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Poplar Healthcare to Pay Nearly $900k to Resolve Whistleblower’s False Claims Act Allegations

Posted  05/3/17
By the C|C Whistleblower Lawyer Team The Justice Department announced the settlement on Monday, which resolves allegations that Memphis’s Poplar Healthcare and its subsidiary GI Pathology promoted and billed the government for medically unnecessary diagnostic tests. Poplar allegedly marketed certain stain tests as capable of definitely diagnosing a condition called mast cell enterocolitis. But according to...

DOJ Catch of the Week -- Indiana University/HealthNet

Posted  04/28/17
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Indiana University Health Inc. and HealthNet Inc.  Yesterday, they agreed to pay $18 million to resolve allegations they violated the False Claims Act and Anti-Kickback Statute by engaging in an illegal kickback scheme related to the referral of HealthNet’s OB/GYN patients to IU Health’s Methodist Hospital....

DOJ Secures $11.4 Million FCA Settlement

Posted  04/26/17
By the C|C Whistleblower Lawyer Team Yesterday, the Department of Justice announced that as Pacific Pulmonary Services will pay $11.4 million to settle a False Claims lawsuit.  At issue in the case were allegedly false claims to Medicare and other federal healthcare programs for oxygen and related equipment supplied in violation of program rules, as well as claims for sleep therapy equipment tainted by a kickback...

Energy & Process Corp. Settles False Claims Act Whistleblower Charges

Posted  04/25/17
By the C|C Whistleblower Lawyer Team Georgia-based Energy & Process Corporation agreed to pay $4.6 million to resolve charges it violated the False Claims Act by failing to perform required quality assurance procedures and supplying defective steel reinforcing bars under a Department of Energy (DOE) contract to construct a nuclear waste treatment facility. See DOJ Press Release. According to the government, the...

Trump Order Presents Opportunity for Blowing the Whistle on Buy American Violations

Posted  04/24/17
By the C|C Whistleblower Lawyer Team On April 18th, President Trump signed  Executive Order 13788, calling for the federal government to "scrupulously monitor, enforce, and comply with Buy American Laws, to the extent they apply, and minimize the use of waivers."  There are numerous laws and regulations, generally referred to as "Buy American" laws, that require or express a preference for domestic goods and...

Walgreens Settles Whistleblower Suit over Alleged Medi-Cal Fraud

Posted  04/21/17
By the C|C Whistleblower Lawyer Team Illinois-based drugstore giant Walgreens, with roughly 630 stores in California, agreed to pay $9.86 million to resolve allegations it violated the False Claims Act by knowingly submitting claims to California’s Medi-Cal program not supported by applicable diagnosis and documentation requirements.  The Medi-Cal program, administered by the California Department of Health Care...

Hospice Companies Settle FCA Case for $12.2M

Posted  04/20/17
By the C|C Whistleblower Lawyer Team Several Hospice companies settled allegations they violated the False Claims Act (FCA) by paying kickbacks for patient referrals. The companies include Hospice Plus; Goodwin Hospice, LLC; Phoenix Hospice, LP; Hospice Plus, L.P.; and Curo Health Services, LLC. Mooresville, North Carolina-headquartered Curo Health Services operates eight hospice affiliates across 18 states. Curo...

Two State Social Services Departments Settle FCA Suits over SNAP Funds

Posted  04/13/17
By the C|C Whistleblower Lawyer Team This week, the Virginia Department of Social Services (VDSS) and the Wisconsin Department of Health Services (WDHS) each agreed to pay the United States roughly $7M to settle allegations that they violated the FCA in their administrations of the SNAP program (formerly known as the Food Stamp program). Both VDSS and WDHS used the same consultant, Julie Osnes Consulting, to advise...

Fifth Circuit Applies “Demanding” Escobar Materiality Standard

Posted  04/5/17
By Rosie Dawn Griffin The Supreme Court’s holding in Universal Health Services, Inc. v. United States ex rel. Escobar continues to be hashed out in the lower courts. Last month, the Fifth Circuit applied Escobar’s materiality standard in U.S. ex rel Abbott et al. v. BP Exploration and Production, Inc. et al., a whistleblower case former BP contractor Kenneth Abbott brought under the False Claims Act (FCA) in...

DOJ intervenes in $50 Million Healthcare Fraud Case

Posted  03/2/17
By the C|C Whistleblower Lawyer Team Preet Bharara, US Attorney for the Southern District of New York, announced a civil suit and criminal actions against several doctors and health care entities alleging over $50M in fraud through schemes that lasted over 12 years. Five of the six doctors charged in their personal capacity were arrested in the New York area on Wednesday. The allegations center around Asim...
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