By Steve Kardell | Published May 10, 2022 | Posted in Fraud | Tagged Tags: False Claim act, healthcare fraud, kickback scheme |
Catholic Medical Center Will Pay $3.8 MIllion to False Claims Act Case
The U.S. Department of Justice recently announced a $3.8 million settlement with Catholic Medical Center (CMC) to resolve allegations that it violated the False Claims Act by providing free call coverage to a cardiologist in exchange for patient referrals. Government attorneys said these actions violated the Anti-Kickback Statute. Case background The federal government alleged CMC Read More
Read MoreGeorgia Cancer Specialists Will Pay $8 Million to Settle Medicare Fraud Claims
Georgia Cancer Specialists (GCS), one of the nation’s largest oncology specialists, will pay the federal government $8 million to resolve Medicare fraud claims involving what a judge called a “sophisticated kickback scheme.” The whistleblowers who helped initiate the case will receive the maximum 30 percent award for reporting the fraud and assisting the federal government Read More
Read MoreTriMark USA Will Pay $48.5 Million to Settle Whistleblower Case
TriMark USA, LLC recently agreed to a $48.5 million settlement in a whistleblower lawsuit, the largest single amount ever recorded in a False Claims Act case involving small business fraud. The previous record was a $37 million settlement paid out by Atlantic Driving Supply. The significant recovery was the result of the combined work of Read More
Read MoreSEC Considers Changes to Rules of its Whistleblower Program
On February 10, the U.S. Securities and Exchange Commission announced a pair of proposed changes to some of the rules that govern the agency’s successful whistleblower program. The proposed amendments are to Exchange Act Rules 21F-3 and 6. If the amendments were to be adopted, they would ensure whistleblowers are more appropriately rewarded for their Read More
Read MoreMaryland Doctor Imprisoned Over Illegal Kickback Scheme
A doctor in Baltimore County, Maryland will spend eight months in federal prison and another with supervision upon release after he was involved with in a kickback scheme to prescribe pain medications known to be highly addictive. The illegal activity took place from 2012 to 2018. Case background The 65-year-old doctor is Howard J. Hoffberg, Read More
Read MoreHayat Pharmacy to Settle False Claims Act Case for $2 Million
The United States Department of Justice (DOJ) recently announced a settlement with Milwaukee-based chain Hayat Pharmacy for $2.05 over allegations the pharmacy made false claims to Medicaid and Medicare for prescription medications. The money from the settlement will be divided between the Wisconsin state government and the federal government. Wisconsin will receive approximately 34 percent Read More
Read MoreBrockton Urology Will Pay $100,000 in False Claims Act Settlement
Brockton Urology Clinic LLC in North Easton, Massachusetts recently agreed to pay $100,000 to settle claims it submitted false claims to Medicare in violation of federal law. The case is yet another example of healthcare fraud cases that cost the United States billions of dollars every single year. Case background According to the settlement agreement, Read More
Read MoreInformation About the Major 2021 Medicare Part C Fraud Settlements
Healthcare fraud costs the United States billions of dollars every year—and those are just the schemes that get uncovered. This was true once again in 2021, as healthcare fraud was the top source of False Claims Act violations for the year. Of $5.6 billion in total False Claims Act settlements and judgements last year, approximately Read More
Read MoreHayat Pharmacy to Pay More than $2 Million to Resolve False Claims Act Lawsuit
Hayat Pharmacy, which operates 23 pharmacy locations throughout the Milwaukee metropolitan area, will pay more than $2 million to resolve allegations it submitted false claims to Medicare and Medicaid for various prescription medications. In addition to paying $2 million to resolve the claims, the pharmacy chain will also conduct training concerning fraud, waste and abuse, Read More
Read MoreSEC Issued 11 Whistleblower Awards in January Alone
January was a busy month for the U.S. Securities and Exchange Commission. According to the agency, it issued 11 whistleblower awards in the first month of 2022. This year marks the 10th anniversary of the first whistleblower awards issued in the SEC’s whistleblower program in 2012. Since the program was founded it has awarded $1.2 Read More
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