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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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August 4, 2015
Healthcare Fraud
UPDATE: Georgia Hospital Settles Amid Allegations of Unlawful Kickbacks in Exchange for Obstetric Referrals
In 2014, we covered the government’s decision to intervene in a False Claims Act lawsuit involving several Central Georgia-area hospitals and possible Medicaid fraud. As a bit of review, the case involved several hospitals, including Tenet Healthcare, Health Management Associates, and Clinica de la Mama, an OB/GYN facility geared toward […]
July 30, 2015
Healthcare Fraud
Multiple Whistleblower Lawsuits Against Novartis Could Amount to $3 Billion in Fines and Penalties
In one of the largest potential whistleblower settlements[1. http://taf.org/blog/costly-kickbacks-novartis-potentially-faces-3-billion-fines] to date, drug maker Novartis is facing a staggering $3.35 billion in fines and penalties from the Department of Justice over two of its best-selling prescription medications: Exjade and a treatment for kidney transplant patients. In a separate concurrent whistleblower lawsuit against the […]
July 29, 2015
Healthcare Fraud
AstraZeneca & Celaphon to Pay Whopping $54 Million to Settle Claims of Fraud Against Medicaid
In today’s case, we examine a recent False Claims Act settlement involving the Medicaid drug rebate program. The drug rebate program[1. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Medicaid-Drug-Rebate-Program.html] is essentially a partnership between the Center for Medicare and Medicaid Services (CMS), state Medicaid offices, and private drug manufacturers. Generally, private drug manufacturers are offered the opportunity to […]
July 28, 2015
Healthcare Fraud
UPDATE: Tuomey Healthcare System Loses Appeal; Owes Quarter-Billion in False Claims Act Verdict
In 2013, we covered a historic False Claims Act verdict entered by the U.S District Court for the District of South Carolina against Tuomey Healthcare System. In that case, a whistleblower-physician alleged that the company was requiring doctors to agree to referral schemes that violated both the False Claims Act […]
July 24, 2015
Healthcare Fraud
Indianapolis Health Network Agrees to Settle False Claims Act Allegations for $20 Million
When it comes to reimbursement for surgical procedures, Medicare and Medicaid maintain strict guidelines with regard to the location of the surgery and whether it took place in a hospital or independent facility. Recognizing that hospitals have a much higher overhead rate, and generally cost more to operate and maintain, […]
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