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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 […]
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
General
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. […]
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