Posts Tagged ‘False Claims Act’
Sleep Clinic Owner’s Nightmare: Sentenced to Prison for Medicare Fraud
Sleep Clinic Owner’s Nightmare: Sentenced to Prison for Medicare Fraud
Read MoreHealthcare-Related False Claims Act Settlements Reach $1.8 Billion in FY 2023
The False Claims Act (FCA), the federal government’s primary tool for civil enforcement, is resulting in record returns. The U.S. Department of Justice reported 543 settlements and judgments, recovering $2.68 billion in the fiscal year ending Sept. 30, 2023. Of that, more than $1.8 billion related to matters involving the healthcare industry, including managed care…
Read MoreFather and Son Clinic Owners to Pay $2 million to Settle False Claims Act, Anti-Kickback Statute and PPP Fraud Allegations
The owners Amerihealth in eastern Idaho have agreed to pay $2 million to settle allegations they violated the False Claims Act.
Read MoreClinical Lab Owner to Pay $13M to Settle False Claims Act Allegations, Faces Charges Relating to Sabotaging Competitor’s Business
A New Jersey-based clinical laboratory and its owner and CEO Eric Leykin of New York have agreed to pay $13 million to settle False Claims Act allegations involving the payment of illegal kickbacks and medically unnecessary lab testing.
Read MoreDME Manufacturer Settles False Claims Act Allegations for Nearly $2.5 Million
DME Manufacturer Settles False Claims Act Allegations for Nearly $2.5 Million
Read MoreThree Sentenced for Roles in Compounding Pharmacy Kickback and Fraud Scheme
Three men, including two from Florida, were sentenced for their roles in a $54 million pharmacy kickback, bribery, and fraud scheme involving TRICARE. The federal program provides health insurance benefits to active duty and retired service members and their families. Prison Time David Byron Copeland of Tallahassee was sentenced to four years and three months…
Read MoreMiami Medical Coder Charged in Medicare Advantage Fraud Scheme
A Miami woman recently was charged for her role in a long-running Medicare Advantage fraud scheme to defraud Medicare out of tens of millions of dollars. Kenia Valle Boza, the former director of Medicare Risk Adjustment Analytics at HealthSun, was indicted in Miami federal court for allegedly orchestrating a scheme to submit false and fraudulent…
Read MorePET Scan Company and Owner to Pay $85M to Settle Anti-Kickback Statute Allegations
An Illinois healthcare imaging company and its founder, owner and CEO have agreed to pay $85.5 million to settle claims that the company allegedly paid kickbacks to physicians to refer Medicare patients for cardiac scans using “sham” medical supervision agreements in violation of the Anti-kickback statute. The Settlement Agreement Cardiac Imaging Inc. (CII) and Florida…
Read MoreDiagnostic Testing Company Settles False Claims Act Case Filed by Whistleblower
Exagen, a California-based life sciences company that makes diagnostic tests for the treatment of autoimmune conditions, recently settled allegations, filed by a whistleblower, that it violated the False Claims Act by paying physicians to use its laboratory tests. The Settlement Agreement The agreement called for Exagen to pay $653,143. The case was brought under the…
Read MoreLab Owner Gets 27 Years, Must Pay Back $187M in Genetic Testing Healthcare Fraud Scheme
An Atlanta lab owner has been ordered to turn over $187 million in ill-gotten gains he obtained in a healthcare fraud scheme that involved kickbacks and bribes in violation of the Anti-kickback statute and False Claims Act. The order was recently issued by a Miami federal judge against Minal Patel and follows his sentencing in…
Read More