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Fraudster of the Week -- Pharmacy Fraudster Steven Butcher

Posted  02/16/18
By the C|C Whistleblower Lawyer Team On Wednesday, former pharmaceutical sales representative Steven Butcher admitted to running a $45 million scheme to swindle both federally-funded and private health care benefit programs.  Butcher was charged with one count of conspiracy to commit health care fraud and one count of conspiracy to violate the Anti-Kickback Statute, a law designed to remove financial incentives...

Fraudster of the Week -- Former Football Player Monty Grow

Posted  02/9/18
By the C|C Whistleblower Lawyer Team On Monday, a federal jury in Miami unanimously convicted Monty Grow of running a compound pharmaceutical drug conspiracy that bilked $20 million from TRICARE, a healthcare program for military members and their families. Grow was a star linebacker at the University of Florida in the early 1990s and spent two seasons as a cornerback in the NFL. Prosecutors accused Grow of...

Fraudster of the Week -- New Orleans "Pill Mill" Doctor

Posted  02/2/18
By the C|C Whistleblower Lawyer Team A Louisiana federal judge has sentenced Dr. Frederick Floyd to 10 years in prison for operating two New Orleans-based “pill mills.” Last September, Floyd pleaded guilty to dispensing millions of dosages of oxycodone, fentanyl and other addictive drugs to patients. The special agent in charge of the DEA’s New Orleans Field Division noted that Floyd’s “disgraceful...

South Carolina Resident Found Liable for $51 Million in Health Care Fraud

Posted  02/2/18
By the C|C Whistleblower Lawyer Team The United States Attorney’s Office in South Carolina announced that a federal jury returned a unanimous verdict against Floyd Calhoun “Cal” Dent and two co-conspirators, Robert Bradford Johnson and LaTonya Mallory, for defrauding Medicare and Tricare. The government alleged that Mr. Dent and his co-conspirators paid kickbacks to physicians so they would order medically...

Tampa’s Largest Ambulance Providers Will Pay $5.5M to Resolve Whistleblower-Initiated Suit

Posted  01/31/18
By the C|C Whistleblower Lawyer Team AmeriCare Ambulance Service, Inc. and its sister company, AmeriCare ALS, Inc. have reached a $5.5 million settlement with the government, resolving allegations that AmeriCare defrauded Medicare by billing for medically unnecessary ambulance transportation services. According to the government’s complaint, AmeriCare submitted fraudulent claims to Medicare and TRICARE for...

US Obtains $16.2M Judgement Against MRI Provider for Violating False Claims Act

Posted  01/30/18
By the C|C Whistleblower Lawyer Team A Delaware federal court entered a default judgment of roughly $16.2 million against MRI provider Orthopaedic and Neuro Imaging LLC (ONI) for violating the False Claims Act through the company's fraudulent submissions to Medicare. ONI’s owner, Richard Pfarr, was held jointly and severally liable for just over $6 million of that amount. ONI operates independent diagnostic testing...

Tennessee Chiropractor Pays More Than $1.45 Million to Resolve False Claims Act Allegations

Posted  01/26/18
By the C|C Whistleblower Lawyer Team A Lenior City, Tennessee, chiropractor has paid $1.45 million, plus interest, to resolve False Claims Act violations. Matthew Anderson and his management company, PMC LLC, managed four pain clinics in Tennessee, most recently known as; Cookeville Center for Pain Management; Spinal Pain Solutions in Harriman; Preferred Pain Center of Grundy County in Gruetli Laager; and McMinnville...

Medical Device Company to Pay $7.62 Million FCA Settlement

Posted  01/24/18
By the C|C Whistleblower Lawyer Team Yesterday, the Department of Justice announced a $7.62 million settlement with California-based DJO Global Inc. to resolve allegations that a DJO subsidiary falsely billed TRICARE for excessive and unnecessary supplies. The government alleged that the DJO subsidiary used an improper “assumptive selling” technique to induce TRICARE beneficiaries to order supplies that they did...

Top-10 False Claims Act Kickback Recoveries for 2017

Posted  01/19/18
Here is our look-back at the Top-10 Department of Justice False Claims Act recoveries in 2017 for violations of the Anti-Kickback Statute and/or the Stark Law.  Click here for a full chronological listing of all the DOJ False Claims Act recoveries in 2017.
  1. Shire Pharmaceuticals LLC  The Ireland-based drug maker and certain subsidiaries agreed to pay $350 million to settle charges that Shire and the...
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