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United Therapeutics Settles FCA Suit for $210M

Posted  12/21/17
United Therapeutics (UT), a Maryland-based pharmaceutical company which produces and distributes drugs for treating pulmonary arterial hypertension, has settled allegations that it illegally paid kickbacks to Medicare patients through its charitable foundation. In its effort to sell more pulmonary arterial hypertension drugs (including Adcirca, Remodulin, Tyvaso, and Orenitram), the company used a non-profit...

Two Physician Groups Pay Over $33M to Resolve Whistleblower Claims Involving HMA Hospitals

Posted  12/20/17
By the C|C Whistleblower Lawyer Team Two physician groups, Dallas-based EmCare Inc. and Pennsylvania-based Physician’s Alliance Ltd (PAL), agreed to settlements that resolve claims the groups received illegal kickbacks in exchange for referring patients to hospitals owned by Health Management Associates (HMA). The settlements, announced by the Justice Department yesterday, resolve two separate whistleblower...

DaVita Rx Agrees to Pay $63.7 Million to Resolve False Claims Act Allegations

Posted  12/15/17
By the C|C Whistleblower Lawyer Team DaVita Rx LLC, a nationwide pharmacy that specializes in serving patients with severe kidney disease, agreed to pay a total of $63.7 million to resolve False Claims Act allegations relating to improper billing practices and unlawful financial inducements to federal healthcare program beneficiaries, the Justice Department announced today.  DaVita Rx is based in Coppell,...

Oncology Clinic Settles FCA Suit for $26M

Posted  12/13/17
By the C|C Whistleblower Lawyer Team Florida-based 21st Century Oncology Inc. and several of its subsidiaries have settled allegations regarding the practice’s use of Electronic Health Records (EHR) software. The settlement is a result of a self-disclosure of violations made under Medicare’s EHR incentive program. The incentive program allows healthcare providers that attest to meaningful use of their EHR...

Texas Hospital to Pay $7.5 Million to Settle Kickback Allegations

Posted  12/4/17
By the C|C Whistleblower Lawyer Team The Department of Justice announced Friday that Pine Creek Medical Center LLC, a physician-owned hospital based in the Dallas/Fort Worth area, agreed to pay $7.5 million to settle claims it violated the False Claims Act. The claims centered on allegations that Pine Creek paid physicians kickbacks through marketing services in exchange for surgical referrals. The government alleged...

Miami-Area Man Pleads Guilty for Role in $63M Health Care Fraud Scheme

Posted  11/22/17
By the C|C Whistleblower Lawyer Team A Boca Raton man pleaded guilty yesterday to conspiracy to defraud the federal government and receive kickbacks and/or bribes in a $63 million health care fraud scheme. As part of the plea, announced yesterday by the Justice Department, Samuel Konell admitted that for approximately six years, he coordinated with criminal defendants in the state court system to funnel the...

Pennsylvania Hospital and Physicians’ Group Settle FCA Suit for Over $20M

Posted  11/15/17
By the C|C Whistleblower Lawyer Team UPMC Hamot, a hospital in Erie, Pennsylvania, and Medicor Associates Inc, a cardiology practice, have agreed to pay $20.7M to settle allegations that they violated the FCA by paying for patient referrals in violation of the Stark law and Anti-Kickback Statute. Generally speaking, the Stark law and Anti-kickback statute prohibit hospitals, physicians, pharmacies, nursing homes,...

Fraudster of the Week -- TRICARE Fraudster Joseph Baumiller

Posted  10/20/17
By the C|C Whistleblower Lawyer Team On Tuesday, 38-year-old Joseph Baumiller of Dallas, Texas pleaded guilty to one count of conspiracy to defraud TRICARE, the health care program serving military members and their families. Baumiller, the former president of Trilogy Pharmacy, admitted to conspiring with several marketers, physicians, and other pharmacists to orchestrate a scheme involving the payment of kickbacks...

Houston-Area Hospitals Settle FCA Allegations for over $8M

Posted  10/5/17
By the C|C Whistleblower Lawyer Team Four hospitals in the Houston area have agreed to pay $8.6M to settle allegations that they received kickbacks from ambulance companies in exchange for the hospitals’ Medicare and Medicaid transport referrals. The hospitals are Bayshore Medical Center, Clear Lake Regional Medical Center, West Houston Medical Center, and East Houston Regional Medical Center. All four hospitals...

More Executives Charged in Tenet Healthcare Fraud Scheme

Posted  10/3/17
Several more executives were charged for their alleged roles in the $400 million fraud and bribery scheme involving Tenet Healthcare Corporation. The indictments follow the October 2016 guilty plea and half a billion dollar payout by Tenet and its subsidiaries for violating the False Claims Act and Anti-Kickback Statute. The allegations of the scheme originated in a whistleblower lawsuit filed under the qui tam...
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