FCA Federal
This archive displays posts tagged as relevant to the federal False Claims Act. You may also be interested in the following pages:
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
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 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. DOJOctober 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 InsiderDOJ Catch of the Week — Biocompatibles, Inc.
Posted 11/11/16
By the C|C Whistleblower Lawyer Team
This week's Department of Justice "Catch of the Week" goes to Pennsylvania-based medical device manufacturer Biocompatibles Inc., a subsidiary of British-based BTG plc. On Monday, the company pleaded guilty and agreed to pay more than $36 million for violating the False Claims Act and Food, Drug and Cosmetic Act by misbranding its embolic device LC Bead, which is used to treat...
Qui Tam Conference
Posted 11/9/16
Ari Yampolsky speaks on panel at a Qui Tam Conference in Los Angeles, CA. Click here for the presentation. (November 4, 2016)
Eighth Circuit Applies Escobar Materiality Test
Posted 10/31/16
By Rosie Dawn Griffin
The Supreme Court’s June 2016 decision in Universal Health Services, Inc. v. United States ex rel. Escobar—which unanimously endorsed the FCA’s implied false certification theory of liability, but reframed the Act’s materiality standard—left open questions as to how lower courts would interpret the high court’s holding that material noncompliance with an applicable statute,...
DOJ Catch of the Week -- Life Care Centers of America Inc.
Posted 10/28/16
By the C|C Whistleblower Lawyer Team
This week's Department of Justice "Catch of the Week" goes to Life Care Centers of America Inc. On Monday, 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...