The False Claims Act enables a private citizen with unique knowledge of fraud committed against the federal government (such as health care fraud, contract fraud, and tax fraud) to file a lawsuit under seal (not accessible to the public) seeking treble (triple the amount) damages on behalf of the government... Read more about the False Claims Act
Nine Jacksonville, Fla. hospitals and one ambulance company have agreed to collectively pay $7.5 million to settle allegations that they knowingly submitted or caused the submission of false claims to federal health care programs, the U.S. Attorney’s Office for the Middle District of Florida announced last week.
After a multiple-year investigation, the United States announces settlements with the following defendants: Baptist Health, who owns and operates four hospitals in Jacksonville (... full text
Sixteen separate hospitals and their corporate parents have agreed to collectively pay $15.69 million to resolve allegations that they knowingly submitted or caused the submission of false claims to Medicare for services that were not medically reasonable or necessary, the U.S. Department of Justice announced yesterday.
This case concerns claims to Medicare for Intensive Outpatient Psychotherapy (IOP) services. IOP services represent a continuation of ambulatory psychiatric services and... full text
The federal government has intervened in three False Claims Act whistleblower lawsuits and filed a consolidated complaint against HCR ManorCare, alleging that ManorCare knowingly submitted or caused the submission of false claims to federal health care programs Medicare and TRICARE for rehabilitation therapy services that were not medically reasonable and necessary, the U.S. Department of Justice announced last week.
The government’s complaint alleges that ManorCare, which is owned by The... full text
Texas-based Citizens Medical Center has agreed to pay the U.S. federal government $21.75 million to resolve allegations that it violated the False Claims Act by engaging in improper financial relationships with referring physicians, the U.S. Department of Justice announced last week.
The settlement resolved allegations that the hospital provided compensation to several cardiologists that exceeded the fair market value of their services. The settlement also resolved allegations that the... full text
Family Dermatology P.C., which owns and operates a dermatopathology lab and a number of dermatology practices, has agreed to pay $3.2 million plus interest to settle allegations that the company violated the False Claims Act by engaging in improper financial relationships with a number of its employed physicians, the U.S. Department of Justice announced earlier this week.
The settlement resolved allegations that financial relationships that Family Dermatology and its affiliates had with a... full text
Virginia-based Health Diagnostics Laboratory Inc. (HDL) and California-based Singulex Inc. have agreed to pay $48.5 million to resolve allegations that the companies violated the False Claims Act and the Anti-Kickback Statute by paying remuneration to physicians in exchange for patient referrals and billing federal health care programs for medically unnecessary testing, the Department of Justice announced yesterday. The government also intervened in the lawsuits as to similar allegations... full text
Fireman’s Fund Insurance Company has agreed to pay $44 million to settle allegations under the False Claims Act that it knowingly issued insurance policies that were ineligible under the U.S. Department of Agriculture’s (USDA) federal crop insurance program and falsified documents, the Justice Department announced earlier this week. Fireman’s Fund, an Allianz SE subsidiary headquartered in Novato, California, provides personal and commercial property insurance throughout... full text
Adventist Health System Sunbelt Healthcare Corporation (Adventist) has agreed to pay $5.4 million to settle allegations that the company knowingly submitted or caused the submission of false claims to federal health care programs Medicare and TRICARE by providing radiation oncology services to beneficiaries that were not properly supervised, the U.S. Department of Justice announced yesterday.
Radiation oncology services provided to patients served by Medicare and TRICARE, the Department of... full text
Recovery Home Care and National Home Care Holdings LLC have agreed to pay $1.1 million to resolve allegations that the Recovery Home Care entities knowingly submitted or caused the submission of false claims to Medicare, the U.S. Department of Justice announced today. The Recovery Home Care entities provide home health care services to Medicare beneficiaries and were purchased by National Home Care Holdings LLC in 2012, after the conduct addressed by the settlement occurred.
Recovery Home... full text
Two Florida medical doctors and their wives have agreed to pay, collectively, $1.13 million to settle allegations and they knowingly submitted or caused the submission of false claims to federal health care programs, the U.S. Department of Justice announced today.
The United States alleged that A Plus and its owner, Tracy Nemerofsky, engaged in a scheme to increase Medicare referrals in the heavily saturated home health care market in South Florida. Specifically, the United States... full text
