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Author Archives: Fraud Fighters

Former Nurse Practitioner Blows Whistle on Alleged Fraud by Family Physician

A family physician and his practice located in Knoxville, Tennessee, agreed to pay $285,000 to resolve allegations of improper billing to government healthcare programs in violation of the False Claims Act. Dr. Chang-Wen Chen and his practice, Chang-Wen Chen, M.D., P.C., allegedly submitted billings at inflated rates to Medicare, TennCare and TRICARE from 2013 through […]

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Non-profit Foundation Pays $3 Million Settlement for Alleged Kickbacks to Medicare Patients

Patient Services, Inc. (“PSI”), a non-profit foundation based in Midlothian, Virginia, allegedly helped three pharmaceutical companies pay kickbacks to Medicare patients taking the companies’ medications. PSI paid $3 million to settle the allegations that it violated the False Claims Act. The Anti-Kickback Statute of the False Claims Act prohibits pharmaceutical companies from directly or indirectly […]

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Medical Equipment Manufacturer Pays $37.5 Million for Alleged Kickback Payments to its Suppliers

Southern California medical equipment manufacturer ResMed Corp. recently settled its whistleblower case with the Department of Justice (DOJ) for $37 million. The government alleged that ResMed violated the Anti-kickback Statute of the False Claims Act by paying monetary incentives to durable medical equipment (DME) suppliers, labs, and other providers of ResMed equipment. According to the […]

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Alleged Non-disclosure of Foreign Grants at the Center of $5.5 Million False Claims Act Settlement  

Van Andel Research Institute (VARI) located in Grand Rapids, MI, recently paid $5.5 million to the Department of Justice to settle allegations that VARI violated the False Claims Act by failing to disclose receiving Chinese government grants to obtain and maintain federal grants from the National Institutes of Health (NIH). Obtaining federal research funding is […]

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Cryptocurrency is At The Center of Multi-Million Dollar Investment Security and Commodities Fraud

The Criminal Division of the IRS arrested Swedish businessman Roger Nils-Jonas Karlsson, for allegedly operating a fraudulent pension plan using cryptocurrency. Karlsson allegedly used fake websites “registered to a fictitious person” to advertise shares of a “Pre-Funded Reversed Pension Plan” (PFRPP). The criminal complaint states that Karlsson allegedly invited potential investors to buy shares of […]

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Genetic Testing Company Pays U.S. Government $41.6 Million after False Claims Kickback Allegations

A Louisiana genetic testing company has agreed to pay the United States 41.6 Million dollars according to a recent press release from the Department of Justice. A government investigation alleged that UTC Laboratories Inc. (RenRX) committed Medicare fraud by paying kickbacks for laboratory referrals and types of pharmacogenetic testing that were not medically necessary. In […]

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Three Medical Professionals Blow Whistle on Nation’s Largest Operator of Inpatient Rehabilitation Facilities

Encompass Health Corporation, the nation’s largest operator of inpatient rehabilitation facilities (IRFs) will pay $48 million to settle claims of Medicare fraud brought forward by three former employees.  It is alleged that some of the IRFs under the corporation’s control lied to Medicare to maintain their status as an IRF and to earn a higher […]

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Medicaid Billing Upcharges Prompts Oklahoma Nurse to Blow the Whistle on Hospital

Oklahoma Heart Hospital (OHH) has agreed to pay $2.8 Million to settle U.S. and Oklahoma government claims that the hospital committed Medicaid Fraud. Jennifferr Baird, a retired registered nurse, filed the complaint, which reported that her former employer, OHH was consistently billing  Oklahoma’s Medicaid insurance program inpatient rates for outpatient procedures – regardless of whether […]

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The Sale of Unapproved Medical Devices at Center of $3.3M U.S. False Claims Act Settlement

A Federal investigation into alleged false healthcare claims found evidence that New York-based CareFusion Corporation bought and sold “medical devices that were not approved or cleared by the FDA.” CareFusion has agreed to pay the government $3.3 Million after a United States District Attorney for the Southern District of New York announced that the distributor […]

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Qui Tam Case Settled Over Alleged Kickbacks to Federal Government Contractor by SBA-Eligible Construction Company

Alaska Native Corporation agreed to pay a $2 Million settlement over alleged False Claims Act violations. The Department of Justice recently announced a settlement agreement with Kikiktagruk Inupiat Corporation (“KIC”), an Alaska Native Corporation, and KIC Development LLC, a subsidiary of KIC to resolve allegations that KIC Development paid kickbacks to win contracts. KIC and […]

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