Close

Articles Posted in Health Care Fraud

Updated:

Greene, LLP Argues Qui Tam Healthcare Whistleblower in U.S. Supreme Court

A teenager who died after receiving mental healthcare services from unlicensed and underqualified professionals is the impetus behind a False Claims Act lawsuit handled by Greene, LLP on behalf of the late Yarushka Rivera. The case is now before the U.S. Supreme Court. The United States Office of the Solicitor…

Updated:

Greene LLP False Claims Act Suit Resolved with Millennium Health, LLC Settlement of $227 Million

On October 19, 2015, Greene LLP announced the resolution of False Claims Act claims against Millennium Health, LLC in a settlement reached with the United States. The settlement, likely to exceed $231 million once interest is calculated, brought to an end the whistleblower suit initiated by Greene LLP and client…

Updated:

PharMerica Whistleblower Collects $1 Million from Drug Kickback Settlement

PharMerica Corporation has settled False Claims Act (FCA) allegations agreeing to pay the United States $9.25 million. The allegations had accused PharMerica of taking kickbacks from Abbott Laboratories Inc. in order to increase the use of the seizure prevention drug Depakote with the patients in their nursing homes. The presence…

Updated:

Adventist Health System Settles False Claims Act Allegations for $115 Million

Adventist Health System has agreed to pay the government $115 million in order to settle allegations that it violated the False Claims Act and the Stark Law. The suit alleged that fraud was committed against the government when Adventist paid its doctors excessive sums in compensation for patient referrals. It…

Updated:

KMART Pays $1.4 Million to Settle Allegations of Medicare Inducement Fraud

Retail Giant Kmart Corporation has agreed to settle, at a cost of $1.4 million, allegations that it violated the False Claims Act (FCA) by knowingly and illegally inducing Medicare beneficiaries to fill their prescriptions at pharmacies within their retail stores. Kmart, a unit of Sears Holdings Corp, is a major…

Updated:

Mercy Hospital to Pay $5.5 Million to Settle Alleged False Claims Act Violations

A pair of Missouri health care providers have agreed to pay the United States $5.5 million to settle a False Claims Act (FCA) suit. The Department of Justice (DOJ) had alleged that Mercy Health Springfield Communities and Mercy Clinic Springfield Communities violated the FCA by offering bonuses to doctors who…

Updated:

Affordable Care Act’s “60-Day Rule” Creates False Claims Act Liability for Healthcare Providers

The first False Claims Act decision regarding the “60-day rule” created by the Affordable Care Act (ACA), was recently decided by the United States District Court for the Southern District of New York. The Department of Justice (DOJ) intervened in the False Claims Act (FCA) lawsuit which was pursued by whistleblower…

Updated:

Pediatric Services of America Reaches Settlement for Failing to Return Overpayments

The first settlement involving a healthcare provider’s failure to investigate credit balances on its books has been reached. The Pediatric Services of America (PSA) has settled with the US government and several US states for $6.88 million to resolve all False Claims Act allegations made against the company. PSA, based…

Updated:

Skilled Nursing Facility Resolves Illegal Kickbacks Allegations

The Department of Justice (DOJ) has recently resolved a case involving the largest settlement of alleged violations of the Anti-Kickback Statute by a skilled nursing facilities company in the United States. The skilled nursing company, Plaza Health Network, and its former president and executive director have agreed to pay $17…

Updated:

Tuomey Pays $237 Million for FCA Violation of Creation of New Employment Agreements Producing Illegal Payments to Physicians

This week the US Court of Appeals for the Fourth Circuit affirmed a South Carolina District Court judgment against Tuomey Healthcare System. The damages and penalties against Tuomey totaled $237,454,195 as decided in United States ex rel. Drakeford v. Tuomey Health Care System, Inc. A jury had found the defendant liable…

Contact Us