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FCA State

This archive displays posts tagged as relevant to state and local False Claims Acts. You may also be interested in the following pages:

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May 14, 2021

Texas dentists Gunjan Dhir and Gaurav Puri and their affiliated management companies and practice groups will pay $3.1 million to resolve allegations that they fraudulently charged the Texas Medicaid program for pediatric dental services.  The investigation was initiated by the filing of a qui tam complaint by whistleblowers Sandy Puga, Nelda Torres-Brown, and Sonia Cardoso, who were former employees of defendants and will receive an undisclosed share the settlement.  Defendants allegedly billed for services that were not actually provided and/or misreported the provider of services by using erroneous Medicaid provider numbers.  USAO ND Texas

May 12, 2021

Wireless communications provider Assurance Wireless, a subsidiary of Sprint (now T-Mobile), will pay $1.6 million to resolve claims under the Oregon False Claims Act that it overcharged low-income Oregonians purchasing voice and broadband service under the Oregon Lifeline program, which is funded with federal and state subsidies.  The settlement follows an FCC enforcement action that resulted from the state's investigation.  OR

April 21, 2021

Tennessee-based Anesthesia Services Associates, PLLC d/b/a Comprehensive Pain Specialists (CPS) and its four majority owners have agreed to pay a total of $4.1 million to resolve allegations of violating the federal False Claims Act and Tennessee Medicaid False Claims Act.  According to the government, CPS billed Medicare and TennCare for medically unnecessary or non-reimbursable genetic tests, psychological tests, specimen validity tests, and urine drug tests, as well as medically unnecessary or non-reimbursable acupuncture.  For bringing a successful qui tam suit, the whistleblowers in this case will receive a relator’s share of over $610,000.  USAO MDTN

March 2, 2021

Hedge fund manager Thomas E. Sandell has paid $105 million to resolve claims first brought by a whistleblower under the New York False Claims Act alleging that Sandell evaded tens of millions in state and local taxes by falsely claiming that $450 million in management and performance fees he recognized in 2017 were not earned for services performed in New York, despite the fact that his fund, Sandell Asset Management Corporation, operated in New York and represented to the SEC that New York City was its principal place of business.  In his effort to evade NY taxes, Sandell moved to London for a period of time, opened an office in Florida, and managed SAMC expenses through a shell company that he also owned and controlled, all while continuing to perform the investment services that generated the fee income in New York.  When Sandell’s accountant informed him that he would have to pay NY state taxes, he terminated them and retained a firm that took his preferred position.  The whistleblower will receive an award of $22.05 million, which is 21% of the government’s recovery. NY

POGO Reveals Possible “Unholy Alliance” Between ADS, Inc. and the Pentagon

Posted  02/26/21
Business sign saying "Come In We're Open" in white on blue background
As small businesses throughout the United States struggle to survive the economic devastation caused by the COVID-19 pandemic, one company claiming to be a small business but with hundreds of employees and more than $3 billion in annual sales, as well as a long history of fraud allegations and settlements, continues to reap huge rewards from government contracts.  The company—Atlantic Diving Supply, Inc. (ADS)—is...

A Better Approach for Encouraging Would-Be Whistleblowers to Stand Up and Be Heard

Posted  02/17/21
Book text showing definition of Whistleblower
There is a clear recognition these days that whistleblowers play a critical role in rooting out fraud and misconduct.  That is why Congress has passed an ever-increasing array of legislation aimed at protecting and rewarding whistleblowers. There is the False Claims Act, which rewards and protects whistleblowers who report fraud against the federal government.  A majority of states have passed analogous state...

Top Ten Tax Recoveries of 2020

Posted  02/5/21
us cash with "taxes" sign on top
Tax fraud and tax evasion, unfortunately, continued apace last year.  Yet even in the face of waning tax resources, enforcement authorities chalked up some key wins in 2020. Criminal recoveries tend to dominate the headlines because many of the biggest tax recoveries are not public: the IRS scrupulously protects taxpayer privacy, and no announcements are made for civil tax recoveries.  Thus only those that result...

Top Ten Whistleblower Awards for 2020

Posted  01/22/21
2020 was another strong year for whistleblowers, who once again collectively recovered billions of dollars for the government and hundreds of millions of dollars in whistleblower rewards through their filing of lawsuits under the qui tam provisions of the False Claims Act.  Whistleblowers this past year also continued to secure financial rewards under the Dodd-Frank SEC Whistleblower and CFTC Whistleblower programs,...

January 22, 2021

Apria Healthcare Group, Inc. and Apria Healthcare LLC have agreed to a $40 million nationwide settlement to resolve allegations of violating federal and state False Claims Acts in seeking reimbursement for their non-invasive ventilators (NIVs).  Of the three types of respiratory equipment offered by Apria, NIVs receive the highest reimbursements and for the longest period of time, due to the amount of maintenance they require.  Following a qui tam suit filed in New York in 2017, state and federal government investigators found that between 2014 and 2019, Apria persuaded healthcare providers to switch patients from a ventilator with lower reimbursements to the NIVs, then billed state Medicaid programs for the NIVs even when they were either not used, not used consistently, or not medically necessary.  CA AG; FL AG

January 15, 2021

The Colonial Automotive Group, Inc., a chain of automobile dealerships, will pay $1 million to resolve allegations that they defrauded the Massachusetts state Department of Unemployment Assistance.  The dealership allegedly encouraged employees who were furloughed as a result of the state’s COVID-19 in-person business closures to sign up for unemployment benefits. and then requested those workers continue to perform dealership work, without pay, while they were collecting state benefits.  MA
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