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September 29, 2015 Healthcare Fraud

Adventist Health System Pays Massive $118 Million False Claims Act Settlement

In yet another case of illegal kickbacks and unlawful referrals, Florida-based Adventist Health System has agreed to pay $118 million to the federal government pursuant to several successful whistleblower actions filed by former employees of the corporation. Adventist is a non-for-profit healthcare corporation that manages facilities in ten states. According […]
September 28, 2015 Customs Fraud

Aluminum Importer Agrees to Settle False Claims Act Allegations Over Import Duties

In a recent settlement under the False Claims Act, two individuals have agreed to pay $435,000 to resolve allegations they “skirted” their obligation to pay duties on aluminum extrusions imported from Chinese aluminum manufacturer Tai Shan Golden Gain Aluminum Products. The defendants, who hail from New Jersey and Texas, will […]
September 25, 2015 False Claims Act Information

4 Common Defenses Raised in False Claims Act Lawsuits

As a potential whistleblower, it is important to recognize the common defenses raised by defendants as they attempt to avoid massive penalties, fines, and negative publicity. If you are considering a whistleblower lawsuit, you may be concerned by the prospect of taking on a large, multi-national conglomerate as an individual […]
September 24, 2015 Healthcare Fraud

North Broward Hospital District Agrees to Pay $69 Million to Settle Claims of Illegal Kickbacks

The False Claims Act – and its companion statute, the Stark Law – expressly forbid hospital corporations from offering any sort of kickback or incentive in exchange for patient referrals or recommendations of certain products. These rules stem from the notion that patients should receive medical advice untainted by a […]
September 23, 2015 Healthcare Fraud

Columbus Regional Health System Settles False Claims Act Allegations for $35 Million

The Columbus Regional Health System, which maintains several hospitals, clinics, and a retirement community in the Columbus, Georgia area, has agreed to pay $35 million to settle allegations that it offered lucrative kickbacks and incentives to physicians in violation of the False Claims Act and Stark Law. Both laws prohibit […]
September 22, 2015 False Claims Act Information

Department of Justice Issues Guidance to Federal Prosecutors Working in Corporate Fraud Investigations

The Department of Justice has been concerned with the rising trends of healthcare, defense, and contractor fraud against the U.S. government. Many of these cases involve large corporate conglomerates with multinational field offices and a global presence. Investigating and prosecuting these complex entities under the False Claims Act and other […]
September 21, 2015 Medicaid Fraud

Tennessee Hospice Center to Pay $1.5 Million to Resolve Allegations of Medicaid Fraud

In today’s case, we look at the Nashville-based nonprofit hospice center Alive Hospice, who is alleged to have admitted patients who did not meet the criteria for hospice coverage, and to have intentionally defrauded the government by submitting claims on behalf of these patients. While Alive Hospice representatives publicly disagreed […]
September 18, 2015 False Claims Act Information

Fraud Against the Government and the False Claims Act: 5 Common Red Flags

The False Claims Act got its start in the Civil War era after dozens of wayward contractors acquired substantial sums of money from the government despite delivering subpar (or nonexistent) supplies to soldiers. Since then the Act has been applied to virtually every industry in the United States, resulting in […]
September 17, 2015 Healthcare Fraud

Georgia Optometrist Settles Allegations of False Billing and Upcoding for $275,000

State and federal guidelines impose strict billing requirements when it comes to routine eye care. Unlike many private insurance plans, coverage under Medicare or Medicaid generally provides reimbursement for vision services, provided the optometrist engages in medically necessary procedures. Today we’ll review a whistleblower case filed in 2014 against optometrist […]
September 16, 2015 Mortgage Fraud

Walter Investment Management Corporation Settles Mortgage Fraud Case for $29 Million

In yet another mortgage fraud case, Walter Investment Management Corporation (Walter Investment) has agreed to pay over $29 million to resolve allegations it falsely certified residential home mortgages under the Department of Housing and Urban Development’s (HUD) Home Equity Conversion Mortgage (HECM)[1] program. The alleged scheme was uncovered following a […]
September 15, 2015 Contractor Fraud

Parsons Infrastructure & Technology Group Settles Allegations of Contractor Fraud for $3.8 Million

The Savannah River Site is a nuclear facility built in the 1950s and maintained by the federal government via several contracts with engineering and environmental firms. According to its mission statement, the site is “a key Department of Energy (DOE) industrial complex responsible for environmental stewardship, environmental cleanup, waste management […]
September 14, 2015 Healthcare Fraud

K-Mart Pharmacy Accused of Defrauding Medicare; Settles for $1.4 Million

Much like healthcare providers are prohibited from providing kickbacks to  doctors and patients, pharmacies are likewise prohibited from inducing potential customers by offering financial incentives to choose one dispensary over another. In essence, the government seeks to ensure Medicare enrollees are free to choose the pharmacy of their liking without […]
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