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April 21, 2015 Healthcare Fraud

DOJ’s Motion to Reopen PharMerica Whistleblower Case Highlights Critical FCA Issues

False Claims Act cases often conclude with a negotiated settlement between the Department of Justice (DOJ), defendant(s), and the relator(s). However, settlements are complex matters that contain a number of terms and provisions unique to each individual case.
April 20, 2015 SEC Fraud

SEC Settles Fraud Case Regarding Restrictive Language With KBR, Inc.

Whistleblowers with knowledge of possible securities fraud are able to report this fraud confidentially under the relatively new whistleblower provisions of the 2010 Dodd Frank Act. If an employee opts to report the information directly to the government, he or she is thereafter protected from retaliatory maneuvers by the employer […]
April 16, 2015 Healthcare Fraud

Off-Label Marketing Becomes Global Issue as World Health Organization Encourages Cost-Effectiveness

Amid global shortages of life-saving medical resources, the United Nations’ World Health Organization has released a report focusing on various cost-saving tactics for member nations to consider while strategizing medical policy. At the heart of the matter, the WHO found that most nations do not have procedures in place to […]
April 15, 2015 Uncategorized>Student Loan Fraud

Department of Education Yanks Funding From Several ‘Risky’ Colleges and Universities

Over the past several years, a number of colleges and universities have faced significant fines, penalties, and liabilities for unlawfully inducing students into enrolling using falsified or exaggerated graduation and employment data or by paying recruiters by the enrollee. For instance, several U.S. law schools were named in a recent […]
April 14, 2015 Healthcare Fraud

Litigation Advances in Parallel False Claims Act Cases Against Walgreens

Walgreens Pharmacy has been in business for over 100 years, but its century-long business presence cannot insulate it from the onslaught of False Claims Act allegations raised by several California pharmacists alleging serious violations of state fraud laws. In today’s post, we look at two recent milestones in the ongoing […]
April 13, 2015 Healthcare Fraud

Robinson Health System to Pay $10 Million to Settle Illegal Kickback Allegations

The U.S. Attorney’s Office for the Northern District of Ohio recently negotiated a $10 million settlement with Robinson Health System amid allegations of illegal kickbacks. The defendant is a health system management company, which operates a non-profit entity in Portage County, Ohio. The settlement comes on the heels of several […]
April 10, 2015 Healthcare Fraud

Millennium Pharmaceuticals Escapes False Claims Act Allegations; Judge Leaves First Amendment Arguments Intact

The ongoing off-label marketing debate has given rise to several False Claims Act lawsuits commenced by a single whistleblower. In a qui tam cause of action filed in November, 2009, whistleblower Frank Solis has alleged that Millennium Pharmaceuticals and Merck, Inc. engaged in the controversial sales technique known as off-label […]
April 9, 2015 Healthcare Fraud

Adventist Health Settles Allegations That It Failed to Supervise Radiologists

In a recent healthcare fraud settlement, Adventist Health System – Sunbelt Healthcare Corporation has agreed to pay $5.4 million to settle allegations it improperly billed Medicare and Medicaid for radiology services. The settlement concludes an investigation conducted by the U.S. Attorney’s Office for the Middle District of Florida, the Civil […]
April 8, 2015 False Claims Act Legal News

Fireman’s Fund Insurance Company Agrees to $44 Million False Claims Settlement

In a recent False Claims Act settlement, a prominent insurance company has agreed to pay a staggering $44 million to the federal government to settle claims it unlawfully certified certain crop insurance policies as eligible for coverage by the United States Department of Agriculture. The settlement involves the Fireman’s Fund […]
April 7, 2015 Contractor Fraud

Gilbane Construction Settles Allegations of Fraudulently Claiming Status as a Disabled Veteran-Owned Business

In a recent case involving Florida’s W.G. Mills, a prolific construction company, the government alleged that it unlawfully certified one of its subsidiaries as owned and operated by disabled veterans, thereby qualifying the company for contract jobs specifically set aside for these types of historically disadvantaged businesses. However, W.G. Mills’ attempt […]
April 6, 2015 Healthcare Fraud

Cardiac Monitoring Device Company Settles Allegations of Defrauding Government Healthcare Programs

In a recent healthcare fraud settlement, Pennsylvania-based BioTelemetry and its subsidiary CardioNet have settled startling allegations involving the submission of claims for reimbursement to cover certain cardiac monitoring devices that were not eligible for coverage under Medicare and Medicaid guidelines. The company is one of two cardiac monitoring device companies […]
April 3, 2015 Healthcare Fraud

Florida-Based Coastal Dermatology Settles False Claims Act Allegations for $787,000

Following an investigation by the Department of Health and Human Services, along with the Office of Inspector General and the Department of Defense’s investigative unit, a Florida dermatology clinic known as Coastal Dermatology has opted to settle allegations of fraud and illegal billing procedures. The allegations – which are not […]
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