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$45.6 Million Settlement in False Claims Act Case Against Nursing Facility Defendants

Posted 11/17/23

Nurse Holding Clipboard in Front of Nursing Patient

The DOJ recently announced another settlement of a False Claims Act case against skilled nursing facilities (SNFs). This time, it was a $45.6 million settlement of a False Claims Act case that the government brought against six SNFs; a management company called Paksn Inc.; and Prema Thekkek, the owner. The six SNFs do business as (i) Bay Point Healthcare Center (Kayal Inc.); (ii) Gateway Care & Rehabilitation...

Tagged in: Anti-Kickback and Stark, FCA Federal, Healthcare Fraud, SNF, Whistleblower Case,

Catch of the Week: AECOM

Posted 10/30/23

Last week's Department of Justice (DOJ) Catch of the Week goes to Dallas-based architecture and engineering firm AECOM. Last Tuesday (October 24), the company agreed to pay $11.8 million to settle charges it violated the False Claims Act by improperly billing the Federal Emergency Management Agency (FEMA) for disaster assistance funding in the wake of Hurricane Katrina. Under the Robert T. Stafford Disaster...

Tagged in: Catch of the Week, FCA Federal, Flood Insurance, Government Programs Fraud, Whistleblower Case, Whistleblower Rewards,

DOJ Issues Elder Justice Report To Congress

Posted 10/26/23

A key focus of the Justice Department is prosecuting and deterring elder fraud and abuse. In the words of Attorney General Merrick Garland, “Every year, millions of older adults experience some form of elder abuse, neglect, financial exploitation, or fraud. … Holding to account those individuals and organizations that engage in elder fraud or abuse is the cornerstone of the Department’s elder justice...

Tagged in: FCA Federal, Healthcare Fraud,

CFTC Makes $18 Million Whistleblower Award

Posted 10/13/23

Screenshot of CFTC Whistleblower Program web page

Yesterday (October 12), the Commodity Futures Trading Commission (CFTC) announced an $18 million whistleblower award. The agency did not disclose the identity of the whistleblower or the associated enforcement action. It never does. The CFTC maintains strict confidentiality over its whistleblowers. All we know is the whistleblower "provided detailed information and assistance," that "was significant in amount...

Tagged in: CFTC Whistleblower Reward Program, Fraud in CFTC-Regulated Markets, Whistleblower Rewards,

Catch of the Week: The Boeing Company

Posted 10/2/23

This week's Department of Justice (DOJ) Catch of the Week goes to the Boeing Company. Yesterday (September 28), DOJ announced the Virginia-based aircraft maker agreed to pay $8.1 million to settle charges it violated the False Claims Act in connection with its Navy contracts to manufacture the V-22 Osprey military aircraft. According to the government, for more than ten years Boeing violated contractual...

Tagged in: Catch of the Week, Contract Non-Compliance, FCA Federal, Government Procurement Fraud, Whistleblower Case, Whistleblower Rewards,

Nurse Practitioner Convicted in $200 Million Medicare Fraud Scheme

Posted 09/28/23

In a landmark healthcare fraud case, a federal jury in Miami has convicted a nurse practitioner $200 million for her central role in a massive Medicare fraud scheme in which she conspired with telemarketing companies to submit false claims for unnecessary genetic testing and medical equipment. Evidence presented during trial outlined the scheme: telemarketers targeted Medicare beneficiaries, and pressured them to...

Tagged in: FCA Federal, Healthcare Fraud, Lack of Medical Necessity, Medical Devices and DME, Medicare,

Catch of the Week: Gramercy Cardiac Diagnostic Services

Posted 09/26/23

businessmen shaking hands and other placing money in others pocket

This week's Department of Justice (DOJ) Catch of the Week goes to Gramercy Cardiac Diagnostic Services and its owner Klaus Peter Rentrop. Gramercy provides cardiac diagnostic imaging services, previously operating out of four offices in New York City. On Monday (September 18), the DOJ announced Rentrop and Gramercy will pay $6.5 million for violating the False Claims Act and Anti-Kickback Statute through their...

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

CFTC Awards $15 Million to Two Whistleblowers

Posted 09/20/23

Yesterday (September 19), the Commodity Futures Trading Commission (CFTC) announced its award of $15 million to two whistleblowers. Keeping to its commitment of protecting the identity of its whistleblowers, we do not know who the whistleblowers are or the enforcement actions to which the rewards relate. All we know is the whistleblowers "provided significant information and assistance that led the CFTC to bring...

Tagged in: CFTC Whistleblower Reward Program, Whistleblower Case,

GAO Highlights Massive Fraud of Government Funds for Unemployment Insurance During COVID Pandemic

Posted 09/14/23

On September 12, 2023, the United States Government Accountability Office (GAO) published a report estimating between $100 billion and $135 billion in unemployment insurance fraud during the COVID-19 pandemic (from April 2020 to May 2023). This represents roughly 11-15% of the total unemployment insurance benefits paid during the pandemic, or as the Washington Post put it, the GAO “found the theft encompassed...

Tagged in: COVID-19, FCA Federal,

Catch of the Week: Lincare Holdings

Posted 08/31/23

This week's Department of Justice (DOJ) Catch of the Week goes to Florida-based Lincare Holdings, Inc., a wholly-owned subsidiary of the German chemical corporation Linde plc. On Monday (August 28), the DOJ announced that the company agreed to pay $29 million to settle charges of violating the False Claims Act by overbilling Medicare and Medicare Advantage Plans for oxygen equipment. Lincare provides oxygen...

Tagged in: Catch of the Week, FCA Federal, Healthcare Fraud, Medicare, Whistleblower Case,

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$45.6 Million Settlement in False Claims Act Case Against Nursing Facility Defendants

Catch of the Week: AECOM

DOJ Issues Elder Justice Report To Congress

CFTC Makes $18 Million Whistleblower Award

Catch of the Week: The Boeing Company

Nurse Practitioner Convicted in $200 Million Medicare Fraud Scheme

Catch of the Week: Gramercy Cardiac Diagnostic Services

CFTC Awards $15 Million to Two Whistleblowers

GAO Highlights Massive Fraud of Government Funds for Unemployment Insurance During COVID Pandemic

Catch of the Week: Lincare Holdings

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