Tag Archives: Government Programs Fraud

Nursing and Rehabilitation Centers Settle Allegations for Billing Unnecessary Rehabilitation Treatments

03/30/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

Colorado Neurosurgeon Pays Hefty Settlement Over Kickback Allegations

03/17/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

Former Nurse Practitioner Blows Whistle on Alleged Fraud by Family Physician

02/22/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

Medical Equipment Manufacturer Pays $37.5 Million for Alleged Kickback Payments to its Suppliers

02/07/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

Alleged Non-disclosure of Foreign Grants at the Center of $5.5 Million False Claims Act Settlement

01/31/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

Department of Justice Report Shows Whistleblowers Consistently Rewarded through Qui Tam Lawsuits

01/22/20 Written by Jonathan Tycko // Blog // Government Programs Fraud.

Six Key Take-Aways From the 2019 False Claims Act Statistics Report The False Claims Act remains a remarkably successful tool for fighting fraud on the government. According to annual statistics just released by the U.S. Department of Justice (DOJ), whistleblowers continue to collect handsome rewards for their brave efforts to root out and expose fraud […]

Pharmaceutical Company Agrees To $54 Million To Settle False Claims Kickback Allegations

01/14/20 Written by Jonathan Tycko // Blog // Government Programs Fraud.

Teva Pharmaceuticals has agreed to pay $54 Million to settle false claims kickback allegations brought by two whistleblowers, Charles Arnstein and Hossam Senousy. In their 2013 complaint, the whistleblowers asserted that Teva Pharmaceuticals (“Teva”) violated the False Claims Act when the company knowingly induced physicians to prescribe two of the company’s drugs in exchange for […]

Genetic Testing Company Pays U.S. Government $41.6 Million after False Claims Kickback Allegations

10/28/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

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 […]

A Qui Tam Defendant’s Presentations to Government During Investigation Was Found Unprotected from Discovery in Other Lawsuits, Federal District Court Ruled

09/13/19 Written by Jonathan Tycko // Blog // Government Programs Fraud.

In a recent decision, a federal district court judge ruled that a defendant’s presentations to the Department of Justice, made during the course of the Department’s investigation of a pending False Claims Act qui tam lawsuit, are not protected from discovery by the whistleblower who brought that lawsuit. The case is the United States and […]

Three Medical Professionals Blow Whistle on Nation’s Largest Operator of Inpatient Rehabilitation Facilities

09/03/19 Written by Fraud Fighters // Blog // Government Programs Fraud.

Encompass Health Corporation, the nation’s largest operator of inpatient rehabilitation facilities (IRFs) will pay $48 million to settle claims of Medicare fraud brought forward by three former employees. It is alleged that some of the IRFs under the corporation’s control lied to Medicare to maintain their status as an IRF and to earn a higher […]

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