FCA Federal
This archive displays posts tagged as relevant to the federal False Claims Act. You may also be interested in the following pages:
June 7, 2017
Texas-based medical and physical therapy provider Union Treatment Center agreed to pay $3 million to settle charges it violated the False Claims Act by defrauding the federal workers’ compensation (FECA) program. The company will also waive claims for payment exceeding $1.6 million and be permanently excluded from participating in federal health care programs. According to the government, UTC fraudulently billed the FECA program for services it did not render, routinely overcharged for medical examinations, falsely inflated the time patients spent in therapy, billed for unnecessary services and supplies, and paid kickbacks in exchange for patient referrals. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act. DOJ (WDTX)June 2, 2017
Fredericksburg Hospitalist Group, P.C. agreed to pay roughly $4.2 million to settle charges it violated the False Claims Act by upcoding evaluation and management (E&M) codes to the highest code levels in billing Medicare and other federal healthcare payors in connection with their providing hospitalist services to patients at Mary Washington Hospital and Stafford Hospital. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act. The whistleblower will receive a yet-to-be-determined whistleblower award from the proceeds of the government's recovery. DOJ (EDVA)May 31, 2017
Massachusetts-based eClinicalWorks, one of the country's largest vendors of electronic health records software, along with certain of its employees, agreed to pay $155 million to resolve charges the company violated the False Claims Act by misrepresenting the capabilities of its software. The company also allegedly paid kickbacks to certain customers in exchange for promoting its product. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by Brendan Delaney, a software technician formerly employed by the New York City Division of Health Care Access and Improvement. He will receive a whistleblower award of roughly $30 million from the proceeds of the government's recovery. DOJMay 31, 2017
New Jersey-based skilled nursing facility Andover Subacute and Rehab Center Services Two Inc. agreed to pay $888,000 to resolve charges it violated the False Claims Act by providing materially substandard or worthless nursing services to patients. DOJ (DNJ)May 30, 2017
Florida-based managed care service provider Freedom Health Inc. agreed to pay roughly $32 million to settle charges it violated the False Claims Act by engaging in illegal schemes to maximize its Medicare Advantage plan payments from the government. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by former Freedom Health employee and Constantine Cannon client Darren D. Sewell. He will receive a yet-to-be-determine whistleblower award from the proceeds of the government's recovery. Whistleblower InsiderJune 1, 2017
Partner Gordon Schnell was quoted in the Law360 article, High Court's Snub Shows FCA Disclosure Bar Still Strong. Click here to read more.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...
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...
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...