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Allergan to Pay $13M to Resolve Whistleblower-Initiated Suit

Posted 07/5/17

By the C|C Whistleblower Lawyer Team Pharmaceutical maker Allergan, Inc. has agreed to pay $13 million to settle claims it illegally promoted eye drugs through a kickback scheme to induce doctors to prescribe its products. According to the complaint, Allergan improperly provided services such as business consulting and continuing medical education to boost its sales by encouraging doctors to recommend...

Tagged in: Anti-Kickback and Stark, FCA Federal, Government Decision, Whistleblower Rewards,

Los Angeles Hospital Settles FCA suit for $42M

Posted 06/29/17

By the C|C Whistleblower Lawyer Team Pacific Alliance Medical Center, a hospital in Los Angeles’ Chinatown neighborhood, settled allegations that its financial relationships violated the Stark Law and Anti-Kickback Statute. Of the $42 million settlement, $32 million is allocated to the United States, while the remaining $10 million is allocated to the State of California. According to the allegations, the...

Tagged in: Anti-Kickback and Stark, FCA Federal,

Electronic Health Records Vendor Pays Big to Settle False Claims Act Charges

Posted 06/1/17

By the C|C Whistleblower Lawyer Team Massachusetts-based eClinicalWorks, one of the country's largest vendors of electronic health records software, agreed to pay $155 million to settle charges it violated the False Claims Act by misrepresenting the capabilities of its software and by paying kickbacks to certain customers in exchange for promoting the company's product. It is the largest False Claims Act settlement...

Tagged in: Contract Non-Compliance, Electronic Health Records, FCA Federal, Healthcare Fraud,

Eighth Circuit Rules That Public Disclosure Bar Applies in Drug Price Inflation Suit

Posted 05/31/17

Early this month, the U.S. Court of Appeals for the Eighth Circuit declined to revive a whistleblower’s False Claims Act (FCA) suit, ruling that prior litigation and government reports triggered the statutory public disclosure bar, even though the public disclosures at issue did not mention the defendants in the case. The case, United States ex rel. Lager v. CSL Behring. LLC, concerned fraud in the prescription drug...

Tagged in: Court Decision, FCA Federal, Pharma Fraud, Public Disclosure and Public Information,

Freedom Health, Optimum Healthcare and Its Former COO to Pay $32.5 Million to Settle False Claims Act Allegations of Medicare Fraud

Posted 05/31/17

By the C|C Whistleblower Lawyer Team Yesterday, the Department of Justice and Constantine Cannon, LLP announced that they had reached a settlement with Freedom Health and Optimum Healthcare, two large health insurers and operators of Medicare managed healthcare insurance plans controlled by Dr. Kiranbhai “Kiran” C. Patel and based in Tampa, Florida, to resolve allegations of systemic Medicare and Medicaid...

Tagged in: CC Lawyers, FCA Federal, Managed Care, Medicare, Risk Adjustment Fraud, Whistleblower Case, Whistleblower Rewards,

DOJ Catch of the Week -- Mercy Hospital

Posted 05/19/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to two Southwest Missouri hospitals who yesterday agreed to pay $34 million to settle charges they violated the False Claims Act by engaging in improper financial relationships with referring physicians. The two hospitals are Mercy Hospital Springfield and its affiliate Mercy Clinic Springfield Communities (formerly...

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

United States Files Complaint-in-Intervention in Constantine Cannon Whistleblower’s Case Against UnitedHealth Group

Posted 05/17/17

The Department of Justice announced yesterday that it has filed a complaint-in-intervention against UnitedHealth Group (UHG) in a case brought by Constantine Cannon client Ben Poehling. The government’s complaint alleges that UHG knowingly obtained inflated risk adjustment payments from Medicare Advantage based upon false information regarding the health of beneficiaries in its plans. UHG is the nation’s...

Tagged in: FCA Federal, Healthcare Fraud, Managed Care, Medicare, Risk Adjustment Fraud,

DOJ Catch of the Week -- Import Merchandising Concepts

Posted 05/5/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Import Merchandising Concepts L.P. On Monday, the Texas-based importer (and two affiliated individuals) agreed to pay $275,000 to settle charges of violating the False Claims Act by evading customs duties on imports of wooden bedroom furniture from China. The company imports, among other things, bedroom furniture...

Tagged in: Catch of the Week, Customs Fraud, FCA Federal,

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...

Tagged in: FCA Federal, Laboratory and IDTF, Lack of Medical Necessity, Whistleblower Case,

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....

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

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Allergan to Pay $13M to Resolve Whistleblower-Initiated Suit

Los Angeles Hospital Settles FCA suit for $42M

Electronic Health Records Vendor Pays Big to Settle False Claims Act Charges

Eighth Circuit Rules That Public Disclosure Bar Applies in Drug Price Inflation Suit

Freedom Health, Optimum Healthcare and Its Former COO to Pay $32.5 Million to Settle False Claims Act Allegations of Medicare Fraud

DOJ Catch of the Week -- Mercy Hospital

United States Files Complaint-in-Intervention in Constantine Cannon Whistleblower’s Case Against UnitedHealth Group

DOJ Catch of the Week -- Import Merchandising Concepts

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

DOJ Catch of the Week -- Indiana University/HealthNet

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