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June 10, 2015 Healthcare Fraud

New York’s Westchester Medical Center to Settle FCA Violations for $18.8 Million

Illegal kickback cases can be the most factually-complex False Claims Act lawsuits to grace the desks of state and federal attorneys and investigators. Today’s case, which involves one of the most prestigious teaching hospitals in the United States, is certainly no exception – and even government officials referred to the […]
June 9, 2015 Contractor Fraud

Cemetery Restoration Company Lies About Veteran Ownership Status to Win Government Contracts

In a truly disheartening set of facts, California-based Veterans of the Land, Inc. allegedly falsely claimed status as a disabled veteran-owned small business, thereby making it eligible for certain government contracts expressly reserved for businesses owned and managed by disabled veterans of the U.S. military. In so doing, it unfairly […]
June 8, 2015 Healthcare Fraud

Georgia’s Irwin County Hospital Authority Settles False Claims Act Allegations for $520,000

In yet another alleged healthcare fraud scheme, a rural southern Georgia hospital has agreed to offer $520,000 to settle allegations of illegal kickbacks and unlawful referral schemes. The agreement helps to correct and deter such conduct on both the federal and state level, as the Georgia Medicaid system is set […]
June 3, 2015 Healthcare Fraud

The Hatch-Waxman FDCA Amendments vs. The False Claims Act: Where the Right to Innovate Meets Antitrust

In yesterday’s post, we introduced the idea of a ‘reverse payment settlement’ agreement as it relates to the delayed introduction of less-expensive, equally-effective generic medications into the American market. In sum, these agreements are entered into between branded pharmaceutical companies and generic drug makers in order to delay the competition […]
June 2, 2015 Healthcare Fraud

False Claims Act Lawsuit Takes Aim at ‘Reverse Payment Settlement’ Agreements

As we have covered extensively on this blog, there is no shortage of ways in which pharmaceutical companies and healthcare companies can conspire to cheat American taxpayers. Over the next two posts, we will explore a novel False Claims Act concept that takes aim at the notion of ‘reverse payment […]
June 1, 2015 Education Fraud

Embattled Corinthian College Shuts Down Amid Several False Claims Act Lawsuits

Recently, Corinthian College was slapped with a $30 million fine from the federal government for unlawfully inflating its graduation rates in order to lure students into taking out sizable student loans and thereafter failing to follow through with a quality, marketable education. The college was forced to close its doors […]
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 […]
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