qui tam lawsuit

CA, Inc. to Settle Fraud Claims for $8M; Whistleblower Amount TBD

November 15, 2013

CA, Inc. (CA) has agreed to pay the United States $8 million to settle allegations that it violated the False Claims Act in connection with contracts administered by the General Services Administration (GSA) and the Department of Defense (DOD), the U.S. Attorney’s Office announced earlier this week.

The U.S. government, which purchased software maintenance services from CA, alleged that CA knowingly double-billed federal agencies by charging for periods of software maintenance for which the agencies had already paid.  Specifically, when federal customers entered into software maintenance renewal agreements with CA, the company began the renewal periods on the day CA processed the order, rather than the day after the expiration of the customer’s then-existing maintenance period. 

The government also claimed that CA prevented DOD from taking advantage of pre-paid software inventory and discounts available under several contracts known as Blanket Purchase Agreements (BPAs). CA allegedly steered DOD away from BPA purchases and toward purchases under more costly contracts, with the result that the government paid more than it should have for certain software.

The lawsuit was originally filed by Ann-Marie Shaw, a former CA employee, under the whistleblower provisions of the False Claims Act.  The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery. Shaw’s share of the settlement has not yet been determined.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government including, health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Omnicare Settles Medicare Fraud Case for $120M; Whistleblower May Get $36M

November 13, 2013
Image: 

Ohio-based pharmacy service provider Omnicare Inc. has agreed to pay $120 million to settle allegations that the company violated the Anti-Kickback Statute and the False Claims Act.  Omnicare is one of the nation’s largest providers of pharmacy services to the elderly.

Omnicare allegedly offered skilled nursing facilities steep discounts for drugs for their Medicare Part A patients, sometimes even below cost, in order to induce referrals of those facilities’ non-Medicare Part A patients. The skilled nursing facilities, meanwhile, were reimbursed by Medicare at a flat fee. The Anti-Kickback Statute prohibits remuneration, in cash or in kind, to induce referrals for items or services that will be paid by a federal health care program, such as Medicare.  This remuneration resulted in false claims being submitted to Medicare that Medicare would not have paid, had it known that the claims were premised upon illegal kickbacks.

The lawsuit was filed by Donald Gale, a former Omnicare employee, under the whistleblower provisions of the False Claims Act.  The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery.  The government elected not to intervene in this case, and Gale may receive up to 30 percent of the recovery, or up to $36 million.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

LG Chem Michigan to Settle False Claims for $1.2M; DOE to Receive $8.5K

November 12, 2013

LG Chem Michigan, Inc. (LGCMI) will pay the United States $1.2 million to resolve allegations, under the False Claims Act, that the company improperly sought and obtained federal funds to pay employees who were engaged in recreational and volunteer activities, the U.S. Attorney’s Office announced last week. This amount is in addition to the $8,500 that LGCMI refunded to the U.S. Department of Energy (DOE) based on the same allegations.

DOE awarded LGCMI over $150 million in funds under the American Recovery and Reinvestment Act to construct and operate a lithium-ion battery manufacturing plant. The United States alleged that before LGCMI transitioned battery production from foreign sources to their plant, LGCMI submitted claims to obtain the federal share of wages and benefits paid to domestic workers who were engaged in non-work activities such as watching movies, playing games and performing volunteer work. The United States further alleged that in response to governmental inquiries about those activities LGCMI failed to fully disclose the number of employees involved in those activities, the nature and scope of those activities, and the resulting losses to the government.

Under the False Claims Act, private parties with knowledge of fraud against the government may sue on behalf of the government and share in the recovery.  Had there been a whistleblower in this case, their portion of the settlement may have been anywhere from 15 to 30 percent.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government including, health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Hospice of the Comforter to Settle False Medicare Claims For $3M

November 8, 2013

Hospice of the Comforter Inc. (HOTCI) has agreed to pay $3 million to resolve allegations that it violated the False Claims Act by submitting false claims to the Medicare program for hospice services provided to patients who were not eligible for the Medicare hospice benefit, the Justice Department announced earlier this week. 

The government alleged that HOTCI engaged in practices that resulted in billing Medicare for patients who were not terminally ill. HOTCI allegedly directed its staff to admit all referred patients without regard to whether they were eligible for the Medicare hospice benefit, falsified medical records to make it appear that certain patients were eligible for the benefit when they were not, employed field nurses without hospice training, established procedures to limit physicians’ roles in assessing patients’ terminal status and delayed discharging patients when they became ineligible for the benefit. 

HOTCI has agreed to enter into a Corporate Integrity Agreement that provides for procedures and reviews to be put in place to promptly detect and prevent future conduct similar to that which gave rise to the settlement.  In addition, HOTCI’s former Chief Executive Officer Robert Wilson has agreed to a three-year, voluntary exclusion from Medicare, Medicaid and other federal health care programs.

The lawsuit was originally filed by Douglas Stone, a former HOTCI employee, under the whistleblower provisions of the False Claims Act.  The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery. Stone’s share of the recovery has not been determined.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government including, health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Johnson & Johnson to Settle Fraud Claims For $2.2B; Whistleblowers to Get $130M

November 6, 2013
Image: 

Johnson & Johnson (J&J) will pay more than $2.2 billion to resolve criminal and civil liability allegations relating to the prescription drugs Risperdal, Invega and Natrecor, including promotion for uses not approved as safe and effective by the Food and Drug Administration (FDA) and, payment of kickbacks to physicians and to pharmacy providers, the U.S. Department of Justice announced earlier this week.  The global resolution is one of the largest health care fraud settlements in U.S. history, including criminal fines and forfeiture totaling $485 million and civil settlements for False Claims Act violations totaling $1.72 billion.

The government alleged that Janssen Pharmaceuticals Inc., a J&J subsidiary, introduced the antipsychotic drug Risperdal, which was approved by the FDA only to treat schizophrenia, into interstate commerce for an unapproved uses. Janssen’s sales representatives allegedly promoted Risperdal to physicians and other prescribers who treated elderly dementia patients by urging the prescribers to use Risperdal to treat symptoms such as anxiety, agitation, depression, hostility and confusion. 

Janssen also allegedly created written sales aids for use by their ElderCare sales force that emphasized symptoms and minimized any mention of the FDA-approved use, treatment of schizophrenia.  The company also provided incentives for off-label promotion and intended use by basing sales representatives’ bonuses on total sales of Risperdal in their sales areas, not just sales for FDA-approved uses. The settlement also resolves allegations that, in furtherance of their efforts to target elderly dementia patients in nursing homes, J&J and Janssen paid kickbacks to Omnicare Inc., the nation’s largest pharmacy specializing in dispensing drugs to nursing home patients. 

The government alleged that J&J and Janssen caused false claims to be submitted to federal health care programs by promoting Risperdal for off-label uses that federal health care programs did not cover, making false and misleading statements about the safety and efficacy of Risperdal and paying kickbacks to physicians to prescribe Risperdal.

In addition to imposing substantial monetary sanctions, the resolution will subject J&J to stringent requirements under a Corporate Integrity Agreement (CIA) with the Department of Health and Human Services Office of Inspector General (HHS-OIG).  This agreement is designed to increase accountability and transparency and prevent future fraud and abuse.

The lawsuit was originally filed by former employees across multiple states under the whistleblower provisions of the False Claims Act.  The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery.  Whistleblowers in the Eastern District of Pennsylvania will receive $112 million while whistleblowers in the Districts of Massachusetts and the Northern District of California will receive $28 million as their portion of the settlement.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government including, health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Axway to Settle Contract Fraud Claims For $6.2M; Whistleblower to Get $1.2M

November 5, 2013
Image: 

Axway, Inc. has agreed to pay the United States $6.2 million to settle allegations under the False Claims Act that it and its predecessors  provided the General Services Administration (GSA) with defective pricing information in order to obtain and maintain a contract permitting them to sell software licenses and related services to federal agencies at inflated prices, the Department of Justice announced last week.

Axway, Inc. allegedly provided GSA with commercial pricing information that was not current, accurate and complete during the initial negotiation of the contract. As a result, the United States alleges that the contract that was awarded contained pricing that was less advantageous to the government than would have been negotiated had accurate and complete disclosures been made. In addition, the United States alleges that when the contract was renewed, Axway Inc. failed to provide GSA with accurate and complete commercial pricing disclosures. Finally, Axway Inc. failed to comply with the price reduction clause of the contract resulting in allegations from the United States that the contract contained inflated prices, and that numerous government agencies relied on these inflated prices and overpaid for their purchases of software and related services.

The lawsuit was originally filed by Kenneth Marcus, a former employee, under the whistleblower provisions of the False Claims Act.  The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery.  Marcus will receive $1.2 million as his portion of the settlement.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government including, health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Infosys Corp. to Settle Fraud Claims for $34M

November 1, 2013

Infosys Corporation has agreed to pay $34 million to settle allegations of systematic visa fraud and abuse of immigration processes, the U.S. Attorney’s Office announced earlier this week.  The $34 million payment made by Infosys, an Indian company involved in consulting, technology, and outsourcing, represents the largest payment ever levied in an immigration case.

Infosys brings foreign nationals into the United States in order to perform work and fulfill contracts with its customers under two visa classification programs, H-1B and B-1. The government alleged that Infosys knowingly circumvented the requirements, limitations and governmental oversight of the H-1B visa program by unlawfully using B-1 visa holders to perform skilled labor that would otherwise be performed by United States citizens or require legitimate H-1B visa holders.  The government also alleged that Infosys did so in order to increase profits, minimize costs of securing visas, increase flexibility of employee movement, obtain an unfair advantage over competitors and avoid tax liabilities.

The settlement agreement also requires additional auditing for I-9 forms; a reporting requirement for B-1 usage; an agreement to continue to use only detailed invitation letters and the continued use of corporate disciplinary processes for employees that violate the immigration laws of the United States.

The lawsuit was originally filed by Jack Palmer, a former Infosys employee in America, under the whistleblower provisions of the False Claims Act.  The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery.  Palmer’s case was dismissed last year by a federal judge but spurred federal investigation, and he could receive $5 million to $8 million as his share of this settlement.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government including, health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

 

 

Cross-Post On: 
None

U.S. Gov. Intervenes in False Claims Lawsuit Against United States Investigations Services LLC (USIS)

October 30, 2013
Image: 

The government has intervened in a lawsuit filed under the False Claims Act against United States Investigations Services LLC (USIS) in the U.S. District Court for the Middle District of Alabama, the Department of Justice announced today. The lawsuit alleges that USIS failed to perform quality control reviews in connection with its background investigations for the U.S. Office of Personnel Management (OPM).

USIS was contracted with OPM to perform background investigations on individuals seeking employment with various federal agencies.  The contract at issue in the lawsuit required USIS to conduct the investigatory fieldwork on each prospective applicant.  It also required that a trained USIS Reviewer perform a full review of each background investigation to ensure it conformed to OPM standards before sending the file back to OPM for processing. 

According to the complaint, USIS engaged in a practice known at USIS as “dumping.”  Specifically, USIS used a proprietary computer software program to automatically release to OPM background investigations that had not gone through the full review process and thus were not complete. USIS allegedly dumped cases to meet revenue targets and maximize its profits.  The lawsuit alleges that USIS concealed this practice from OPM and improperly billed OPM for background investigations it knew were not performed in accordance with the contract. 

The lawsuit was originally filed by Blake Percival, a former employee of USIS, under the whistleblower provisions of the False Claims Act. The False Claims Act allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery.

The False Claims Act also permits the government to investigate the allegations made in the whistleblower’s complaint and decide whether to intervene in the lawsuit.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Whistleblower Sues George Washington University for Retaliation

October 30, 2013
Image: 

John Lombardi has filed a lawsuit against his previous employer, George Washington University (GW), for unlawful termination in connection with his attempts to blow the whistle on GW’s contract fraud on the Department of State.

GW obtained subcontracts through Science Applications International Corporation (SAIC) for orders related to the federally funded Global Anti-Terrorism Training Assistance project, for which Lombardi was to be the Principal Investigator.  According to the complaint, GW allegedly attempted to engage in a “bait-and-switch” on SAIC and the federal government by replacing Lombardi as the Principal Investigator on certain contracts without notifying SAIC or the government that other, unqualified individuals would be performing the tasks.  The scheme would have resulted in federal tax dollars being used to pay a Principal Investigator that was not qualified, nor agreed upon in the contract.  Lombardi claims that when he tried to bring the matter to the attention of GW’s General Counsel, he was ignored, then his pay reduced, and finally his employment was terminated.

Lombardi filed the suit under the whistleblower provisions of the False Claims Act, which allows private parties with knowledge of fraud against the government to sue on behalf of the government and share in the recovery.  The False Claims Act also prohibits retaliation against the whistleblower.  Lombardi will be eligible for a share of the recovery should he prevail.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None

Complaint Filed Against Walgreens for Medicare Fraud Claims

October 29, 2013

Fox Rx, Inc. has filed a complaint against Walgreens Company in the federal district court of the Southern District of New York for violations of the False Claims Act.  Walgreens allegedly submitted or caused the submission of false claims to state and federal health care programs such as Medicare and Medicaid.

Fox Rx alleges that Walgreens routinely overbilled Medicare and Medicaid by failing to substitute generic drugs for brand-name medication, in violation of state laws that required Walgreens pharmacies to substitute equivalent generic drugs whenever possible.  Walgreens also allegedly dispensed expired drugs to Medicare and Medicaid beneficiaries.  These actions caused the U.S. government, as well as state governments, to pay more for prescription drugs than they should have.

The lawsuit was filed under the False Claims Act, which allows those with knowledge of fraud against the government to sue on behalf of the government and share a claim in the recovery.  According to the False Claims Act, the government may be awarded damages three times the amount of damages sustained by the government because of the false claims.  Fox Rx would receive 15 to 30 percent as their share of the recovery.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Cross-Post On: 
None
Syndicate content