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 […]

Controversial Staten Island Doctor Settles Medicare Fraud Case for $2.35 Million

In November 2014, a New York City physician – known infamously for asking Beatles member George Harrison to sign a guitar on his deathbed – agreed to settle a Medicare fraud lawsuit. Dr. Gil Lederman, who agreed to pay $2.35 million to settle the False Claims Act allegations, has categorized […]

California Court Dismisses Whistleblower Lawsuit Due to Insufficient Facts in Complaint

In the context of False Claims Act lawsuits, there is much to be said about the initial complaint stage. As you recall, Circuit Courts of Appeal are split as to the level of specificity required for a False Claims Act filing. Some courts have concluded that Federal Rule of Civil […]

CareAll Companies Agree to Pay $25 Million in False Claims Act Settlement

In yet another instance of costly and wasteful healthcare fraud, CareAll Management, LLC has agreed to pay $25 million to resolve allegations of illegal upcoding and falsification of information on official requests for reimbursement. In the context of healthcare fraud, the False Claims Act is triggered whenever an invoice is […]