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Whistleblower Physician Exposes Medicare Fraud in Two Pain Management Clinics; Feds Settle for $3.3M

The National Spine and Pain Centers (NSPC) and Physical Medicine Associates (PMA) have agreed to pay a $3.3M to settle government claims that the two pain management clinics committed Medicare Fraud, violating the False Claims Act. A former PMA employee and whistleblower provided the Department of Justice with evidence that both companies were submitting false […]

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Co-Pay Kickbacks at Center of $122M in Settlement Fees for Alleged Medicare Fraud

Three pharmaceutical companies resolved allegations with the Federal Government for making charitable donations to third-party foundations to cover Medicare patient co-pays for their medicines, which ultimately gave Medicare patients an incentive to select drugs without co-pays over drugs with co-pays. The three drug companies allegedly benefitted from the increase in non-copay medication sales with a […]

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Feds find largest Healthcare Fraud, charge 24 executives responsible for over $1.2B in losses

One of the largest health care fraud cases was recently discovered by Federal officials, uncovering more than $1.2B in losses, and resulting in 24 arrests involving fraud in telemedicine programs and durable medical equipment (DME) disbursements. Healthcare fraud comes in many different forms and remains one of the most active areas of false claims litigation. […]

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California Court Issues Ruling In Favor Of Whistleblower In Case Alleging Use Of Kickbacks In Violation Of California Insurance Fraud Prevention Act

On March 28, 2019, in an important victory for California whistleblowers, the Superior Court for the County of Orange held that Insurance Code section 1871.7, the Insurance Fraud Prevention Act (“IFPA”) applies to claims made to workers’ compensation insurers resulting from patient referrals induced by kickbacks.  Tycko & Zavareei LLP represents the plaintiff in this […]

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Duke University Agrees to Pay $112.5 Million to Settle False Claims Act Violations

On March 25, 2019, the Department of Justice announced that Duke University will pay $112.5 million to resolve allegation that it violated the False Claims Act. Researches from the university allegedly submitted application and reports containing falsified data to win more than two dozen grants from the National Institutes of Health (NIH) and the Environmental […]

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Health Care Provider Agrees to Pay $775,000 to Settle Kickback Claims

In a recently announced settlement, Vital Life Institute LLC, formerly known as AgeVital Pharmacy LLC, has agreed to pay $775,00 to resolve allegations that the health care provider violated the False Claims Act. AgeVital is owned by Jenny and William Wilkins. The U.S. Department of Justice alleged that the owners directed the payment of kickbacks […]

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Pharmaceutical Company Agrees to Pay $360 Million to Settle False Claims Act Violations

In a recently announced settlement, Actelion Pharmaceuticals US, Inc. has agreed to pay $360 million to resolve allegations that the pharmaceutical company illegally made payments in 2014 and 2015 to a fund set up by Caring Voice Coalition that was meant to assist Medicare patients taking its pulmonary arterial hypertension drugs. When a Medicare beneficiary […]

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Early Autism Project, Inc. Pays the United States $8.8 Million to Settle Allegations of Medicaid Fraud

The Department of Justice recently announced that Early Autism Project Inc., South Carolina’s largest provider of children’s autism behavioral therapy, has agreed to pay the United States $8.8 million to settle a False Claims Act whistleblower lawsuit. The government alleges that the company submitted false claims to a military insurance program, TRICARE, and the South […]

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William Beaumont Hospital to Pay $84.5 Million to Settle Allegations of Improper Payments to Referring Physicians

On Thursday, August 2, 2018, the Department of Justice announced that William Beaumont Hospital, a regional hospital system based in the Detroit area, had agreed to pay $84.5 Million to settle allegations brought by four false claims act whistleblowers, including a nationally renowned neuroscientist and medical doctor. The allegations against William Beaumont revolved around violations […]

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3M Company Agrees To Pay $9.1 Million to Settle Qui Tam Lawsuit Alleging That It Supplied the U.S. Military With Defective Combat Earplugs

In a recently announced settlement, Minnesota-based 3M Company is resolving allegation that it knowingly sold the U.S. military defective earplugs to the tune of $9.1 million. 3M Company allegedly sold the dual-ended Combat Arms Earplugs, Version 2 (CAEv2) without disclosing the defects that hampered the effectiveness of the hearing protection device. The original lawsuit was […]

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