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Tag Archives: Government Programs Fraud

Whistleblower Set to Receive More than $10.5 Million of $54 Million Settlement for Exposing Former Employer CareCore National, LLC’s Prior Authorization Insurance Claims Scheme

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 […]

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Blood Testing Lab Quest Diagnostics to Pay $6 Million to Settle Healthcare Whistleblower’s Allegations of Kickbacks and Unnecessary Testing

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 […]

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Partners Healthcare and Brigham and Women’s Hospital Agree to Pay $10 Million to Settle Healthcare Research Fraud Allegations

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 […]

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Home Oxygen and Sleep Therapy Company Pacific Pulmonary Services to Pay $11.4 Million to Settle Claims that Company Overbilled the Government for Medically Unnecessary Services

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 […]

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Walgreens to Pay $9.86M in Settlement of Qui Tam Cases Alleging Improper Medi-Cal Billing

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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IPC Healthcare Agrees to Settle Qui Tam Lawsuit Alleging that the Company Engaged in Fraudulent Medicaid and Medicare Billing Scheme; Agrees to Pay $60 Million

IPC Healthcare, formerly known as IPC the Hospitalist Company (IPC), has agreed to settle a False Claims Act lawsuit that alleged that the company encouraged its physicians to submit billing codes for more expensive care than the services that were actually being administered. IPC then submitted these false claims to government healthcare programs, such as […]

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Walgreens agrees to Pay $50 Million in Healthcare Fraud Case for Paying Kickbacks to Beneficiaries of Government Healthcare Programs

A Manhattan U.S. Attorney announced that Walgreens Co. (“Walgreens”) has recently agreed to pay approximately $50 million to settle a lawsuit alleging that it used kickbacks to induce beneficiaries of government healthcare programs to fill their prescriptions at Walgreens pharmacies. The lawsuit, which began as an action brought by a qui tam whistleblower, alleged that […]

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U.S. Attorney Announces $30 Million Settlement with Total Call Mobile for Defrauding the U.S. Government’s Lifeline Program for Low-Income Consumers

On December 22, 2016 Preet Bharara, U.S. Attorney for the Southern District of New York, in cooperation with the Federal Communications Commission (FCC), and as a result of a private whistleblower qui tam lawsuit under the False Claims Act, announced a $30 million settlement of a lawsuit against Total Call Mobile, LLC. The lawsuit alleged […]

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Federal Contractor Whistleblowers Now Permanently Protected from Retaliation

Congress recently passed legislation extending and making permanent certain protections from retaliation for government contractors that blow the whistle on a host of problem areas relating to federal contracts and funds. This is good news for federal contractors and the public at large as the law is broad both in terms of the type of employees […]

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Forest Laboratories LLC and Forest Pharmaceuticals Inc. Settle Lawsuit Alleging that the Companies Engaged in Physician Kickback Scheme; Agree to Pay $38 Million

Allergen, Plc subsidiaries Forest Laboratories LLC and Forest Pharmaceuticals Inc. (collectively “Forest”) recently entered into a settlement agreement with the federal government and multiple state Medicaid programs to resolve a qui tam lawsuit that alleged that the companies violated the Medicare Anti-Kickback Statute and the False Claims Act. The lawsuit contends that Forest targeted physicians […]

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