Testing Lab and Owner/CEO Settle False Claims Act Case for $13.25 Million
Posted 01/12/24
Healthcare Fraud
This archive displays posts tagged as relevant to healthcare fraud.
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Top Ten False Claims Act Recoveries in 2023
Posted 01/11/24
January 10, 2024
Clinical laboratory RDx Bioscience Inc. and its owner and CEO Eric Leykin have agreed to pay over $10 million to the federal government and about $3 million to the State of New Jersey for violating the Anti-Kickback Statute and federal and state False Claims Acts. From 2018 to 2022, RDx and Leykin were allegedly involved with five types of kickback schemes in order to induce referrals to RDx for laboratory testing, then submitted or caused false claims to be submitted to Medicare and Medicaid that were unnecessary or uncovered. DOJPrivate Equity Firms Buying Healthcare Companies May Increase Risks to Patients and Lead to More Whistleblower Actions
Posted 01/8/24
January 5, 2024
A Florida man, Karel Felipe, and Florida woman, Tamara Quicutis, have been sentenced to 8 years and 5 years respectively for their roles in a $93 million fraud scheme against Medicare. Felipe and Quicutis were found guilty last October of submitting claims on behalf of three Michigan-based home health companies, for services never rendered, using stolen patient information, and then laundering the proceeds through dozens of shell companies and hundreds of bank accounts. Their fellow co-conspirators—Jesus Trujillo, Didier Arcia, Alexey Gil, and Jeffrey Avila—have already been sentenced for their roles. DOJCatch of the Week: Moffitt Cancer Center
Posted 01/5/24
January 4, 2024
ChristianaCare has paid $42.5 million for violations of the federal False Claims Act and the Delaware False Claims and Reporting Act. In a qui tam whistleblower complaint filed in 2017, ChristianaCare's former chief compliance officer alleged illegal remuneration was provided to non-employee neonatologists and surgeons in the form of free or below fair market services by ancillary support providers, such as nurse practitioners, hospitalists, and physician assistants. These services were meant to induce referrals from the non-employees, creating a financial relationship. USAO DEJanuary 4, 2024
Florida-based H. Lee Moffitt Cancer Center & Research Institute Hospital Inc. (Moffitt) has agreed to pay over $19.5 million to resolve allegations of violating federal and state False Claims Acts over a 6-year period. A majority of the settlement proceeds, $18.2 million, will go to the federal government, while $1.3 million will go to the State of Florida. The hospital allegedly billed the government for items and services that should have been billed to non-government sponsors. DOJDecember 22, 2023
Christiana Care Health System has agreed to pay over $7.6 million to the State of Delaware for violating the federal and state False Claims Acts, and Delaware’s Patient Brokering and Anti-Kickback laws. According to a qui tam whistleblower, who filed a case in 2017, the healthcare system provided free or below-market rate support services to doctors in exchange for referrals of Medicaid patients, then submitted false claims stemming from those referrals to Delaware’s Medicaid program. DE AGCommunity Health Network Pays $345 Million to Settle Stark Law Case
Posted 12/21/23
