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November 4, 2016

California-based aerospace parts company Air Industries Corporation agreed to pay $2.7 million to resolve allegations it violated the False Claims Act by falsely certifying it had performed required inspections on aerospace parts used in military aircraft, spacecraft and missiles used by the Department of Defense.  The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by an AIC employee.  The employee will receive a whistleblower award of $621,000 from the proceeds of the government's recovery.  DOJ (CDCA)

November 1, 2016

The City of Fairfield, California and the Fairfield Housing Authority paid $680,000 to settle False Claims Act allegations that they received grants to fund two coordinator positions for a federal housing program but did not use the funds for that purpose.  The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by a former FHA employee.  The whistleblower will receive a whistleblower award of roughly $129,000 from the proceeds of the government's recovery.  DOJ (EDCA)

November 1, 2016

Anthony Wendel Frederick Sr., a former business manager of Local 657 of the Laborers International Union of North America, pleaded guilty to stealing $1.7 million from the union.  In pleading guilty, Frederick admitted he directed more than $1.7 million in Local 657 funds to Maryland-based STS Contracting which in turn made a number of financial payments to Frederick with the stolen funds.  DOJ

October 31, 2016

Tariq Mahmood, former owner and operator of several rural hospitals across Texas, was ordered to pay roughly $1.2 million for violating the False Claims Act following his conviction for committing health care fraud and for aggravated identity theft.  DOJ (EDTX)

October 28, 2016

Zafar Mehmood, owner of several Detroit home health care companies was sentenced to 360 months in prison and to pay roughly $40.5 million for his role in a Medicare fraud scheme that caused approximately $33 million in losses.  According to evidence presented at trial, Mehmood participated in a scheme in which he obtained patients by paying cash kickbacks to recruiters, who in turn paid cash to patients to induce them to sign up for home health care with Mehmood’s companies: Access Care Home Care Inc., Patient Care Home Care Inc., Hands On Healing Home Care Inc. and All State Home Care Inc.  The evidence also showed that he paid kickbacks to physicians to refer patients to the companies for unnecessary home health care services.  DOJ  

October 28, 2016

Albert Einstein Healthcare Network and the Einstein Practice Plan agreed to pay roughly $970,000 to resolve charges they violated the False Claims Act by improperly billing Medicare for services submitted on behalf of a cardiologist that were not medically necessary or lacked sufficient documentation.  After it discovered the problem, the Einstein defendants took corrective action to resolve the improper payments and disclosed the matter to the government.  DOJ (EDPA)

October 27, 2016

Theodore E. Suhl, owner of two Arkansas mental health companies that provide inpatient and outpatient mental health services to juveniles, was sentenced to 84 months in prison and to pay a $200,000 fine for engaging in a scheme to bribe a former deputy director of the Arkansas Department of Human Services in exchange for business resulting in more than $1.5 million in profits for Suhl’s juvenile mental health counseling business.  DOJ

October 25, 2016

Kansas City-based Best Choice Home Health Care Agency Inc. and its owner Reginald King agreed to pay $1.8 million to resolve allegations they violated the False Claims Act by paying kickbacks for the referral of Medicaid-covered patients for home and community-based healthcare services.  According to the government, King paid kickbacks to patient transporter Christopher Thomas for referrals to Best Choice.  The allegations originated in a whistleblower lawsuit filed by Thomas under the qui tam provisions of the False Claims Act.  Thomas will receive a whistleblower reward of $43,178, which represents 10 percent of the federal share of the settlement minus the amount he received in kickbacks.  DOJ

October 24, 2016

Los Angeles licensed occupational therapist Keith Canlapan pleaded guilty for his role in a $2.6 million Medicare fraud scheme that involved billing for occupational therapy services not provided.  As part of his guilty plea, Canlapan admitted that through his employer, occupational clinic JH Physical Therapy, he billed Medicare for occupational therapy services never provided.  The patients instead received massage and acupuncture services which are not reimbursable under Medicare.  DOJ

October 24, 2016

Life Care Centers of America Inc., the Tennessee-based operator of more than 220 skilled nursing facilities, and its owner Forrest L. Preston, agreed to pay $145 million to resolve charges that Life Care violated the False Claims Act by submitting claims to Medicare and TRICARE for rehabilitation therapy services that were not reasonable, necessary or skilled.  It is the largest settlement with a skilled nursing facility chain in DOJ’s history.  The allegations originated in a whistleblower lawsuit filed by former Life Care employees Tammie Taylor and Glenda Martin under the qui tam provisions of the False Claims Act.  They will receive a whistleblower award of $29 million from the proceeds of the government’s recovery.  Whistleblower Insider
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