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April 2, 2015
Healthcare Fraud
Michigan’s Agility Health to Settle False Claims Act Charges Claims for $1 Million
In a press release issued by the Department of Justice on February 25, 2015, authorities revealed the details of alleged misconduct occurring within the national health management chain known as Agility Health, LLC and one of its local Michigan facilities known as Oceana County Medical Care Facility. The case was […]
April 1, 2015
Medicaid Fraud
New York Mental Health Association Alleged to Have Altered Records Prior to Medicaid Audit
According to the details of a recent settlement under the New York False Claims Act, the Mental Health Association is alleged to have made handwritten alterations to progress notes which were subsequently submitted to Medicaid officials pursuant to an official requested audit. The settlement, which amounted to $304,000, came about […]
March 31, 2015
Environmental Fraud
British Petroleum to Pay $7.9 Million Amid Storage and Cleanup Fraud Allegations
In a recent environmental fraud settlement, British Petroleum (BP) has settled with the State of California for $7.9 million following allegations it double-billed for cleanup efforts after several of its Underground Storage Tanks (UST’s) began leaking. Under California law, a cleanup fund was established to help companies defray the cost […]
March 30, 2015
Healthcare Fraud
Michigan Hospital Settles Self-Disclosed False Claims Act Case for Over $4 Million
In a rare turn of events, the Department of Justice has actually commended Michigan-based Portage Hospital, LLC after it opted to self-report various perceived violations of the False Claims Act by a member of its physical therapy staff. The U.S. Attorney’s Office said in a statement: “Portage Hospital is to […]
March 27, 2015
False Claims Act Legal News
Sixth Circuit Issues Pivotal Ruling Involving ‘Public Disclosure Bar’ in FCA Cases
The False Claims Act’s public disclosure bar prohibits any whistleblower from filing a claim if the facts of the claim are based on information that would be readily available to the public, regardless of whether the whistleblower actually knew about or reviewed the public information prior to initiating the lawsuit. […]
March 26, 2015
SEC Fraud
SEC Announces Whistleblower Reward for Former Company Officer
Implemented by the 2010 Dodd Frank Act, the Securities and Exchange Commission (SEC) maintains a growing whistleblower program. Much like the False Claims Act, the SEC’s program is designed to offer confidential consideration of fraud claims, as well as incentives for successful prosecutions of costly and wasteful securities fraud. In […]
March 25, 2015
Healthcare Fraud
Florida-Based Recovery Home Care Pays $1.1 Million to Settle Kickback Claims
There are three laws in place to address the impropriety of doctor kickbacks: the False Claims Act, the Anti-Kickback Statute, and the Stark Law. These are three pieces of federal legislation enacted to punish and deter intentional fraud involving taxpayer funds. In the context of healthcare fraud, the acts are […]
March 24, 2015
Healthcare Fraud
Physician Settles False Claims Act Accusations Regarding Kickbacks From CareFusion
In a recent False Claims Act settlement between Dr. Charles Denham and the federal government, officials have revealed details of an alleged kickback scheme involving Dr. Denham and the medical corporation known as CareFusion. The case was brought to light following an extensive whistleblower investigation by the Department of Health […]
March 23, 2015
Healthcare Fraud
Michigan Healthcare Provider Settles Allegations of False Billing
Despite the rampant efforts by the federal government’s H.E.A.T. task force, healthcare fraud and Medicare false claims continue to plague American taxpayers. When it comes to bilking federal healthcare agencies out of money, the following methods are some of the most common: Medically Unnecessary Procedures: Medicare and Medicaid guidelines expressly […]
March 20, 2015
Mortgage Fraud
MetLife Home Loans LLC to Settle Mortgage Fraud Case for $125 Million
In the wake of the 2008 financial crisis, which was primarily fueled by the housing bubble burst, many less-than-lawful residential home loan lenders have faced serious civil and criminal penalties for participating in shoddy underwriting practices, robo-signing, lax credit reviews, and outright fraud. Over the past several years, the U.S. […]
March 19, 2015
Healthcare Fraud
Baptist Health Medical Center to Settle False Claims Act Allegations for $2.7 Million
Medical practitioners seeking to treat Medicare patients are required to abide by the policy manuals and guidelines put out by the federal government. If a practitioner knowingly violates these mandates and intentionally bills Medicare for reimbursement despite the deviation, this could trigger False Claims Act liability. One of the more […]
March 18, 2015
Healthcare Fraud
Oncologist Settles False Claims Act Allegations Regarding Unapproved Chemotherapy Drugs
In a recent False Claims Act settlement out of California, an oncologist has agreed to pay $500,000 to settle claims of using and seeking reimbursement for unapproved chemotherapy drugs in violation of FDA regulations. This practice is just one type of dangerous healthcare fraud that, with the help of the […]
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