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DOJ Catch of the Week -- Genentech

Posted 06/10/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Genentech Inc. and OSI Pharmaceuticals LLC. On Monday, the San Francisco and New York-based pharmaceutical companies agreed to pay $67 million to resolve charges they violated the False Claims Act by making misleading statements about the effectiveness of the drug Tarceva, which is approved to treat certain patients...

Tagged in: Catch of the Week, Defective Products, FCA Federal, Whistleblower Case, Whistleblower Rewards,

Tarceva Whistleblower Settlement Shows Government Willingness to Scrutinize Efficacy Data Even for On-Label Uses

Posted 06/8/16

By the C|C Whistleblower Lawyer Team On June 6, 2016, the Department of Justice announced that Genentech Inc. and OSI Pharmaceuticals would pay $67 million to resolve whistleblower allegations that the companies misled physicians and patients about the effectiveness of Tarceva to treat certain types of lung cancer. The whistleblower’s complaint alleged that the companies deployed sales forces and physician...

Tagged in: Defective Products, FCA Federal, Off-Label and Unapproved Use, Whistleblower Case,

In Their Own Words — Rivera

Posted 06/2/16

-- “Enforcement of the False Claims Act is a priority of the Department of Justice and this Office.”

David Rivera, United States Attorney for the Middle District of Tennessee, commenting in the wake of a $9.35M settlement that resolved allegations of Federal Anti-Kickback Statute and Stark Law violations. Read more here.

Tagged in: Anti-Kickback and Stark, In Their Own Words,

DOJ Catch of the Week -- Prime Healthcare

Posted 05/27/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Prime Healthcare Services. On Wednesday, the Justice Department announced its decision to intervene in a whistleblower lawsuit filed under the False Claims Act against Prime, its founder and CEO Dr. Prem Reddy, and 14 Prime hospitals in California. The government alleges that at Dr. Reddy's direction, these...

Tagged in: Catch of the Week, FCA Federal, Lack of Medical Necessity, Whistleblower Case,

DOJ Catch of the Week -- 21st Century Oncology

Posted 03/11/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to 21st Century Oncology Inc., the nation’s largest physician led integrated cancer care provider. On Tuesday, the Florida-based company and its wholly owned subsidiary South Florida Radiation Oncology agreed to pay $34.7 million to settle charges they violated the False Claims Act by performing and billing for...

Tagged in: Catch of the Week, FCA Federal, Healthcare Fraud, Lack of Medical Necessity, Provider Fraud, Whistleblower Case, Whistleblower Rewards,

DOJ Catch of the Week -- Olympus Corp.

Posted 03/4/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Olympus Corp. of America, the country's largest distributor of endoscopes and related equipment. On Tuesday, the company agreed to pay $623.2 million to resolve criminal charges and civil claims for the company's violations of the False Claims Act and Anti-Kickback Statute through a scheme to pay kickbacks to...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCPA, Healthcare Fraud, Medical Devices and DME, Medicare, Whistleblower Case, Whistleblower Rewards,

In Their Own Words — Rodriguez

Posted 02/25/16

-- “PUBLIC HEALTH INSURANCE PROGRAMS, LIKE MEDICARE, ARE NOT A PERSONAL POCKETBOOK FOR CRIMINALS SEEKING TO EXPLOIT A PROGRAM DESIGNED TO HELP.”

Diego Rodriguez, the FBI’s assistant director-in-charge, commenting on a $4 million Medicare fraud scheme involving unlicensed massage therapists. Read the DOJ press release here.

Tagged in: Improper Medical Personnel, In Their Own Words,

Sleep Disorder Fraud: With the uptick in sleep disorder services and government spending comes the discovery of schemes and scams.

Posted 01/26/16

By Jessica Moore, published in ADVANCE Healthcare Network Increasing numbers of troubled sleepers are seeking diagnosis and treatment of chronic sleep disorders that affect more than fifty million Americans. The significant growth in sleep medicine over recent years brings increasing opportunities for the unscrupulous to engage in fraudulent services and billing of federal and state heath care programs that...

Tagged in: FCA Federal, Healthcare Fraud, Laboratory and IDTF, Medical Devices and DME, Medicare,

DOJ Catch of the Week -- CenterLight Healthcare

Posted 01/22/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to New York-based CenterLight Healthcare, Inc. and CenterLight Health System, Inc. Yesterday, the companies agreed to pay $46.7 million to resolve allegations that they violated the federal and New York State False Claims Acts by enrolling ineligible members in their Medicaid managed long-term care plan. ...

Tagged in: Catch of the Week, FCA State, Healthcare Fraud, Managed Care, Medicaid, Whistleblower Case, Whistleblower Rewards,

DOJ Catch Of The Week -- Kindred Healthcare

Posted 01/15/16

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Kentucky-based healthcare provider Kindred Healthcare, Inc. On Tuesday, the company and its two RehabCare Group subsidiaries agreed to pay $125 million to resolve allegations of violating the False Claims Act by knowingly causing skilled nursing facilities to submit false claims to Medicare for rehabilitation...

Tagged in: Catch of the Week, FCA Federal, Lack of Medical Necessity, Medical Billing Fraud, SNF, Whistleblower Case, Whistleblower Rewards,

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DOJ Catch of the Week -- Genentech

Tarceva Whistleblower Settlement Shows Government Willingness to Scrutinize Efficacy Data Even for On-Label Uses

In Their Own Words — Rivera

-- “Enforcement of the False Claims Act is a priority of the Department of Justice and this Office.”

DOJ Catch of the Week -- Prime Healthcare

DOJ Catch of the Week -- 21st Century Oncology

DOJ Catch of the Week -- Olympus Corp.

In Their Own Words — Rodriguez

-- “PUBLIC HEALTH INSURANCE PROGRAMS, LIKE MEDICARE, ARE NOT A PERSONAL POCKETBOOK FOR CRIMINALS SEEKING TO EXPLOIT A PROGRAM DESIGNED TO HELP.”

Sleep Disorder Fraud: With the uptick in sleep disorder services and government spending comes the discovery of schemes and scams.

DOJ Catch of the Week -- CenterLight Healthcare

DOJ Catch Of The Week -- Kindred Healthcare

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