Over the next three posts, we will explore a recent case handled by the U.S. Court of Appeals for the Eleventh Circuit – a jurisdiction covering Alabama, Florida, and Georgia – involving sanctions against a courageous whistleblower with an apparent misunderstanding of the rules of confidential seals. In today’s post, […]
Healthcare fraud is a rampant problem in the United States. Each year, the False Claims Act proves integral in recovering billions of dollars from wayward hospitals, management corporations and physicians. Under the False Claims Act, individuals known as whistleblowers (or relators) can file their own lawsuit on behalf of the […]
The U.S. Attorney’s Office for the Middle District of Florida has reached a false claims settlement agreement with a popular Orlando-based dermatology clinic known as Associates in Dermatology. The lawsuit was filed by three former employees of the clinic who had firsthand knowledge of the type of fraudulent misconduct occurring […]
Hot on the heels of the record-breaking fiscal year 2014, the U.S. government continues to pursue and prosecute costly and wasteful healthcare fraud. In today’s case, we explore the facts of a situation occurring in the South Carolina-based Nason Medical Center. The center, located in Charleston, is alleged to have […]
Following the 2008 housing crisis, the federal government went to great lengths to ensure struggling homeowners were afforded every possible opportunity to keep their homes. One such effort, known as the Home Affordable Refinance Program (HARP), was enacted in 2009 to help borrowers who were “upside down” or “underwater” on […]
The False Claims Act contains certain restrictions pertaining to kickbacks offered to physicians treating patients enrolled in government healthcare programs, including Medicare and Medicaid. The anti-kickback provisions prohibit any doctor from receiving – or any pharmaceutical company from offering – incentives or benefits in exchange for the provider’s agreement to […]
According to a recent press release from the U.S. Department of Justice, a California-area hospital has agreed to pay $2.25 million to settle claims it unlawfully submitted false claims to the government for reimbursement on behalf of Medicare patients. Like many healthcare claims, the allegations against St. Helena Hospital involve […]
In a somewhat harrowing set of facts, the Medical College of Wisconsin – located in Milwaukee – is alleged to have allowed medical residents the opportunity to perform neurosurgery on patients without proper supervision from teaching physicians. The case, which recently settled for $840,000, came about following the filing of […]
The federal False Claims Act got its start addressing costly and wasteful fraud under defense contracts executed during the American Civil War. Since that time, it has proven highly successful in exposing and redressing this sort of wasteful misconduct, including a recent settlement with aircraft manufacturer Lockheed Martin. In today’s […]
When a private company enters into a contract with the federal government, the terms contained within the agreement must be adhered to in order to avoid exposure to False Claims Act liability. One foundational requirement is that, during the negotiation phase of the contract, companies must be truthful, forthcoming, and […]
Over the past several years, there have been several lawsuits and allegations made involving for-profit universities essentially swindling unsuspecting college students out of their tuition money in exchange for a sub-par education that does not meet general academic standards. For instance, several claims have been made about Tier 4 law […]
In January 2015, two parent companies of the Pennsylvania-based Easton Hospital agreed to pay $662,000 to settle claims of false billing and unlawful practices involving Medicare and Medicaid patients. Northampton Hospital Co. LLC and Northampton Hospital Corp. agreed to the settlement following the filing of a formal complaint under the […]