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Tag: settlement


Vendors

Philips settles allegations of induced referrals 

September 26, 2022HME News Staff

PITTSBURGH – Philips RS North America, formerly known as Respironics, has agreed to pay $1.28 million to settle allegations that it unlawfully induced referrals for its equipment in violation of the False Claims Act and Anti-Kickback Statute, the Department of Justice has announced.  The government specifically alleged that, between December 2015 and December 2016, Respironics helped a DME supplier procure a twelve-month, interest-free loan that was fully guaranteed by Respironics....

Philips, Referrals, settlement


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Vendors

Respironics settles for $24M 

September 1, 2022HME News Staff

PITTBURGH – Philips Respironics has agreed to pay more than $24 million to resolve False Claims Act allegations that it misled federal health care programs by paying kickbacks to DME suppliers, the U.S. Department of Justice has announced.  The settlement resolves allegations that Respironics caused DME suppliers to submit claims for ventilators, oxygen concentrators, CPAP and BiPAP machines, and other respiratory related medical equipment that were false because the company provided...

False Claims Act, Philips Respironics, settlement


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Also Noted

Gov’t settles with SuperCare

August 30, 2021HME News Staff

OAKLAND, Calif. – California Attorney General Rob Bonta has announced a $3.31 million settlement against SuperCare Health for allegedly billing Medicare and Medi-Cal for servicing ventilators that were no longer necessary. The proposed settlement resolves allegations that the Downey-based company submitted fraudulent claims to Medi-Cal in violation of the state and federal False Claims Act. Per the proposed settlement, SuperCare will pay $3.31 million to multiple government plaintiffs, with...

settlement, SuperCare Health, ventilators


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Also Noted

OMHA expands eligibility for settlements

August 13, 2020HME News Staff

WASHINGTON - The Office of Medicare Hearings and Appeals has extended the eligibility requirements to participate in a Settlement Conference Facilitation to appeals filed on or prior to March 31, 2020, that are pending at the administrative law judge hearing or Medicare Appeals Council review level, AAHomecare and the van Halem Group report. CMS launched the Settlement Conference Facilitation pilot program in July 2014 as an alternate dispute resolution process designed to bring the appellant and...

Audits, Eligibility, settlement


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Vendors

ResMed, gov't finalize settlement

January 15, 2020HME News Staff

WASHINGTON - ResMed has agreed to pay more than $37.5 million to resolve alleged False Claims Act violations for paying kickbacks to DME suppliers, sleep labs and other healthcare providers, the Department of Justice announced today.David Pendarvis, the company's chief administrative officer and global general counsel, said in a statement that the settlement was in the best interest of its customers, investors, employees and patients.“ResMed has not violated any laws,” he stated. “Its...

ResMed, settlement


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Also Noted

Lincare pays $5.25M to resolve allegations

August 21, 2018HME News Staff

CLEARWATER, Fla. - Lincare has paid $5.25 million to resolve allegations that it violated the federal False Claims Act and the Anti-Kickback Statute by offering illegal price reductions to Medicare beneficiaries, according to the U.S. Attorney's Office for the Southern District of Illinois. The government alleged that, from 2011 to 2017, Lincare attempted to gain a competitive advantage in the market by unlawfully waiving or reducing co-insurance, co-payments and deductibles for beneficiaries who...

Anti-Kickback Statute, False Claims Act, Lincare, settlement


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Providers

Rotech agrees to pay $9.68M

April 13, 2018HME News Staff

CLEARWATER, Fla. - Rotech Healthcare has agreed to pay $9.68 million for submitting false claims for portable oxygen contents to Medicare, according to an April 12 press release from the Department of Justice.As part of the settlement, Rotech admitted to billing portable oxygen contents to Medicare for beneficiaries who did not use or require them. Additionally, the company admitted to billing Medicare regardless of whether such contents were delivered, the release states.“This settlement serves...

False Claims Act, Lawsuit, Rotech, settlement, whistleblower


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Specialty Providers

Sleep clinic agrees to pay $2.6M for dual role

December 30, 2016HME News Staff

SAN JOSE, Calif. - Bay Sleep Clinic and its related businesses have agreed to pay $2.6 million to settle allegations that they were involved in both the diagnosis and treatment of sleep patients, a violation of Medicare rules and regulations.The government charged Bay Sleep Clinic and its related businesses—Qualium Corp., which operates 20 sleep clinics, and Amerimed Corp., which does business as Amerimed Sleep Diagnostics and Amerimed CPAP Specialist—with fraudulently billing Medicare...

False Claims Act, settlement, Sleep Therapy


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Vendors

Philips, Masimo settle lawsuits

November 8, 2016HME News Staff

AMSTERDAM and IRVINE, Calif. - Royal Philips and Masimo have entered into a business partnership agreement that ends all pending lawsuits between the two companies.As part of the agreement, Philips is released from having to pay a $467 million jury verdict that was awarded to Masimo in October 2014. Instead, it will pay $300 million to Masimo in the fourth quarter, and will make certain marketing and product integration commitments over the coming years.“I am very satisfied that we have reached...

Lawsuit, Masimo, Patient monitoring, Philips, settlement


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Specialty Providers

National contract supplier to pay $12M settlement

September 8, 2016HME News Staff

NEWARK, N.J. - U.S. Healthcare Supply, a national contract supplier for mail-order diabetes supplies, and two of its executives have agreed to pay the government more than $12.2 million to resolve allegations that they violated the False Claims Act.The settlement resolves allegations that U.S. Healthcare Supply and Oxford Diabetic Supply, both based in Milford, N.J., set up and controlled a fictitious entity to make unsolicited telephone calls to Medicare beneficiaries to sell them DME. The companies...

False Claims Act, settlement, U.S. Healthcare Supply


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