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January 29, 2015 Healthcare Fraud

Daiichi Sankyo to Pay $39 Million to Settle Unlawful Kickback Claims

The False Claims Act contains certain restrictions pertaining to kickbacks offered to physicians treating patients enrolled in government healthcare programs, including Medicare and Medicaid. The anti-kickback provisions prohibit any doctor from receiving – or any pharmaceutical company from offering – incentives or benefits in exchange for the provider’s agreement to […]
January 28, 2015 Healthcare Fraud

St. Helena Hospital Settles Medicare Fraud Allegations for $2.25 Million

According to a recent press release from the U.S. Department of Justice, a California-area hospital has agreed to pay $2.25 million to settle claims it unlawfully submitted false claims to the government for reimbursement on behalf of Medicare patients. Like many healthcare claims, the allegations against St. Helena Hospital involve […]
January 27, 2015 Healthcare Fraud

The Medical College of Wisconsin Settles False Claims Act Allegations Over Neurosurgeries

In a somewhat harrowing set of facts, the Medical College of Wisconsin – located in Milwaukee – is alleged to have allowed medical residents the opportunity to perform neurosurgery on patients without proper supervision from teaching physicians. The case, which recently settled for $840,000, came about following the filing of […]
January 21, 2015 Healthcare Fraud

Pennsylvania-Based Easton Hospital to Pay $662,000 to Settle False Claims Act Allegations

In January 2015, two parent companies of the Pennsylvania-based Easton Hospital agreed to pay $662,000 to settle claims of false billing and unlawful practices involving Medicare and Medicaid patients. Northampton Hospital Co. LLC and Northampton Hospital Corp. agreed to the settlement following the filing of a formal complaint under the […]
January 15, 2015 Healthcare Fraud

Using Confidential Patient Information to Support a Qui Tam Case: What’s Allowed?

Patient records are considered highly confidential and are protected from unlawful dissemination by the Health Insurance Portability and Accountability Act of 1996 (“HIPPA”). However, in light of a healthcare fraud-based False Claims Act allegation, how do patient confidentiality laws intersect with the rights of plaintiffs to expose healthcare facilities alleged […]
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