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On August 3, 2017, the United States Attorney for the Middle District of Georgia and the Georgia Attorney General announced Navicent Health’s $2.5 million settlement to resolve allegations of violating the False Claims Act and billing Medicare and Medicaid for ambulance trips that were overpriced or not medically necessary. Navicent Health, Inc. owns and operates […]
Celgene Corp., a New Jersey pharmaceutical manufacturer, has agreed to pay $280 million to settle a False Claims Act lawsuit related to allegations that it promoted cancer drugs for uses that had not been approved by the Food and Drug Administration (“FDA”). Under the terms of the agreement, which does not include any admission of […]
Nursing home operator Genesis HealthCare (“Genesis”) has agreed to resolve allegations that the company’s subsidiaries previously submitted false claims to the government for payment for unnecessary hospice services that were provided to Medicaid and Medicare beneficiaries. The recent settlement is the result of allegations that stemmed from five separate qui tam, or whistleblower, lawsuits that […]
In a long-running qui tam case brought under the federal False Claims Act, the government has announced a settlement of allegations originally made by late whistleblower, Dr. Darren D. Sewell, M.D., of Medicare fraud against several health care insurers and providers, who will pay $32.5 million under the settlement. Dr. Sewell alleged that Freedom Health […]
Agility Public Warehousing Co. KSC, a Kuwaiti defense contractor, has agreed to pay $95 million to settle a False Claims Act lawsuit related to allegations that it overcharged the U.S. government on billions of dollars in Iraq War food supply contracts. The settlement, if it is approved by the court, will mark the end of […]
Medical management company CareCore National, LLC recently entered into a settlement agreement to resolve allegations that the company engaged in a scheme that resulted in hundreds of thousands of false insurance claims being submitted to the government for payment. In particular, the lawsuit alleges that CareCore designed and implemented a program that resulted in the […]
On May 1, 2017, Quest Diagnostics agreed to pay the U.S. government $6 million to settle a healthcare whistleblower lawsuit brought by whistleblower Dr. Michael Mayes against Berkeley HeartLab. The qui tam suit was brought in federal district court in South Carolina in 2011 and alleged that Berkeley HeartLab, Inc., a blood testing laboratory acquired […]
On Thursday, the U.S. Attorney’s Office and other federal law enforcement authorities in Boston Massachusetts announced a 10 million dollar settlement resolving allegations that Partners HealthCare System and one of its hospitals, Brigham and Women’s Hospital used fraudulent research to obtain grant funding from the National Institutes of Health (“NIH”). The allegations against Partners HealthCare […]
The government recently entered into a settlement agreement with home oxygen and respiratory medications equipment and services company Braden Partners, L.P., doing business as Pacific Pulmonary Services (“PPS”), regarding a False Claims Act lawsuit that was filed against the company in 2010. The lawsuit alleges that the company engaged in government programs fraud by incentivizing […]
On April 20, 2017, United States Attorney Phillip A. Talbert announced that Walgreen Co. paid $9.86 million to the government to resolve allegations that the company knowingly submitted claims for reimbursement to California’s Medi-Cal program without requisite diagnosis or documentation. The claims at issue were brought under the qui tam provision of the False Claims Act […]
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