Tag Archives: Government Programs Fraud

Blowing the Whistle On Healthcare Industry Kickback Schemes Often Results In Huge Awards To Whistleblowers. Here’s Why.

07/22/20 Written by Jonathan Tycko // Blog // Government Programs Fraud.

The U.S. Department of Justice (DOJ) recently announced that a major pharmaceutical company, Novartis Pharmaceuticals, agreed to pay $642 million to settle a lawsuit alleging that Novartis violated the False Claims Act (FCA). That lawsuit was initially filed by a whistleblower under the “qui tam” provision of the FCA, which allows a private citizen to […]

Construction Contractor Pays $1 Million to Settle Fraud Allegations Relating to a Federal Program Designed to Help Disadvantaged Businesses

07/09/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

Williams Brothers Construction Inc. (WBCI) from Peoria Heights, Illinois, agreed to pay $1 million to settle claims that the company violated the False Claims Act by misrepresenting themselves as a smaller, disadvantaged business to obtain program grants for a federally-funded construction contract. The settlement was the result of a coordinated effort by the Civil Division, […]

Nursing Home’s Rehabilitative Services Chain Settles False Claims Allegations for Ten Million Dollars

06/29/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

Saber Healthcare Group, LLC and other entities have agreed to pay the U.S. government a settlement of $10 million to resolve alleged “false claims to Medicare for rehabilitation therapy services that were not reasonable, necessary, or skilled,” the Justice Department reported. Saber Healthcare offered patients multiple levels of Rehabilitation Therapy. The highest level of prescribed […]

New York Compounding Pharmacy Settles Fraudulent Billing and Kickback Allegations in Whistleblower Lawsuit

06/12/20 Written by Fraud Fighters // Blog // Government Programs Fraud.

Upstate New York pharmaceutical companies FPR Specialty Pharmacy (now defunct) and Mead Square Pharmacy, along with their owners, agreed to pay $426,000 to settle fraudulent claims and kickback allegations brought forth by a whistleblower. According to the U.S. government, the pharmacies submitted fraudulent claims for reimbursement to federal healthcare programs for compounded prescription drugs in […]

Healthcare Rehabilitation Provider Pays $4 Million to Settle False Claims Act Allegations

04/20/20 Written by Jonathan Tycko // Blog // Government Programs Fraud.

Encore Rehabilitation Services LLC, a contract therapy company based in Farmington Hills, Michigan, agreed to pay $4.03 million to settle False Claims Act allegations that the company knowingly provided unnecessary Medicare services to patients in three Michigan facilities. The settlement resolves allegations that Encore provided unreasonable, unnecessary, or unskilled rehabilitation therapy and recorded individual therapy […]

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 […]

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