Independent Health to Pay $98M to Resolve Medicare Advantage Fraud Allegations
Posted 01/7/25
On December 29, 2024, the government announced that Buffalo, New York’s Independent Health Association and Independent Health Corporation (collectively known as Independent Health) have agreed to pay up to $98 million to settle allegations that they violated the False Claims Act by submitting, or causing the submission of, invalid diagnosis codes to Medicare for Medicare Advantage Plan enrollees. Constantine Cannon
Booz Allen Pays $15.875M to Settle False Claims Act, Procurement Allegations
Posted 01/7/25
Booz Allen closed out 2024 by agreeing to pay $15,875,000 to settle allegations that one of its subsidiaries, Booz Allen Hamilton Engineering Services LLC (BES), violated the False Claims Act by engaging misconduct in connection with the government's procurement process.
The FCA allegations centered around BES claims for payment related to a “General Service Administration (GSA) task order to supply computer...
Johnny B. Fraud: Government Contractor Will Pay $1M to Resolve False Claims Act Allegations for Submitting Fraudulent Bids on Contracts
Posted 01/6/25
On January 3, Johnny Buscema Jr. from New Port Richey, Florida, and his companies, S.A.F.E. Structure Designs (in Las Vegas) and U.S.A. Manufacturing (in New Port Richey) agreed to pay $1,000,000 to resolve allegations that they engaged in bid rigging in violation of the False Claims Act. According to the government, Buscema and his companies caused a prime vendor for the Defense Logistics Agency (DLA) to submit false...
DOJ Ends 2024 with a Flood of False Claims Act Successes
Posted 12/30/24
While many of us are enjoying the slowdown typically accompanying the holiday season, the Department of Justice (DOJ) has been hard at work with a flood of False Claims Act successes to usher in the New Year. In the last two weeks alone, DOJ has secured roughly a dozen such settlements, returning roughly $165 million to the government's coffers.
The False Claims Act is the government’s primary fraud-fighting...
California Clinics, Lab, and Their Owners Pay $10M to Resolve False Claims, Kickback, and Stark Law Allegations
Posted 12/30/24
On December 26, the DOJ announced that medical clinics, a lab, and the owners will pay $10 million to settle allegations that they submitted false claims to Medicare and California’s Medicaid program, Medi-Cal, in violation of the Anti-Kickback Statute (AKS) and Stark Law (Physician Self-Referral Law).
The defendants include Southern California Medical Center (SCMC), R & B Medical Group Inc., doing business as...
16 Cardiology Practices Across 12 States Pay $17.7M to Settle False Claims Act Allegations
Posted 12/27/24
On December 20, 2024, the government announced that 16 cardiology practices and physicians across 12 states will pay a total of $17,761,564 to settle claims that they overbilled Medicare for diagnostic radiopharmaceuticals and thereby violated the False Claims Act (FCA).
Diagnostic radiopharmaceuticals are “radioactive drugs that healthcare providers use for special imaging tests and for treating certain types of...
Fraud alert! California Hospital Pays $10.25M to Resolve Whistleblower Suit Alleging Medically Unnecessary Inpatient Admissions and Kickbacks
Posted 12/16/24
On December 12, the DOJ announced that California’s Oroville Hospital will pay $10,250,000 to the United States and the State of California to resolve allegations that it submitted false claims to Medicare and Medicaid for medically unnecessary inpatient hospital admissions, a kickback and physician self-referral scheme, and the use of incorrect diagnosis codes to maximize reimbursements. Oroville Hospital will pay...
Hoodwink in Hartford: Home Health Care Company and Its Owners Settle Medicaid False Claims Act Allegations
Posted 12/10/24
United States Attorney for the District of Connecticut, Vanessa Roberts Avery, and Connecticut Attorney General, William Tong announced that Home Care VNA LLC and its current and former owners, Shakira Lubega and Constant Ogutt, have agreed to pay $361,520 to resolve allegations that they submitted claims for home health care services that violated Medicaid regulations for plans of care.
Home Care VNA is a home...
Gen Digital Pays $55.1M False Claims Act Judgment for Intentional Overcharges to General Services Administration After Government Wins at Trial
Posted 12/4/24
Gen Digital Inc. (formerly Symantec Corp.) knowingly overcharged the General Services Administration. Now the company is required to pay a hefty judgment after a decade of False Claims Act litigation.
Located in Tempe, Arizona, Gen Digital Inc. will pay $55.1 million. The company is required to shell out $16.1 million in damages and $36.8 million in civil penalties, in addition to post-judgment interest and...
Deception Tied with a Bow: Dell and Iron Bow Settle for $4.3M Over False Claims Act Allegations in Army Bidding Scheme
Posted 11/26/24
Dell Technologies, Inc. and Dell Federal Systems L.P. (“Dell”), based in Austin, Texas, have agreed to pay $2.3 million to settle allegations of violating the False Claims Act. The allegations stem from claims that Dell submitted, and caused the submission of, non-competitive bids to the U.S. Army, resulting in overcharges under the Army Desktop and Mobile Computing 3 (ADMC-3) contract. In addition, Iron Bow...