Tag Archives: Government Programs Fraud

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 […]

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 […]

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