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US Obtains $114M FCA Judgement in Kickbacks Case

Posted  05/31/18
On May 23, the US District Court in South Carolina issued judgment for the US for roughly $114M against three individuals, LaTonya Mallory, Floyd Dent III, and Robert Johnson, for violating the FCA by paying kickbacks to doctors in exchange for patient referrals. The defendants also caused two labs to bill Medicare, TRICARE, and Medicaid for medically unnecessary tests. The judgment follows a January jury verdict that...

Medicare Fraudsters Beware; DOJ May Be Reviewing Your Billing Data

Posted  05/15/18
By the C|C Whistleblower Lawyer Team Maryland physician Sureshkumar Muttath agreed to pay more than $1.5 million to settle claims he violated the False Claims Act by submitting claims to Medicare for medically unnecessary autonomic nervous function tests and neurobehavioral status exams.  The settlement originated under DOJ’s new initiative of tracking irregularities in Medicare billing data.  See DOJ Press...

New York Urgent Care Clinic Pays Over $6.6M to Settle FCA Suit

Posted  05/7/18
By the C|C Whistleblower Lawyer Team CityMD, a company that manages over 80 urgent care clinics in and around New York City, has settled allegations that it billed Medicare for more expensive services than were actually performed, and that it billed Medicare under the names of doctors who did not actually perform the services. Under the terms of the settlement, CityMD also accepted responsibility for its...

Rotech Agrees to Pay $9.68 Million to Settle False Claims Act Liability Related to Improper Billing for Portable Oxygen

Posted  04/16/18
By the C|C Whistleblower Lawyer Team The Justice Department announced a settlement last week for $9.68 million with Rotech Healthcare Inc. to settle charges of knowingly submitting false claims for portable oxygen contents to Medicare. The settlement included an admission by Rotech that is knowingly billed portable oxygen contents to Medicare for beneficiaries who neither used nor required them and that Rotech billed...

Banner Health Agrees to Pay $18 Million to Settle Whistleblower Case

Posted  04/13/18
By the C|C Whistleblower Lawyer Team Banner Health has agreed to pay over $18 million to settle allegations that 12 of its hospitals in Arizona and Colorado knowingly submitted false claims to Medicare by admitting patients who could have been treated on a less costly outpatient basis.  Headquartered in Arizona, Banner Health owns and operates 28 acute-care hospitals in multiple states. “Taxpayers should not bear...

Genetic Testing Company Settles Whistleblower Suit for $11.4M

Posted  03/14/18
Silicon Valley-based Natera, Inc. agreed to pay over $11 million to resolve claims it improperly billed government healthcare programs for its non-invasive prenatal tests and screenings in violation of the False Claims Act by billing for the tests with an incorrect billing code. In resolution of the allegations, Natera will pay over $10.6 million to the federal government and $756,183 to a number of state Medicaid...

Fraudster of the Week -- Pharmacy Fraudster Steven Butcher

Posted  02/16/18
By the C|C Whistleblower Lawyer Team On Wednesday, former pharmaceutical sales representative Steven Butcher admitted to running a $45 million scheme to swindle both federally-funded and private health care benefit programs.  Butcher was charged with one count of conspiracy to commit health care fraud and one count of conspiracy to violate the Anti-Kickback Statute, a law designed to remove financial incentives...

Fraudster of the Week -- Former Football Player Monty Grow

Posted  02/9/18
By the C|C Whistleblower Lawyer Team On Monday, a federal jury in Miami unanimously convicted Monty Grow of running a compound pharmaceutical drug conspiracy that bilked $20 million from TRICARE, a healthcare program for military members and their families. Grow was a star linebacker at the University of Florida in the early 1990s and spent two seasons as a cornerback in the NFL. Prosecutors accused Grow of...

South Carolina Resident Found Liable for $51 Million in Health Care Fraud

Posted  02/2/18
By the C|C Whistleblower Lawyer Team The United States Attorney’s Office in South Carolina announced that a federal jury returned a unanimous verdict against Floyd Calhoun “Cal” Dent and two co-conspirators, Robert Bradford Johnson and LaTonya Mallory, for defrauding Medicare and Tricare. The government alleged that Mr. Dent and his co-conspirators paid kickbacks to physicians so they would order medically...

Tampa’s Largest Ambulance Providers Will Pay $5.5M to Resolve Whistleblower-Initiated Suit

Posted  01/31/18
By the C|C Whistleblower Lawyer Team AmeriCare Ambulance Service, Inc. and its sister company, AmeriCare ALS, Inc. have reached a $5.5 million settlement with the government, resolving allegations that AmeriCare defrauded Medicare by billing for medically unnecessary ambulance transportation services. According to the government’s complaint, AmeriCare submitted fraudulent claims to Medicare and TRICARE for...
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