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:
June 18, 2018
Connecticut has reached a $200K FCA settlement with Dr. Elijah Caldwell, a behavioral health clinician, and two practices that he owns or controls. According to the state, Dr. Caldwell billed Connecticut’s Medicaid program for psychotherapy services that were never rendered. In addition to the monetary settlement, Dr. Caldwell will be excluded from the Medicaid program for the next decade. The fraud was brought to light by a whistleblower. CTJune 12, 2018
North Carolina announced the sentencing of Dr. Duke Ellington Ellis, who allegedly assisted Nature’s Reflections, a Durham-based behavioral health company, forge the signature of a licensed psychologist in order to submit millions of dollars in false claims to Medicaid. Ellis will face thirteen months in prison and will pay over a million dollars in restitution to the North Carolina Medicaid Program. NCJune 8, 2018
Skilled nursing facility company Signature HealthCARE, LLC will pay more than $30 million to the federal and Tennessee state governments to resolve False Claims Act allegations it placed patients in the highest therapy reimbursement level regardless of need; limited its therapy services to the minimum number of minutes required to bill at a given reimbursement level and discouraged the provision of care beyond that minimum; and pressured therapists to complete therapy even when patients were too ill or declined to participate. The suit was brought by two former employees and whistleblowers, who will receive a portion of the recovery. DOJMay 29, 2018
Wal-Mart and Sam’s Club will collectively pay $825,000 to resolve federal and state False Claims Act allegations the company’s automatic prescription refills for Minnesota Medicaid patients violated Minnesota law and wasted taxpayer dollars on unnecessary and unused medications. USAO DMNMay 17, 2018
Hartford, Connecticut-based Community Renewal Team, an action agency that received federal and state grant funding, agreed to settle allegations under the Federal and Connecticut False Claims Acts that it charged employee hours spent on state-funded grant programs to federal grants from HHS, HUD, and DOE, charged an employee’s time to a Head Start grant when that employee was working on other programs, and failed to stop a program manager from misappropriating $18,500 for her person use; the agency will pay $362,000 to settle all claims. USAO DCTNew York Urgent Care Clinic Pays Over $6.6M to Settle FCA Suit
Posted 05/7/18
By the C|C Whistleblower Lawyer Team
CityMD, a company that manages over 80 urgent care clinics in and around New York City, has settled allegations that it billed Medicare for more expensive services than were actually performed, and that it billed Medicare under the names of doctors who did not actually perform the services. Under the terms of the settlement, CityMD also accepted responsibility for its...
Whistleblowers Sue NYC Employees’ Insurer Over Alleged Gross Mismanagement
Posted 03/22/18
By the C|C Whistleblower Lawyer Team
Three whistleblowers, representing New York under the state’s False Claims Act, have filed suit against GHI, its parent company, EmblemHealth, and their partner, Empire Blue Cross Blue Shield. The suit alleges that the insurers engaged in a scheme to provide sub-standard healthcare to city employees and retirees while collecting billions in premiums. These insurers’ plan...
New York Announces Guilty Plea of Restaurateur for Failing to Pay Sales Tax
Posted 02/6/18
By the C|C Whistleblower Lawyer Team
New York Attorney General Eric Schneiderman announced the guilty plea of Christopher Klee and his business, CKP Holdings, for failing to file numerous sales tax returns and remit over $175,000 in sales tax that was collected at two Sonora’s Mexican Restaurant locations. Klee will be required to pay over $350,000 to the Department of Taxation and Finance for unpaid sales tax,...