Posts Tagged ‘whistleblower lawsuit’
Skilled Nursing Facility and Management Company Settle Kickback Case for Nearly $4M
A California skilled nursing facility and management company has agreed to pay nearly $4 million to settle allegations it paid kickbacks to physicians for referrals of patients on Medi-Cal and Medicare. From 2009 through 2019, Alta Vista Healthcare & Wellness Centre, under the direction and control of Rockport Healthcare Services, gave physicians extravagant gifts, including…
Read MoreThe U.S. Attorney’s Office Middle District of Florida Nets $168M in Battling Fraud in FY 2022
The U.S. Attorney’s Office Middle District of Florida collected $168,330,189 related to criminal and civil matters in the fiscal year ending Sept. 30, 2022. Of that, $103,089,821 represents total collections in criminal and civil actions. The office further breaks it down stating that $43,048,067 was recovered in locally handled cases — $17,769,638 in criminal and…
Read MoreElectronic Health Records Company Settles Civil False Claims Lawsuit for $45 Million
Modernizing Medicine Inc. (ModMed) has agreed to pay $45 million to resolve allegations it violated the False Claims Act (FCA). The Boca Raton-based electronic health record (EHR) technology vendor is alleged to have caused millions of dollars in claims to be submitted to the federal government by accepting and providing remuneration in exchange for referrals…
Read MoreLawsuit Alleges Cigna Upcoded Tens of Thousands of Medicare Advantage Claims
The U.S. Department of Justice has joined a whistleblower lawsuit accusing Cigna Corp. of overbilling Medicare Advantage by submitting false patient diagnosis information to inflate payments The lawsuit seeks damages and penalties under the False Claims Act. The whistleblower lawsuit originally was filed in 2017 in the United States District Court for the Southern District…
Read MoreAmerican Senior Communities Settles for $5.5 Million in FCA Case
Thanks to the work of a whistleblower, the U.S. Department of Justice recently settled with an Indiana-based skilled nursing and long-term care services company for $5.5 million to resolve allegations that it violated the False Claims Act. A former American Senior Communities (ASC) employee filed a whistleblower lawsuit in 2017 alleging that that ASC was…
Read MoreMedical Company Owner, Wife to Pay $600K in FCA Case
The owner of a Central Florida medical supply company and his wife recently agreed to pay $600,000 to resolve allegations that they participated in a scheme to defraud Medicare in violation of the False Claims Act. The case grew out of a whistleblower lawsuit initially filed in March 2014 by Jael Cancel, an employee of…
Read MoreUM to Pay $22M to Settle Whistleblower Lawsuits
The University of Miami recently agreed to pay $22 million to settle three whistleblower lawsuits alleging violations of the False Claims Act. The cases were first filed between 2013 and 2014. The government alleged that UM knowingly engaged in improper billing relating to its hospital facilities. Medicare regulations allow medical systems to convert physician offices…
Read MoreHigh Court Refuses to Take up Whistleblower Case That Relied on Statistical Analysis
Last month, the United States Supreme Court declined a request by a whistleblower to take up a case in which an appellate court affirmed a lower court’s dismissal of a $61.8 million False Claims Act case. The case, United States ex rel. Integra Med Analytics LLC v. Baylor Scott & White Health, alleged that Baylor…
Read MoreMedical Device Maker, Investment Firm Settle Whistleblower Lawsuit for $11.5M
A whistleblower lawsuit alleging that Therakos Inc. violated the False Claims Act by marketing a cancer treatment for uses not approved by the U.S. Food and Drug Administration has been settled for $11.5 million. The lawsuit was initially brought by two former Therakos Inc. employees in 2012. They will now split more than $2.75 million.…
Read MorePharma Giant to Pay $54M to Settle Whistleblower Complaint
Teva Pharmaceuticals earlier this month agreed to pay $54 million to settle a whistleblower lawsuit brought against it by two former sales representatives. Charles Arnstein and Hossam Senousy filed suit against the Israeli-based pharmaceutical company alleging it paid speaker fees to neurologists for participation in “sham†speaker programs in exchange for their prescribing the multiple…
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