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Kickback-Tainted Medicare/Medicaid Claims for Reimbursement Actionable Under FCA, New York Federal Judge Holds

The U.S. District Court for the Southern District of New York (“SDNY”) recently issued an opinion making clear that liability now arises under the False Claims Act (“FCA”) whenever claims for reimbursement of prescription drugs are submitted under Medicare Part B, Medicare Part D, or state Medicaid programs in connection with which a provider has […]

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Manufacturer of Spinal Devices and Indiana Spinal Surgeon to Pay U.S. Government $2.6 Million for Violating the False Claims Act

On August 29, 2014, the Department of Justice (DOJ) announced that Omni Surgical L.P. (dba Spine 360), and Dr. Jamie Gottlieb, an Indiana Spinal Surgeon, agreed to pay the U.S. Government $2.6 million to settle allegations that Spine 360 and Dr. Gottlieb knowingly violated the False Claims Act when Dr. Gottlieb accepted kickbacks from Spine […]

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Carondelet Health Network To Pay $35 million To Settle Federal Health Care Billing Fraud Case; Whistleblower To Receive $6 million

On August 18, 2014 the Department of Justice (DOJ) announced that Carondelet Health Network (CHN), has agreed to pay $35 million to settle allegations that its affiliate hospitals, Carondelet St. Mary’s and Carondelet St. Joseph’s in Tucson, Arizona, knowingly violated the False Claims Act by overcharging the U.S. Government when it submitted false bills to […]

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Defense Bar Overstates Impact of the Fifth Circuit’s Decision in Shupe

On July 7, 2014, the Fifth Circuit decided an interlocutory appeal in United States ex rel. Shupe v. Cisco Systems, Inc., No. 13-40807, 2014 WL 3057093 (5th Cir. July 7, 2014), reversing the trial court’s decision that the False Claims Act (FCA) applied to E-Rate funds administered by the Universal Service Administrative Company (USAC), a […]

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Community Health Systems, Inc. to Pay the U.S. Government $98.15 Million to Settle Allegations of Health Care Fraud

On August 4, 2014, the Department of Justice (DOJ) announced that Community Health Systems, Inc. (CHS) has agreed to pay $98.15 million to settle allegations that it violated the False Claims Act when it knowingly overcharged the Government by billing government health care programs for inpatient services that should have been billed as outpatient or […]

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Matson Navigation Company to Pay a Settlement of $9.95 Million to U.S. Government for Improperly Billing the U.S. Department of Defense for Ocean Fuel Surcharges; Whistleblower to receive $2.5 Million

On July 28, 2014, Matson Navigation Company, Inc. (Matson), Hawaii’s largest container shipping company, agreed to pay the U.S. Government $9.95 million to settle allegations that they violated the False Claims Act (FCA) by improperly billing the U.S. Department of Defense (DOD) for ocean fuel surcharges.  The whistleblower that brought the case, Mario Rizzo, an […]

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Alabama Hospital System and Physician Group To Pay U.S. Government $24.5 Million in Settlement of Qui Tam Medicare Fraud Case; Whistleblower Rewarded $4.41 Million

On July 21, 2014, the Department of Justice (DOJ) announced that Mobile, Alabama-based Infirmary Health System Inc. (IHS), two IHS-affiliated clinics and Diagnostic Physicians Group P.C. (DPG) have agreed to pay the United States $24.5 million to settle allegations that they violated the False Claims Act by paying or receiving unlawful financial inducements in connection […]

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Court Allows Qui Tam Suit to Proceed Against Computer Sciences Corporation and Modis for Circumventing Small Business Act Requirements

Last week, a federal judge in the District of Columbia issued a ruling in which she refused to dismiss a whistleblower’s qui tam case brought under the False Claims Act (“FCA”) alleging that a company fraudulently evaded requirements of the Small Business Act (“SBA”). The SBA promotes government contractors’ use of small business subcontractors because […]

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U.S. Bank Pays $200 Million in Settlement of Banking Fraud Case

On Monday, June 30, 2014, the Department of Justice (DOJ) announced that U.S. Bank has agreed to pay the United States $200 million to settle allegations that it violated the False Claims Act by knowingly underwriting thousands of unqualified mortgage loans insured by the Federal Housing Administration (FHA).  The FHA alleged that U.S. Bank misused […]

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Omnicare Pays $124 Million to Settle Whistleblower Allegations Involving Healthcare Fraud

The Department of Justice announced Wednesday that Omnicare Inc., the nation’s largest nursing home pharmacy company, has agreed to pay $124 million to settle whistleblower allegations of healthcare fraud. The whistleblower lawsuit alleged that the company engaged in a kickback scheme with skilled-nursing facilities all across the country. The lawsuit accused the Ohio-based company of […]

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