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Allergan to Pay $13M to Resolve Whistleblower-Initiated Suit

Posted 07/5/17

By the C|C Whistleblower Lawyer Team Pharmaceutical maker Allergan, Inc. has agreed to pay $13 million to settle claims it illegally promoted eye drugs through a kickback scheme to induce doctors to prescribe its products. According to the complaint, Allergan improperly provided services such as business consulting and continuing medical education to boost its sales by encouraging doctors to recommend...

Tagged in: Anti-Kickback and Stark, FCA Federal, Government Decision, Whistleblower Rewards,

Los Angeles Hospital Settles FCA suit for $42M

Posted 06/29/17

By the C|C Whistleblower Lawyer Team Pacific Alliance Medical Center, a hospital in Los Angeles’ Chinatown neighborhood, settled allegations that its financial relationships violated the Stark Law and Anti-Kickback Statute. Of the $42 million settlement, $32 million is allocated to the United States, while the remaining $10 million is allocated to the State of California. According to the allegations, the...

Tagged in: Anti-Kickback and Stark, FCA Federal,

Mother and Daughter Owners of Home Health Agencies Each Sentenced to Over 10 Years in Prison for Roles in $20 Million Fraud Scheme

Posted 06/16/17

By the C|C Whistleblower Lawyer Team A mother and daughter who secretly co-owned and operated seven home health care agencies in the Miami, Florida area were each sentenced to over 10 years in prison for their roles in a $20 million Medicare fraud conspiracy that involved paying illegal health care kickbacks to patient recruiters and medical professionals. Mildrey Gonzalez, 61, and her daughter, Milka Alfaro,...

Tagged in: Anti-Kickback and Stark, Healthcare Fraud, Home Health and Hospice, Medicare,

DOJ Catch of the Week -- Mercy Hospital

Posted 05/19/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to two Southwest Missouri hospitals who yesterday agreed to pay $34 million to settle charges they violated the False Claims Act by engaging in improper financial relationships with referring physicians. The two hospitals are Mercy Hospital Springfield and its affiliate Mercy Clinic Springfield Communities (formerly...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal,

DOJ Catch of the Week -- Indiana University/HealthNet

Posted 04/28/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Indiana University Health Inc. and HealthNet Inc. Yesterday, they agreed to pay $18 million to resolve allegations they violated the False Claims Act and Anti-Kickback Statute by engaging in an illegal kickback scheme related to the referral of HealthNet’s OB/GYN patients to IU Health’s Methodist Hospital....

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal,

DOJ Secures $11.4 Million FCA Settlement

Posted 04/26/17

By the C|C Whistleblower Lawyer Team Yesterday, the Department of Justice announced that as Pacific Pulmonary Services will pay $11.4 million to settle a False Claims lawsuit. At issue in the case were allegedly false claims to Medicare and other federal healthcare programs for oxygen and related equipment supplied in violation of program rules, as well as claims for sleep therapy equipment tainted by a kickback...

Tagged in: Anti-Kickback and Stark, FCA Federal, Healthcare Fraud, Laboratory and IDTF, Medical Devices and DME, Whistleblower Case, Whistleblower Rewards,

Hospice Companies Settle FCA Case for $12.2M

Posted 04/20/17

By the C|C Whistleblower Lawyer Team Several Hospice companies settled allegations they violated the False Claims Act (FCA) by paying kickbacks for patient referrals. The companies include Hospice Plus; Goodwin Hospice, LLC; Phoenix Hospice, LP; Hospice Plus, L.P.; and Curo Health Services, LLC. Mooresville, North Carolina-headquartered Curo Health Services operates eight hospice affiliates across 18 states. Curo...

Tagged in: Anti-Kickback and Stark, FCA Federal, Home Health and Hospice, Whistleblower Case,

Home Health Agency Owner Pleads Guilty to Conspiring in $17 Million Medicaid Fraud Scheme

Posted 03/31/17

By the C|C Whistleblower Lawyer Team The owner and operator of five Houston-area home health agencies pleaded guilty to conspiring to defraud Medicare and the State of Texas’s Medicaid-funded Home and Community-Based Service and Primary Home Care programs of more than $17 million. He also pleaded guilty to conspiring to launder money. These health care programs provided qualified individuals with in-home...

Tagged in: Anti-Kickback and Stark, FCA State, Home Health and Hospice, Medicaid,

DOJ intervenes in $50 Million Healthcare Fraud Case

Posted 03/2/17

By the C|C Whistleblower Lawyer Team Preet Bharara, US Attorney for the Southern District of New York, announced a civil suit and criminal actions against several doctors and health care entities alleging over $50M in fraud through schemes that lasted over 12 years. Five of the six doctors charged in their personal capacity were arrested in the New York area on Wednesday. The allegations center around Asim...

Tagged in: Anti-Kickback and Stark, FCA Federal, Government Decision, Healthcare Fraud, Lack of Medical Necessity, Medicaid, Medical Billing Fraud, Medicare, Private Insurance Whistleblower Reward Programs, Provider Fraud,

DOJ Catch of The Week -- Shire Pharmaceuticals

Posted 01/13/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Ireland-based Shire Pharmaceuticals LLC. On Wednesday, the company and certain subsidiaries agreed to pay $350 million to settle charges that Shire and the company it acquired in 2011, Advanced BioHealing (ABH), violated the False Claims Act and Anti-Kickback Statute by using kickbacks and other unlawful methods to...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal,

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Allergan to Pay $13M to Resolve Whistleblower-Initiated Suit

Los Angeles Hospital Settles FCA suit for $42M

Mother and Daughter Owners of Home Health Agencies Each Sentenced to Over 10 Years in Prison for Roles in $20 Million Fraud Scheme

DOJ Catch of the Week -- Mercy Hospital

DOJ Catch of the Week -- Indiana University/HealthNet

DOJ Secures $11.4 Million FCA Settlement

Hospice Companies Settle FCA Case for $12.2M

Home Health Agency Owner Pleads Guilty to Conspiring in $17 Million Medicaid Fraud Scheme

DOJ intervenes in $50 Million Healthcare Fraud Case

DOJ Catch of The Week -- Shire Pharmaceuticals

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