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Fraudster of the Week -- TRICARE Fraudster Joseph Baumiller

Posted 10/20/17

By the C|C Whistleblower Lawyer Team On Tuesday, 38-year-old Joseph Baumiller of Dallas, Texas pleaded guilty to one count of conspiracy to defraud TRICARE, the health care program serving military members and their families. Baumiller, the former president of Trilogy Pharmacy, admitted to conspiring with several marketers, physicians, and other pharmacists to orchestrate a scheme involving the payment of kickbacks...

Tagged in: Anti-Kickback and Stark, Catch of the Week, Compounding Pharmacy Fraud, Other Government Health Programs, Pharma Fraud,

DOJ Intervenes in Whistleblower’s Suit Alleging Health Care Company Defrauded Medicare

Posted 10/18/17

By the C|C Whistleblower Lawyer Team The Justice Department announced a lawsuit Tuesday against the husband-and-wife owners of a health care company outside Chicago, alleging they violated the False Claims Act by falsely billing Medicare for millions of dollars in unnecessary or nonexistent home healthcare services. According to the lawsuit, the couple netted millions of dollars through the scheme. The...

Tagged in: FCA Federal, Government Decision, Home Health and Hospice, Medical Billing Fraud, Whistleblower Case,

Former DEA Agent Alleges Opioid Crisis Fueled by Drug Companies

Posted 10/16/17

By the C|C Whistleblower Lawyer Team As reported in CBS News, the Washington Post and other news outlets A former employee of the Drug Enforcement Administration (DEA) said in an interview that efforts to stem the growing opioid epidemic in the U.S. were derailed by pressure from large pharmaceutical companies and Congress. Joe Rannazzisi told CBS that major distributors allowed drugs to be obtained by rogue...

Tagged in: Pharma Fraud,

Houston-Area Hospitals Settle FCA Allegations for over $8M

Posted 10/5/17

By the C|C Whistleblower Lawyer Team Four hospitals in the Houston area have agreed to pay $8.6M to settle allegations that they received kickbacks from ambulance companies in exchange for the hospitals’ Medicare and Medicaid transport referrals. The hospitals are Bayshore Medical Center, Clear Lake Regional Medical Center, West Houston Medical Center, and East Houston Regional Medical Center. All four hospitals...

Tagged in: Anti-Kickback and Stark, FCA Federal, Hospital Fraud, Medicaid, Medicare, Whistleblower Case,

More Executives Charged in Tenet Healthcare Fraud Scheme

Posted 10/3/17

Several more executives were charged for their alleged roles in the $400 million fraud and bribery scheme involving Tenet Healthcare Corporation. The indictments follow the October 2016 guilty plea and half a billion dollar payout by Tenet and its subsidiaries for violating the False Claims Act and Anti-Kickback Statute. The allegations of the scheme originated in a whistleblower lawsuit filed under the qui tam...

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

DOJ Catch of the Week -- AnMed Health

Posted 09/29/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to AnMed Health. On Wednesday, the South Carolina-based hospital agreed to pay more than $7 million to resolve allegations it violated the False Claims Act by submitting false Medicare claims for a variety of services, including radiation oncology services, emergency department services, and clinic services. See DOJ...

Tagged in: Catch of the Week, FCA Federal, Hospital Fraud, Improper Medical Personnel, Medical Billing Fraud, Retaliation, Whistleblower Case, Whistleblower Rewards,

Aegerion Pharmaceuticals Will Pay More Than $40 Million to Resolve Investigations Into Its Marketing and Sales Practices

Posted 09/25/17

Aegerion Pharmaceuticals will plead guilty to charges concerning its prescription drug, Juxtapid, the Department of Justice announced on Friday. According to the Justice Department’s press release: Aegerion introduced Juxtapid into interstate commerce that was misbranded because, among other things, Aegerion failed to comply with a Risk Evaluation and Mitigation Strategy (REMS). The resolution also...

Tagged in: FCA Federal, FDA Fraud, Pharma Fraud, Securities Fraud, Whistleblower Case, Whistleblower Rewards,

Health Insurers May Be Contributing to the Opioid Crisis in the United States

Posted 09/18/17

By the C|C Whistleblower Lawyer Team An article in the New York Times describes the role health insurers may be playing in perpetuating the opioid crisis in the United States. The argument is that health insurers are limiting access to pain medications that have a lower risk of dependency. The reason is that opioid drugs are generally cheaper and less risky alternatives are more expensive. The New York State...

Tagged in: Healthcare Fraud, Pharma Fraud,

DOJ Catch of the Week -- Medisys

Posted 09/15/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to MediSys Health Network, the owner of New York City hospitals Jamaica Hospital Medical Center and Flushing Hospital and Medical Center. On Wednesday, the hospital system agreed to pay $4 million to settle charges of violating the False Claims Act and Stark Law by engaging in improper financial relationships with...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal, Hospital Fraud,

Family Medicine Centers Settles Whistleblower False Claims Act Charges

Posted 09/12/17

By the C|C Whistleblower Lawyer Team A South Carolina family medical practice chain, along with its owner and laboratory director, agreed to pay roughly $2 Million to settle charges of violating the False Claims Act and Stark Law which prohibits physician self-referrals. Specifically, Family Medicine Centers of South Carolina (FMC) agreed to pay $1.56 million, and FMC's principal owner Dr. Stephen F. Serbin and...

Tagged in: Anti-Kickback and Stark, FCA Federal, Laboratory and IDTF, Lack of Medical Necessity, Provider Fraud, Whistleblower Case, Whistleblower Rewards,

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Fraudster of the Week -- TRICARE Fraudster Joseph Baumiller

DOJ Intervenes in Whistleblower’s Suit Alleging Health Care Company Defrauded Medicare

Former DEA Agent Alleges Opioid Crisis Fueled by Drug Companies

Houston-Area Hospitals Settle FCA Allegations for over $8M

More Executives Charged in Tenet Healthcare Fraud Scheme

DOJ Catch of the Week -- AnMed Health

Aegerion Pharmaceuticals Will Pay More Than $40 Million to Resolve Investigations Into Its Marketing and Sales Practices

Health Insurers May Be Contributing to the Opioid Crisis in the United States

DOJ Catch of the Week -- Medisys

Family Medicine Centers Settles Whistleblower False Claims Act Charges

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