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January 23, 2014 Healthcare Fraud

Novartis Pharmaceuticals Facing Healthcare Fraud Claims

As we have discussed in previous posts, the U.S. government has taken a hardline approach against unlawful kickback schemes within the healthcare industry. The government continues to prosecute companies found to be engaging in these schemes and continually reiterates its position that “[i]nvestigations such as these are a high priority […]
January 22, 2014 Healthcare Fraud

Highest-Grossing False Claims Act Cases of 2013

In Fiscal Year 2013, the False Claims Act recovered $3.8 billion in judgments and settlements – the highest amount ever in a single year. Many of these cases involved healthcare fraud; however, some interesting cases revealed that fraud can abound in virtually any area or industry. The following lists the […]
January 21, 2014 Healthcare Fraud

Whistleblower Wins $3.26 Million After Pursuing Kickback Fraud Case

At the heart of medical ethics lies the presumption that patients should be able to choose their doctor, course of treatment, and medical care without outside influence by self-interested parties. This ethic guides an important policy prohibiting unlawful kickbacks between doctors and pharmaceutical companies, which is enforced under the False […]
January 20, 2014 Healthcare Fraud

South Florida Clinic to Pay for Using Unqualified Medical Personnel

The False Claims Act is drafted to prevent unlawful advancements of money from the federal government to contractors or entities doing business on behalf of federal programs. In recent years, one of the most frequent victims of fraud under the FCA is the Medicare program, which provides healthcare coverage for […]
January 17, 2014 Healthcare Fraud

Hospital Settles False Claims Act Case Alleging Improper Physician Salary Guarantees

Historically, the False Claims Act came about in response to improper claims for reimbursement under wartime defense contracts. However, the modern FCA is most often used to recover funds disbursed pursuant to unlawful invoices for healthcare services submitted to Medicare and Medicaid. In fact, healthcare fraud recovery is the largest […]
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