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CATCH OF THE WEEK — Tenet Healthcare to Pay $66M Over Kickback Allegations

Posted  11/7/19
Tenet Healthcare Logo
Tenet Healthcare, a healthcare giant that operates 65 hospitals and conducts over 10 million patient encounters annually, has agreed in principle to pay the United States roughly $66M to settle allegations that it violated the Stark Law and the Anti-Kickback Statute. These laws generally prohibit medical providers from paying or receiving kickbacks, remuneration, or anything of value in exchange for referrals of...

Constantine Cannon Settles Whistleblower Case with Sharp Healthcare Center for Research

Posted  11/6/19
health medical billing
A whistleblower represented by Constantine Cannon, who exposed an alleged cycle of deceit at Sharp HealthCare, a regional hospital system in San Diego, has settled a False Claims Act lawsuit against the Sharp Healthcare Center for Research, Sharp’s clinical-trial research arm. The whistleblower suit alleged that Sharp fraudulently billed government payers, like Medicare and Medicaid (known as Medi-Cal in...

Appellate Decision Raises Questions for Relators Seeking a Share from Alternate Remedies

Posted  11/4/19
3rd Circuit Seal
The Third Circuit caught industry headlines when it was reported to have ruled on October 28, 2019, that a whistleblower had no right to an award based on a portion of criminal fines or forfeitures. That would upend longstanding rights of relators to share in the proceeds of “related proceedings.” Thankfully, the real scope of the opinion is less far-reaching, though it would be wise for relators to consider...

CATCH OF THE WEEK — Sanford Health to pay over $20M for kickback, unnecessary spinal surgery claims brought by two Sanford doctors

Posted  10/30/19
skeletal drawing of spine
Our Catch of the Week features a $20.25 million settlement with South Dakota-based Sanford Health, Sanford Medical Center, and Sanford Clinic announced by the Justice Department in an October 28, 2019 press release.  The settlement resolves allegations the massive health system knowingly submitted claims for medically unnecessary spinal surgeries and tainted by kickbacks to a top Sanford neurosurgeon.  Two Sanford...

CATCH OF THE WEEK – Osteo Relief Institutes, Pedaling Dubious Treatment for Arthritis, Tagged for Charging Medicare for Medically Unnecessary Services

Posted  10/25/19
x-ray of a knee
On October 18, 2019, the Department of Justice announced a settlement with arthritis treatment provider Osteo Relief Institutes and seven of its locations in Phoenix, Arizona; San Diego, California; Lexington, Kentucky; Wall Township, New Jersey; Dallas, Texas; San Antonio, Texas; and, Colorado Springs, Colorado.  According to the DOJ press release, the ORI entities, together with their principals, will collectively...

Amazon Feels the Force

Posted  10/17/19
Birds-Eye-View of Pentagon Building
It’s a reoccurring joke that our government services are a little behind on technological times.  President Obama’s staff famously panicked in 2008 when confronted with the outdated state of White House technology.  Although some things have improved in the last decade, the federal government still remains slow to adapt to technological change. The Pentagon is now trying to get on board with the...

Catch Our Rising Star!

Posted  10/17/19
Headshot of Attorney MRonickher
Law360 has tapped Michael Ronickher, partner in the whistleblower practice at Constantine Cannon, for its 2019 Rising Star series.  Law360 selected Mike for his work representing whistleblowers in all manner of reward programs, including his role in the groundbreaking cybersecurity whistleblower case against Cisco. What motivates Mike?  His clients: “Our clients are a real reason that we all get out of bed in...

CATCH OF THE WEEK — Ophthalmology group, former CEO, and individual physicians settle fraud claims for $6.65M

Posted  10/11/19
Our latest Catch of the Week highlights the successful resolution of a whistleblower lawsuit against a Southern California eye doctor group and several individuals allegedly embroiled in a decade-long scheme to bill publicly funded healthcare programs for unnecessary eye exams.  Ophthalmology provider group Retina Institute of California Medical Group (RIC), its former CEO, several of its doctors, and other involved...

CATCH OF THE WEEK – Avanir Pharmaceuticals

Posted  09/27/19
Our Catch of the Week goes to Avanir Pharmaceuticals, manufacturer of Nuedexta, for allegedly paying kickbacks to physicians and engaging in false and misleading marketing tactics.  Avanir allegedly marketed Nuedexta in long-term care facilities and targeted their sales tactics to encourage doctors to prescribe the drug to dementia patients for off-label uses. The pharma company agreed to pay over $108 million in...

Florida Pharma Whistleblower Case Results in FCA Settlement by Private Equity Firm

Posted  09/27/19
Last week, the government announced that compounding pharmacy Diabetic Care Rx LLC, known as Patient Care America (“PCA”), its executives, and the private equity firm managing the pharmacy Riordan, Lewis & Haden Inc., had agreed to pay over $21 million to settle allegations they violated the False Claims Act (“FCA”) by executing a kickback scheme to generate referrals of TRICARE patients. The allegations...
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