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Orthopedic and Anesthesia Providers to Pay $3.2 million to Settle False Claim Act Allegations

Posted  04/6/18
By the C|C Whistleblower Lawyer Team Georgia Bone & Joint, Summit Surgery Center, Southern Crescent Anesthesiology, Sentry Anesthesia Management, and David LaGuardia agreed to pay $3.2 million to settle allegations that LaGuardia, Sentry, and SCA provided a free medical director to Summit Surgery Center in order to induce it to choose to perform more procedures at the surgery center rather than in the GBJ office. GBJ...

Attorney General Sessions Wants to “Aggressively” Pursue Medicare Fraudsters

Posted  04/4/18
By the C|C Whistleblower Lawyer Team In a recent interview published in the AARP Bulletin, Attorney General Jeff Sessions opined that “the Department of Justice should continue aggressively pursuing health care fraudsters, either criminally or civilly, and holding them accountable to the fullest extent of the law.”  Sessions also expressed concern that “our traditional systems aren’t aggressive enough.” ...

Radiation Therapy Company Agrees to Pay Up to $11.5 Million to Settle Allegations of False Claims and Kickbacks

Posted  04/2/18
By the C|C Whistleblower Lawyer Team The DOJ announced a settlement with Texas-based radiation therapy center SightLine Health LLC (“SightLine”) and Oncology Network Holdings LLC, which acquired SightLine in 2011, for $11.5 million to settle allegations in a False Claims Act complaint that Sightline submitted Medicare claims that violated the Anti-Kickback Statute.  According to DOJ, the allegations centered on...

Alere to Pay $33.2 Million to Settle FCA Allegations Relating to Unreliable Diagnostic Testing Devices

Posted  03/23/18
By the C|C Whistleblower Lawyer Team Massachusetts-based medical device manufacturer Alere Inc. and its subsidiary Alere San Diego have agreed to pay the United States $33.2 million to resolve allegations that Alere caused hospitals to submit false claims to Medicare, Medicaid, and other federal healthcare programs by knowingly selling materially unreliable point-of-care diagnostic testing devices, the Justice...

Genetic Testing Company Settles Whistleblower Suit for $11.4M

Posted  03/14/18
Silicon Valley-based Natera, Inc. agreed to pay over $11 million to resolve claims it improperly billed government healthcare programs for its non-invasive prenatal tests and screenings in violation of the False Claims Act by billing for the tests with an incorrect billing code. In resolution of the allegations, Natera will pay over $10.6 million to the federal government and $756,183 to a number of state Medicaid...

Martin Shkreli Sentenced to Seven Years in Prison for Fraud

Posted  03/12/18
By the C|C Whistleblower Lawyer Team The New York Times reported on Friday that Martin Shkreli, the former pharmaceutical executive nicknamed “Pharma Bro” was sentenced to seven years in prison related to his involvement in pharmaceutical company Retrophin and two hedge funds he operated. Shkreli is best known for raising the price of Daraprim, a drug to treat toxoplasmosis, by 5000% in 2015. In August, Shkreli...

Abiomed, Inc. Agrees to Pay $3.1 Million to Resolve Kickback Allegations

Posted  03/9/18
By the C|C Whistleblower Lawyer Team The Justice Department announced that Abiomed, Inc. agreed to pay $3.1 million to resolve allegations it violated the False Claims Act by purchasing extravagant meals for physicians to induce them to use Abiomed’s Impella line of heart pumps. “We expect today’s settlement with Abiomed to serve as a warning to medical device manufacturers who try to improperly influence the...

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

Posted  03/8/18
By the C|C Whistleblower Lawyer Team UPMC Hamot and Medicor Associates, a hospital and a cardiology group located in Erie, Pennsylvania, have settled allegations that they violated the Anti-Kickback Statute and the Stark Law, also known as the Physician Self-Referral Law. Generally speaking, the Anti-Kickback Statute prohibit hospitals, physicians, pharmacies, nursing homes, durable medical equipment (DME) companies,...

United States Targets a Private-Equity Firm and Pharmacy in a Whistleblower Case

Posted  02/26/18
By the C|C Whistleblower Lawyer Team On Friday the Wall Street Journal reported on the U.S. government’s decision to intervene in a False Claims Act qui tam case against pharmacy Diabetic Care Rx LLC and the private equity firm that holds a controlling stake in the pharmacy, Riordan Lewis & Haden Equity Partners (“RLHEP”). Diabetic Care is a compounding pharmacy that mixes different ingredients to create...

Greek Parliament Opens Investigation into Pharmaceutical Bribery

Posted  02/22/18
By the C|C Whistleblower Lawyer Team After twenty hours of debate, the Greek Parliament has approved the creation of a committee to investigate accusations that Novartis, a Swiss pharmaceutical company, bribed at least ten high-level politicians. The investigation will now hold separate and secret votes on whether each of the ten involved politicians should be investigated. The list of politicians includes two...
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