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Page 117 of 129

April 29, 2015

The Hospital Authority of Irwin County (ICH) and several doctors agreed to pay $520,000 to settle charges they violated the False Claims Act, the Anti-Kickback Statute, the Stark Law and related Georgia Medicaid policies in connection with the amount of compensation paid by ICH to one of the doctors, ICH’s leases with the doctors, and the supervision of certain diagnostic imaging services at ICH.  The allegations first arose in a whistleblower lawsuit filed by Connie Brogdon and Summer Holland under the qui tam provisions of the False Claims Act and the Georgia False Medicaid Claims Act.  They will receive an undisclosed portion of the settlement payment.  DOJ

Tagged in: Anti-Kickback and Stark, FCA Federal, FCA State, Hospital Fraud, Whistleblower Case, Whistleblower Rewards,

April 27, 2015

The Medical Center of Central Georgia agreed to pay $20 million to settle allegations it violated the False Claims Act by billing Medicare for more expensive inpatient services that should have been billed as less costly outpatient or observation services.  DOJ

Tagged in: FCA Federal, Hospital Fraud, Upcoding,

April 21, 2015

Family Dermatology P.C., which owns and operates a dermatopathology lab in Georgia and several dermatology practices throughout the Eastern United States, agreed to pay $3,247,835 to settle allegations it violated the False Claims Act and the Stark Statute by engaging in improper financial relationships with a number of its employed physicians.  According to the government, Family Dermatology routinely required its dermatologists to use Family Dermatology’s in-house pathology lab, which operated under the name Nelson Dermatopathology, for their pathology services.  The allegations first arose in three whistleblower lawsuits filed under the qui tam provisions of the False Claims Act by Scott M. Ross MD, Mark F. Baucom and Harold Milstein MD.  They will collectively receive a whistleblower award of more than $584,000.  DOJ

Tagged in: Anti-Kickback and Stark, FCA Federal, Provider Fraud, Whistleblower Case, Whistleblower Rewards,

April 21, 2015

Texas-based Citizens Medical Center agreed to pay $21,750,000 to settle allegations it violated the False Claims Act and Stark Statute by engaging in improper financial relationships with referring physicians.  According to the government, the hospital provided compensation to several cardiologists that exceeded the fair market value of their services and paid bonuses to emergency room physicians that improperly took into account the value of their cardiology referrals.  The allegations first arose in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by Dakshesh “Kumar” Parikh, Harish Chandna and Ajay Gaalla.  They will collectively receive a whistleblower award of $5,981,250.  DOJ

Tagged in: Anti-Kickback and Stark, FCA Federal, Hospital Fraud, Whistleblower Case, Whistleblower Rewards,

April 21, 2015

R.J. Zavoral & Sons, Inc., John Zavoral, Peter Zavoral and Craig Pietruszewski agreed to pay $1.85 million to resolve allegations they violated the False Claims Act and the Financial Institutions Reform, Recovery, and Enforcement Act by making false statements to the Small Business Administration (SBA) and the US Army Corps of Engineers relating to the Heartsville Coulee Diversion construction contract they were awarded for flood control work in and around East Grand Forks, Minnesota.  DOJ

Tagged in: FCA Federal, FIRREA, Government Procurement Fraud, Set-Asides and Preferences,

April 9, 2015

Sprint Communications, Inc. (formerly Sprint Nextel Corporation) agreed to pay $15.5 million to resolve allegations it defrauded federal law enforcement agencies when recovering its costs of carrying out court-ordered wiretaps, pen registers, and trap devices.  DOJ

Tagged in: Contract Non-Compliance, FCA Federal, Government Procurement Fraud,

April 9, 2015

Virginia-based cardiovascular testing disease laboratory Health Diagnostics Laboratory Inc. agreed to pay $47 million to resolve allegations it violated the False Claims Act by paying kickbacks to physicians in exchange for patient referrals and billing federal health care programs for medically unnecessary testing.  A second cardio testing lab, California-based Singulex Inc., agreed to pay $1.5 million to settle similar charges.  The allegations first arose in a whistleblower lawsuit filed by Dr. Michael Mayes, Scarlett Lutz, Kayla Webster and Chris Reidel under the qui tam provisions of the False Claims Act.  The whistleblower award they will receive has yet to be determined.  Whistleblower Insider

Tagged in: Anti-Kickback and Stark, FCA Federal, Laboratory and IDTF, Lack of Medical Necessity, Whistleblower Case, Whistleblower Rewards,

April 8, 2015

Orlando-based Air Ideal Inc. and its majority owner, Kim Amkraut, agreed to pay $250,000 to resolve allegations they made false statements to the Small Business Administration to improperly obtain certification as a Historically Underutilized Business Zone (HUBZone) company.  They must also pay five percent of Air Ideal’s gross revenues over the next five years.  Specifically, the government alleged Air Ideal used its fraudulently-procured HUBZone certification to obtain contracts from the US Coast Guard, US Army, US Army Corps of Engineers and the US Department of the Interior.  The allegations first arose in a whistleblower complaint filed under the qui tam provisions of the False Claims Act by Patricia Hopson.  She will receive a whistleblower award of $42,500.  DOJ

Tagged in: Defense Contract Fraud, FCA Federal, Government Procurement Fraud, Set-Asides and Preferences, Whistleblower Case, Whistleblower Rewards,

March 31, 2015

Ohio-based Robinson Health System Inc. agreed to pay $10 million to settle claims it violated the False Claims Act, the Anti-Kickback Statute and the Stark Statute by engaging in improper financial relationships with referring physicians.  DOJ

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

March 23, 2015

California-based Fireman’s Fund Insurance Company, a subsidiary of Allianz SE, agreed to pay $44 million to settle allegations it violated the False Claims Act by issuing insurance policies that were ineligible under the US Department of Agriculture’s federal crop insurance program and falsifying documents in support of the improper issuances.  DOJ

Tagged in: Crop Insurance, FCA Federal,

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