Archive

Sharp HealthCare - Healthcare Fraud/Kickbacks (Undisclosed)

Constantine Cannon represented a whistleblower in a False Claims Act case alleging Sharp HealthCare Center for Research, Sharp’s clinical-trial research arm, paid kickbacks to entice prospective trial sponsors to host clinical trials at Sharp. In November 2019, the company agreed to pay an undisclosed amount to settle the matter. Our client received a whistleblower award of an undisclosed portion of the government's recovery. Read more -- CC.

Tagged in: Anti-Kickback and Stark, FCA Federal, FCA State, Healthcare Fraud, Hospital Fraud, Medicaid, Medical Billing Fraud, Medical Devices and DME, Medicare, Other Government Health Programs, Pharma Fraud, Private Insurance Whistleblower Reward Programs, Provider Fraud, Whistleblower Rewards,

Freedom Health/Optimum - Healthcare Fraud/Medicare Advantage ($32.5 million)

Constantine Cannon represented a whistleblower in a False Claims Act case alleging Freedom Health and Optimum Healthcare inflated their Medicare Advantage patient risk scores to secure artificially high Medicare reimbursement. In May 2017, the companies agreed to pay $32.5 million to settle the matter. Our client received a whistleblower award of roughly $6.4 million. Read more -- NPR, Miami Herald, DOJ, CC.

Tagged in: FCA Federal, Healthcare Fraud, Managed Care, Medicare, Risk Adjustment Fraud, Whistleblower Rewards,

Radiology Practice - Healthcare Fraud/Unnecessary Testing ($10.5M)

Constantine Cannon represented two whistleblowers in a False Claims Act case alleging New York-based Zwanger-Pesiri Radiology improperly billed Medicare for testing that was medically unnecessary or never performed. In November 2016, the company agreed to pay $10.5 million to settle both criminal and civil charges. Our clients received a whistleblower award of more than $1 million. Read more -- Newsday, DOJ, PR Newswire, CC.

Tagged in: FCA Federal, Healthcare Fraud, Improper Medical Personnel, Lack of Medical Necessity, Medicare, Provider Fraud, Whistleblower Rewards,

Bay Sleep Clinic - Healthcare Fraud/Kickbacks ($2.6 million)

Constantine Cannon represented a whistleblower under the False Claims Act case alleging Bay Sleep Clinic billed Medicare for sleep studies by unlicensed technicians and paid kickbacks to doctors for patient referrals. In December 2016, the company agreed to pay $2.6 million to settle the matter. Our client received a whistleblower award of roughly 21% of the government’s recovery. Read more -- SF Gate, DOJ, PR Newswire, CC.

Tagged in: Anti-Kickback and Stark, FCA Federal, Healthcare Fraud, Improper Medical Facility, Improper Medical Personnel, Laboratory and IDTF, Medicare, Provider Fraud, Whistleblower Rewards,

Roof Systems of Maine - Procurement Fraud/Defense ($439,500)

Constantine Cannon represented a whistleblower in a False Claims Act case alleging Roof Systems of Maine violated contract requirements and industry standards in roofing and siding work done on behalf of the Army, Navy, and National Guard. In March 2016, the company agreed to pay $439,500 to settle the matter. Our client received a whistleblower award of roughly 18% of the government's recovery. Read more -- Central Maine, DOJ, CC.

Tagged in: Contract Non-Compliance, Defense Contract Fraud, FCA Federal, Government Procurement Fraud, Whistleblower Case, Whistleblower Rewards,

EMC - Procurement Fraud/Education ($95.5 million)

A Constantine Cannon attorney represented two whistleblowers in a False Claims Act case alleging Education Management Corporation violated the recruiter incentive compensation ban, enrolling students regardless of whether they were suitable candidates. In November 2015, the company agreed to pay $95.5 million to settle the action, the largest False Claims Act settlement to date involving the Department of Education. The two whistleblowers (along with several others) received a whistleblower award of $11.3 million. Read more -- Business Insider, DOJ, PR Newswire, CC.

Tagged in: Education Fraud, FCA Federal, Multiple Whistleblowers and First-to-File, Whistleblower Case, Whistleblower Rewards,

Rose Cancer Center - Healthcare Fraud ($5.7 million)

Constantine Cannon represented a whistleblower in a False Claims Act case alleging Mississippi-based Rose Cancer Center used unqualified technicians performing bone marrow biopsies, diluted chemotherapy drugs, and falsified patient records to conceal the clinic’s fraudulent Medicare billings. The physician who owned and ran the practice plead guilty to various Medicare fraud violations, forfeited $5.7 million, and was sentenced to 20 years in prison. In August 2014, our client (along with three other whistleblowers) received a whistleblower award of $525,000 from the government's recovery. Read more -- Clarion Ledger, CC.

Tagged in: FCA Federal, Healthcare Fraud, Improper Medical Personnel, Lack of Medical Necessity, Medicare, Provider Fraud, Whistleblower Rewards,

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