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New York Urgent Care Clinic Pays Over $6.6M to Settle FCA Suit

Posted  05/7/18
By the C|C Whistleblower Lawyer Team CityMD, a company that manages over 80 urgent care clinics in and around New York City, has settled allegations that it billed Medicare for more expensive services than were actually performed, and that it billed Medicare under the names of doctors who did not actually perform the services. Under the terms of the settlement, CityMD also accepted responsibility for its...

Orthopedic and Anesthesia Providers to Pay $3.2 million to Settle False Claim Act Allegations

Posted  04/6/18
By the C|C Whistleblower Lawyer Team Georgia Bone & Joint, Summit Surgery Center, Southern Crescent Anesthesiology, Sentry Anesthesia Management, and David LaGuardia agreed to pay $3.2 million to settle allegations that LaGuardia, Sentry, and SCA provided a free medical director to Summit Surgery Center in order to induce it to choose to perform more procedures at the surgery center rather than in the GBJ office. GBJ...

Radiation Therapy Company Agrees to Pay Up to $11.5 Million to Settle Allegations of False Claims and Kickbacks

Posted  04/2/18
By the C|C Whistleblower Lawyer Team The DOJ announced a settlement with Texas-based radiation therapy center SightLine Health LLC (“SightLine”) and Oncology Network Holdings LLC, which acquired SightLine in 2011, for $11.5 million to settle allegations in a False Claims Act complaint that Sightline submitted Medicare claims that violated the Anti-Kickback Statute.  According to DOJ, the allegations centered on...

Pennsylvania Hospital and Cardiology Group Settle FCA Suit for Over $20M

Posted  03/8/18
By the C|C Whistleblower Lawyer Team UPMC Hamot and Medicor Associates, a hospital and a cardiology group located in Erie, Pennsylvania, have settled allegations that they violated the Anti-Kickback Statute and the Stark Law, also known as the Physician Self-Referral Law. Generally speaking, the Anti-Kickback Statute prohibit hospitals, physicians, pharmacies, nursing homes, durable medical equipment (DME) companies,...

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...

Two Physician Groups Pay Over $33M to Resolve Whistleblower Claims Involving HMA Hospitals

Posted  12/20/17
By the C|C Whistleblower Lawyer Team Two physician groups, Dallas-based EmCare Inc. and Pennsylvania-based Physician’s Alliance Ltd (PAL), agreed to settlements that resolve claims the groups received illegal kickbacks in exchange for referring patients to hospitals owned by Health Management Associates (HMA). The settlements, announced by the Justice Department yesterday, resolve two separate whistleblower...

Oncology Clinic Settles FCA Suit for $26M

Posted  12/13/17
By the C|C Whistleblower Lawyer Team Florida-based 21st Century Oncology Inc. and several of its subsidiaries have settled allegations regarding the practice’s use of Electronic Health Records (EHR) software. The settlement is a result of a self-disclosure of violations made under Medicare’s EHR incentive program. The incentive program allows healthcare providers that attest to meaningful use of their EHR...

New York Announces Indictment of Unlicensed Plastic Surgeon Charged with Illegally Performing Over 60 Plastic Surgeries

Posted  11/17/17
By the C|C Whistleblower Lawyer Team New York Attorney General Eric Schneiderman’s office announced the arrests of unlicensed plastic surgeon Brad Jacobs and physician Nicholas Sewell on charges they engaged in a four-year scheme to illegally perform plastic surgeries on over 60 patients, including causing permanent disfigurement to one patient. Jacobs was licensed to practice medicine in 1988 and practiced...

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...

Eye Surgery Provider Settles FCA Kickback Allegations for $12M

Posted  08/23/17
By the C|C Whistleblower Lawyer Team Sightpath Medical, Inc., its parent TLC Vision Corp., and its former CEO James Tiffany have agreed to pay $12 million to resolve allegations, originally brought by a whistleblower, that they defrauded the government by billing it for eye surgery products and services tainted by illegal kickbacks to physicians. According to the Justice Department’s press release, Sightpath...
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