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May 27, 2015
Healthcare Fraud
Georgia Dermatology Practice Settles Illegal Kickback Allegations for $3.2 Million
The Department of Justice announced its latest healthcare fraud settlement involving Georgia-based Family Dermatology, P.C. According to the April 21, 2015, settlement, the practice was allegedly engaging in kickback schemes and improper financial arrangements between itself and several physicians in the local area. The company owns not only a dermapathology […]
May 26, 2015
False Claims Act Legal News
UPS Settles False Claims Allegations for $25 Million
The Department of Justice issued a groundbreaking press release involving a recent settlement with United Parcel Service, the national logistics company. The May 19, 2015, press release details several allegations involving false billing and invoicing for delivery services. While UPS is primarily known for its on-ground delivery system, the False […]
May 15, 2015
Healthcare Fraud
Five California Ambulance Companies Settle Fraud Allegations for $11.5 Million
On May 4, 2015, the U.S. District Court Southern District of California unsealed a lawsuit filed by a whistleblower alleging illegal kickbacks involving five California ambulance companies and thousands of government healthcare enrollees transported by said companies. Allegedly, the misconduct began in 2009 and involved several serious violations of the […]
May 14, 2015
Healthcare Fraud
UPDATE: DaVita Health Settles Allegations of Medicare Fraud for $495 Million
On the heels of its recent $350 million illegal kickback settlement with the Department of Justice, Denver’s DaVita Healthcare Partners, Inc. has opted to set aside another $495 million to settle additional claims under the False Claims Act involving fraud against government health insurer Medicare. The claims arose thanks to […]
May 12, 2015
Healthcare Fraud
Manhattan District Attorney Announces $60 Million Settlement With Accredo Over Illegal Kickbacks
In a somewhat alarming set of facts, self-proclaimed promoter of “specialty pharmacy solutions” Accredo has agreed to pay $60 million to resolve claims that it engaged in unlawful kickbacks with pharmaceutical company Novartis, Inc. According to the details of the settlement, which were recently unsealed by U.S. District Judge Colleen […]
May 11, 2015
Healthcare Fraud
Medical Center of Central Georgia to Settle Allegations of Illegal Upcoding for $20 Million
Illegal billing practices are one of the most common components of a False Claims Act lawsuit. Oftentimes, healthcare facilities engage in years’ worth of fraudulent billing practices before a courageous whistleblower comes forward with allegations of misconduct. At that time, the federal government may opt to intervene in the matter […]
May 8, 2015
Healthcare Fraud
Office of Inspector General Offers Guidance in Addressing Healthcare Fraud Risk
In yesterday’s post, we introduced a recent effort by the U.S. Department of Health and Human Services’ Office of Inspector General, along with several healthcare advocacy groups and agencies, designed to inform and educate healthcare governing boards as to the importance of maintaining thorough compliance measures. We looked at the […]
May 7, 2015
Healthcare Fraud
Office of Inspector General Offers Guidance in Avoiding Illegal Billing Practices
On April 20, 2015, the DHHS OIG, along with the Association of Healthcare Internal Auditors, the American Health Lawyers Association, and the Healthcare Compliance Association, published a first of its kind educational manual designed to help boards avoid the costly and dangerous practices of upcoding, illegal billing, and submitting false […]
May 6, 2015
Grant Fraud
Vancouver’s nLight Photonics, Inc. to Settle Allegations of Grant Fraud for $420,000
Federal grant money can be used in a variety of ways, including research, product development, enhancement of programs, and to fund projects calculated to benefit the public interest. However, grant funds are a limited source funded by taxpayers and are subject to strict eligibility and award criteria. Not only that, […]
May 5, 2015
SEC Fraud
The SEC’s Whistleblower Awards Program Has Proven to be a “Game Changer”
SEC Chairwoman Marry Jo White in a speech on April 30, 2015 noted that “[t]he program, while clearly developing, has proven to be a game changer.” White noted the increasing volume and quality of tips as well as the powerful incentives to come to the SEC with evidence of wrongdoing. […]
May 5, 2015
Healthcare Fraud
Florida Fertility Clinic Settles Upcoding Allegations With Department of Justice
The Jacksonville Center for Reproductive Medicine (JCRM) recently settled with the Department of Justice amid allegations it billed the government for fertility services at rates above and beyond those allowable under TRICARE guidelines.
May 4, 2015
Healthcare Fraud
Health Labs Agrees to Pay $48.5 Million to Settle Allegations of False Claims
In yet another case of healthcare fraud, Richmond, Virginia-based Health Diagnostics Laboratory and Alameda, California-based Singulex, Inc. have agreed to pay a combined $48.5 million to settle allegations of rampant False Claims Act violations. The case involves two issues under the False Claims Act. First, the labs are alleged to […]
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