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Author Archives: Fraud Fighters

IPC Healthcare Agrees to Settle Qui Tam Lawsuit Alleging that the Company Engaged in Fraudulent Medicaid and Medicare Billing Scheme; Agrees to Pay $60 Million

IPC Healthcare, formerly known as IPC the Hospitalist Company (IPC), has agreed to settle a False Claims Act lawsuit that alleged that the company encouraged its physicians to submit billing codes for more expensive care than the services that were actually being administered. IPC then submitted these false claims to government healthcare programs, such as […]

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U.S. Attorney Announces $30 Million Settlement with Total Call Mobile for Defrauding the U.S. Government’s Lifeline Program for Low-Income Consumers

On December 22, 2016 Preet Bharara, U.S. Attorney for the Southern District of New York, in cooperation with the Federal Communications Commission (FCC), and as a result of a private whistleblower qui tam lawsuit under the False Claims Act, announced a $30 million settlement of a lawsuit against Total Call Mobile, LLC. The lawsuit alleged […]

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Forest Laboratories LLC and Forest Pharmaceuticals Inc. Settle Lawsuit Alleging that the Companies Engaged in Physician Kickback Scheme; Agree to Pay $38 Million

Allergen, Plc subsidiaries Forest Laboratories LLC and Forest Pharmaceuticals Inc. (collectively “Forest”) recently entered into a settlement agreement with the federal government and multiple state Medicaid programs to resolve a qui tam lawsuit that alleged that the companies violated the Medicare Anti-Kickback Statute and the False Claims Act. The lawsuit contends that Forest targeted physicians […]

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Whistleblowers Awarded $31.25 Million in Settlement with Hanford Nuclear Reservation Contractors for Allegations of Illegal Lobbying and Nuclear Quality Violations

In 2013, whistleblowers Walter Tamosaitis, Donna Busche, and Gary Brunson, all former managers of the Hanford Site vitrification project, filed a sealed complaint in federal court. The case alleged nuclear quality violations, illegal lobbying and the misuse of taxpayers’ money by contractors Bechtel National and AECOM. After a three year investigation, the case was unsealed […]

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Life Care Centers of America, Inc. Agrees to Settle Qui Tam Lawsuit Alleging that the Nursing Home Company Billed Medicare and TRICARE for Unnecessary Medical Services; Agrees to Pay $145 Million

The Department of Justice (DOJ) recently announced the settlement of a consolidated False Claims Act (FCA) lawsuit that was filed against private nursing home company Life Care Centers of America, Inc. (“Life Care”). The lawsuit alleges that, between January 2006 and February 2013, Life Care engaged in health care fraud by submitting false claims to […]

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Tenet Healthcare to Settle False Claims Act Lawsuit That Alleged That Hospitals Paid Pre-Natal Clinics for Medicaid Referrals; Agrees to Deal Worth $514 Million

The Department of Justice (DOJ) recently announced the settlement of a lawsuit that was filed against hospital chain Tenet Healthcare Corporation (“Tenet”) in relation to the company’s violation of the federal False Claims Act (“FCA”) and Georgia’s False Medicaid Claims Act (“FMCA”). Specifically, the settlement is the result of a qui tam lawsuit that alleged […]

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Vibra Healthcare To Pay $33 Million To Settle Qui Tam Lawsuit That Alleged Healthcare Fraud in Medicare Billing Practices

Vibra Healthcare (“Vibra”) recently settled a False Claims Act (“FCA”) lawsuit which alleged that, between 2006-2013, at least six of the company’s medical facilities billed Medicare for expenses related to admitting Medicare beneficiaries and administering treatment that was medically unnecessary. The lawsuit was filed under the FCA’s qui tam provision by a former employee of […]

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Qui Tam Whistleblowers Successful in $11 Million Settlement of False Claims Act Lawsuit Against Marinello Schools of Beauty

For-profit beauty school chain Marinello Schools of Beauty was sued for allegedly defrauding the federal government through embellished and often falsified claims of enrollment, post-graduate employment, and entitlement to federal funding. Marinello officials stated they “strongly and categorically” deny the allegations made in the suit, calling them “utterly false” and adding that the settlement did […]

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Medicaid and Medicare Fraud Allegations Resolved with a $3.28 Million Settlement by the Estate of Dr. Kenneth Michael Rice and UMC Physicians

On August 8, 2016 U.S. Attorney John Parker of the Northern District of Texas announced the resolution of a False Claims Act (FCA) lawsuit that alleged Medicaid and Medicare fraud by Dr. Kenneth Michael Rice and UMC Physicians. Both parties have agreed to pay a total of $3,280,000.00 to the United States and the State of […]

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California-Based Information Technology Companies Settle False Claims Act Lawsuit Alleging That They Misrepresented Company as a Small Business to Receive Specialized Federal Contracts; Agree to Pay $5.8 Million

The Department of Justice (DOJ) recently settled a False Claims Act lawsuit with information technology companies En Pointe Gov., Inc., En Pointe Technologies Inc., En Pointe Technologies Sales Inc., Dominguez East Holdings LLC and Din Global Corp. (“En Pointe companies”). The lawsuit alleged that En Pointe Gov. Inc. fraudulently represented itself as a small business in […]

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