that he violated the False Claims Act by ordering medically unnecessary DME for patients covered by Medicare and the Federal Employees Health Benefits Program. According to the U.S. Attorney’s Office, District of Delaware, Patel allegedly referred patients for more than 1750 orthotic devices, including wrist, shoulder, knee, ankle, and back braces, even though...
In brief: Numotion resolves allegations, AdaptHealth taps new exec, FDA strengthens oversight
August 28, 2024HME News Staff
PHOENIX, Ariz. – United Seating and Mobility, d/b/a Numotion, has agreed to pay $13.5 million to resolve allegations that the company violated the federal False Claims Act.
The settlement resolves allegations by the United States that Numotion submitted false claims to Medicare and other federal health care programs for custom wheelchairs and wheelchair parts. According to the allegations, the claims were false because they were based on patient evaluations that were unlawfully...