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June 24, 2015
Healthcare Fraud
NJ MedCare and NJ Heart Pays Millions to Resolve Illegal Billing Allegations
Following a lengthy False Claims Act investigation by the Department of Justice and Department of Health and Human Services, a New Jersey health network has agreed to pay $3.6 million to settle allegations it unlawfully billed Medicare and Medicaid for various unnecessary or underperformed procedures. Healthcare providers are only permitted […]
June 23, 2015
Healthcare Fraud
Florida’s ‘MediMix’ Settles False Claims Act Allegations
The federal and state governments expend billions of dollars annually to ensure this nation’s older and impoverished citizens have access to proper and affordable medical care through Medicare and Medicaid. In return, the government relies upon practitioners and healthcare companies to offer the lowest possible rates and fairest prices for […]
June 22, 2015
Healthcare Fraud
Medco Agrees to Settle ‘Disguised Discounts’ Allegations
Under the False Claims Act, it is considered unlawful for businesses or practitioners engaged in the healthcare field to engage in incentivized financial relationships with one another. The concept, often referred to as an illegal kickback, is considered unlawful due to the ‘taint’ it places on the doctor-patient or manufacturer-consumer […]
June 19, 2015
Contractor Fraud
UPDATE: Guardrail Manufacturer Trinity to Pay $633 Million in Fines and Penalties
Over the past several months, we have steadily reported on the plight of Texas-based Trinity Industries, manufacturer of – among other things – guardrails for installation on roadways across the United States. Pursuant to a lucrative contract with the National Highway Traffic Safety Administration (NHTSA), the company was tasked with […]
June 18, 2015
Medicaid Fraud
Atlanta Dentist to Pay Over $320,000 to Settle Allegations of Improper Medicaid Billing
Healthcare fraud cases are not limited solely to medical doctors. Misconduct among dentists and oral surgeons is also a major issue plaguing government-funded healthcare programs. In today’s case, we review a recent instance of healthcare fraud involving an Atlanta-area dentist alleged to have submitted false claims to Medicaid for procedures […]
June 17, 2015
Military Contractor Fraud
UPDATE: SCOTUS Holds in Favor of Kellogg, Brown & Root; Rejects Applicability of the Wartime Suspension of Limitations Act
In yesterday’s post, we reviewed the arguments presented to the U.S. Supreme Court both for and against the applicability of the Wartime Suspension of Limitations Act (WSLA), which works to extend statutes of limitations in times of war. The case involved allegations against Kellogg Brown & Root by a False […]
June 16, 2015
Military Contractor Fraud
UPDATE: U.S. Supreme Court Sheds Rare Light on Application of the Wartime Suspension of Limitations Act in False Claims Cases
Over the past two years, we have monitored the procedural milestones of a closely-watched False Claims Act case involving the global defense contractor Kellogg Brown & Root Services, Inc. Based in Houston, Texas, the firm provides logistical support and engineering services to both private companies and the federal government, including […]
June 15, 2015
Contractor Fraud
Global Computer Enterprises, Inc. Agrees to Pay $9 Million to Settle False Claims Act Allegations
While healthcare fraud continues to remain one of the top issues facing the federal government’s H.E.A.T. task force, fraud involving technology and government contracting also sits atop the list of major affronts to taxpayers and government budgets. Just recently, the U.S. Department of Justice announced a $9 million settlement with […]
June 12, 2015
Mortgage Fraud
First Tennessee Bank Agrees to Staggering Quarter-Billion Dollar Mortgage Fraud Settlement
Mortgage fraud continues to plague the government’s anti-fraud task forces, notwithstanding the widespread 2008 economic downturn caused in part by various residential underwriting antics by big name lenders. Having apparently not learned the lesson, Nashville-based First Tennessee Bank recently settled similar claims of mortgage fraud for a whopping $212 million, […]
June 11, 2015
Healthcare Fraud
Two Wheelchair Companies Settle Allegations of Medicare Fraud
Power mobility is one of the most costly medical devices currently allowable under Medicare and Medicaid guidelines. However, for patients who truly need this type of assistance, the help of a power wheelchair means the difference between a full and active lifestyle versus a purely homebound existence. As such, Medicare […]
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 […]
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