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Author Archives: Fraud Fighters

Nursing Home’s Rehabilitative Services Chain Settles False Claims Allegations for Ten Million Dollars

Saber Healthcare Group, LLC and other entities have agreed to pay the U.S. government a settlement of  $10 million to resolve alleged “false claims to Medicare for rehabilitation therapy services that were not reasonable, necessary, or skilled,” the Justice Department reported. Saber Healthcare offered patients multiple levels of Rehabilitation Therapy. The highest level of prescribed […]

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New York Compounding Pharmacy Settles Fraudulent Billing and Kickback Allegations in Whistleblower Lawsuit

Upstate New York pharmaceutical companies FPR Specialty Pharmacy (now defunct) and Mead Square Pharmacy, along with their owners, agreed to pay $426,000 to settle fraudulent claims and kickback allegations brought forth by a whistleblower. According to the U.S. government, the pharmacies submitted fraudulent claims for reimbursement to federal healthcare programs for compounded prescription drugs in […]

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Nursing and Rehabilitation Centers Settle Allegations for Billing Unnecessary Rehabilitation Treatments

Guardian Elder Care Holdings and its related entities recently paid $15.4 million to settle allegations of Medicare fraud. The U.S Department of Justice, after a government investigation, alleged that the company committed Medicare fraud by overbilling the Federal Employees Health Benefits Program and Medicare for unnecessary rehabilitation therapy services. Many companies specializing in elder care […]

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Colorado Neurosurgeon Pays Hefty Settlement Over Kickback Allegations

Dr. William Choi and three distributors of spinal equipment owned by him, paid $2.35 million to resolve allegations that the Colorado neurosurgeon received illegal payments by using spinal implant equipment when performing surgery on his Medicare and Medicaid patients. The Anti-Kickback Statute of the False Claims Act makes it unlawful for a doctor to receive […]

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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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