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FCA Federal

This archive displays posts tagged as relevant to the federal False Claims Act. You may also be interested in the following pages:

Page 141 of 182

October 21, 2016

Mark Gilmore, owner of Florida compound pharmacy QMedRx, agreed to pay $4.25 million to settle charges that he violated the False Claims Act by billing the government for services that were not reimbursable.  Specifically, the government contends that QMedRx submitted to federal healthcare programs compounded prescriptions that were tainted within the meaning of the Anti-Kickback Statute. The government is still pursuing penalties and fines from other participants within QMedRx.  DOJ (MDFL)

October 17, 2016

Ohio-based nursing home pharmacy Omnicare, Inc. agreed to pay roughly $28 million to resolve charges of violating the False Claims Act by soliciting and receiving kickbacks from pharmaceutical manufacturer Abbott Laboratories in exchange for promoting the prescription drug, Depakote, for nursing home patients.  The settlement follows the May 2012 settlement under which Abbott agreed to pay $1.5 billion to resolve Abbott’s liability under the False Claims Act for, among other things, alleged kickbacks to nursing home pharmacies, including Omnicare and PharMerica Corp.  In October 2015, PharMerica agreed to pay $9.25 million to settle its role in the alleged scheme.  The allegations underlying this settlement as well as the prior Abbott and PharMerica settlements originated in two whistleblower lawsuits filed by former Abbott employees Richard Spetter and Meredith McCoyd under the qui tam provisions of the False Claims Act.  Ms. McCoyd will receive a whistleblower award of $3 million from the proceeds of this settlement.  Whistleblower Insider

October 4, 2016

Arizona not-for-profit community health system Yavapai Regional Medical Center agreed to pay $5.85 million to resolve claims that it violated the False Claims Act by misreporting data about the hours worked by its employees on its annual cost reports, which improperly inflated the amount of money it received from the Medicare program.  According to the government, the artificially inflated wage index was used by the Medicare program when it calculated the amount of the payments it made to Yavapai.  The allegations originated in a whistleblower lawsuit filed by Gregory Kuzma under the qui tam provisions of the False Claims Act.  Mr. Kuzma will receive a whistleblower award of $1.17 million from the proceeds of the government's recovery.  DOJ (DAZ)

October 3, 2016

Major hospital chain Tenet Healthcare Corporation and two of its Atlanta-area subsidiaries, Atlanta Medical Center Inc. and North Fulton Medical Center Inc., agreed to pay over $513 million to resolve charges they violated the False Claims Act and Anti-Kickback statute through illegal kickbacks it paid in exchange for patient referrals.  The allegations originated in a whistleblower lawsuit filed by Ralph Williams under the qui tam provisions of the federal and Georgia False Claims Acts.  Mr. Williams will receive a whistleblower award of approximately $84 million from the proceeds of the federal and state civil recoveries.  DOJ

October 3, 2016

Salt Lake City-based mortgage lenders Primary Residential Mortgage Inc. and SecurityNational Mortgage Company agreed to pay $5 million and $4.25 million, respectively, to resolve separate allegations that they violated the False Claims Act by knowingly originating and underwriting mortgage loans insured by the Department of Housing and Urban Development’s Federal Housing Administration that did not meet applicable requirements.  DOJ

September 30, 2016

Daniel Scott Goldman and his companies, Ecologic Industries LLC and OMNI SCM LLC, agreed to pay $1,525,000 to settle charges of violating the False Claims Act by making false statements to avoid paying duties on wooden bedroom furniture imported from China.  According to the government, the defendants misclassified or conspired with others to misclassify wooden bedroom furniture on documents presented to U.S. Customs and Border Protection to avoid paying antidumping duties on Chinese imports of wooden bedroom furniture.  Specifically, Goldman and his companies allegedly classified the furniture as office and other types of furniture not subject to duties while selling the furniture in the student housing market for use in dormitory bedrooms.  The allegations originated in a whistleblower lawsuit filed by Matthew L. Bissanti, Jr. under the qui tam provisions of the False Claims Act.  Bissanti will receive a whistleblower award of $228,750 from the proceeds of the government's recovery.  DOJ (WDTX)

September 30, 2016

A $6.15 million judgment was entered against Maryland-based home health care agency Speqtrum Inc. for violating the False Claims Act through a "massive and routine pattern of fraud by high-level employees" including the forging of necessary signatures and the falsification of timesheets.  DOJ (DC)

September 29, 2016

North Carolina-based Branch Banking & Trust Company agreed to pay $83 million to resolve allegations that it violated the False Claims Act by knowingly originating and underwriting mortgage loans insured by the U.S. Department of Housing and Urban Development’s Federal Housing Administration that did not meet applicable requirements.  As part of the settlement, BB&T admitted that it certified for FHA insurance mortgage loans that did not meet HUD underwriting requirements and did not adhere to FHA’s quality control requirements.  DOJ

September 28, 2016

Pennsylvania-based hospital chain Vibra Healthcare LLC agreed to $32.7 million to resolve claims it violated the False Claims Act by billing Medicare for medically unnecessary services.  According to the government, Vibra admitted numerous patients to five of its long term care hospitals and one of its inpatient rehab facilities who did not demonstrate signs or symptoms that would qualify them for admission.  In addition, Vibra allegedly extended the stays of its long term care patients without regard to medical necessity, qualification and/or quality of care.  In some instances, Vibra allegedly ignored the recommendations of its own clinicians, who deemed these patients ready for discharge.  The allegations originated in a whistleblower lawsuit filed by Sylvia Daniel, a former health information coder at Vibra Hospital of Southeastern Michigan, under the qui tam provisions of the False Claims Act.  She will receive a whistleblower award of at least $4 million from the proceeds of the government's recovery.  Whistleblower Insider

DOJ Catch of the Week -- Omnicare, Inc.

Posted  10/21/16
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to Omnicare, Inc.  On Monday, the Ohio-based nursing home pharmacy, the largest in the country, agreed to pay roughly $28 million to resolve charges of violating the False Claims Act by soliciting and receiving kickbacks from pharmaceutical manufacturer Abbott Laboratories in exchange for promoting the prescription...
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