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

06/14/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

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

05/31/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

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

05/24/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

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

05/16/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

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

05/09/19 Written by Fraud Fighters // Blog // Government Programs 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 […]

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

04/30/19 Written by Fraud Fighters // Blog.

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. […]

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

04/01/19 Written by Jonathan Tycko // Blog // Government Programs Fraud.

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 […]

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

04/01/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

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

02/26/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

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

12/13/18 Written by Fraud Fighters // Blog // Government Programs Fraud.

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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