Seventh Circuit Affirms Dismissal of Medicaid Fraud Case; Cites Federal ‘Assignment’ Law

On November 12, 2014, the U.S. Court of Appeals for the Seventh Circuit affirmed an earlier dismissal by a U.S. District Court in Wisconsin regarding allegations of unlawful billing practices between a retail pharmacy and Medicaid. More specifically, the relator alleged that the pharmacy improperly inflated the costs of certain […]

Rite Aid Agrees to Settle Claims of Medicare and Medicaid Fraud Involving Gift Cards

It is not uncommon for retailers and pharmacies to offer generous discounts or incentives for customers to switch their prescriptions and loyalties to the new company. However, as is becoming increasingly apparent across the United States, offering incentives to induce Medicare and Medicaid patients to switch their prescriptions can trigger […]

North Atlantic Medical Services Settles FCA Allegations Involving Medicare Fraud

Close on the heels of the Department of Justice’s record-breaking fiscal year 2014 comes the latest Medicare fraud settlement involving Massachusetts-based North Atlanta Medical Services d/b/a Regional Home Care, Inc. The case, which was commenced by two former employees of NAMS, resulted in a settlement of $852,378. The two whistleblowers […]

Walgreens Seeks Dismissal of False Claims Act Allegations Involving Gift Cards

One of the key requirements of a False Claims Act lawsuit is that it be based on original information that has not been previously disclosed via litigation, a government investigation, or through the news media. As such, it is not uncommon for defendants facing False Claims Act liability to initially […]

Oklahoma Dentist Settles False Claims Act Allegations Involving Medicaid Patients

In a rare False Claims Act settlement involving dental care, an Oklahoma-based dentist has agreed to pay $5 million to settle claims of false invoices to the federal government for dental services. The company, which actually operates facilities in seven U.S. states, is alleged to have engaged in the familiar […]