Posts Tagged ‘Qui Tam’
Healthcare-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 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 MoreLincare To Pay $29M to Settle Medicare Overbilling Healthcare Fraud Case
Florida-based Lincare Holdings has agreed to pay $29 million to settle allegations it overbilled Medicare and Medicare Advantage plans for oxygen equipment provided to patients with respiratory-related illnesses. The settlement, which is the largest ever healthcare fraud settlement in the Eastern District of Washington settles claims that Lincare violated the False Claims Act. Lincare Agrees…
Read MoreSCOTUS Ruling Gives Government Broad Authority in Dismissing FCA Whistleblower Cases
If a whistleblower files a False Claims Act lawsuit can the government dismiss the action? Yes, so long as the government first intervenes in the action. That was the recent ruling from the U.S. Supreme Court in a case styled United States el rel. Polansky v. Executive Health Resources, Inc., et al. The False Claims…
Read MoreSkilled Nursing Facility and Management Company Settle Kickback Case for Nearly $4M
A California skilled nursing facility and management company has agreed to pay nearly $4 million to settle allegations it paid kickbacks to physicians for referrals of patients on Medi-Cal and Medicare. From 2009 through 2019, Alta Vista Healthcare & Wellness Centre, under the direction and control of Rockport Healthcare Services, gave physicians extravagant gifts, including…
Read MoreIllinois Healthcare System Settles Whistleblower Lawsuit Alleging Overpayment for Services for $12.5M
A whistleblower lawsuit filed against St. Elizabeth’s Hospital of the Hospital Sisters Health System in Illinois has been settled for $12.5 million. The multi-institutional healthcare system that sponsors 15 hospitals in 14 communities across Illinois and Wisconsin, as well as an integrated physician network, is alleged to have committed billing errors that may have resulted…
Read MoreTexas Drug Testing Lab to Pay Nearly $6M to Settle Kickbacks to Marketers, False Claims Act Violations
An Austin, Texas drug testing lab agreed to pay nearly $6 million to settle allegations it violated the Federal False Claims Act by paying volume-based commissions to marketers for six years.
Read MoreThe Federal Government Nets $2.2B in Settlements and Judgements Under the False Claims Act, Including $1.7B in Healthcare-Related Fraud
Settlements and judgements under the False Claims Act (FCA) surpassed $2.2 billion for the fiscal year ending Sept. 30, 2022. Of that, $1.7 billion related to matters involving the healthcare industry, including drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. The government and…
Read MoreThe U.S. Attorney’s Office Middle District of Florida Nets $168M in Battling Fraud in FY 2022
The U.S. Attorney’s Office Middle District of Florida collected $168,330,189 related to criminal and civil matters in the fiscal year ending Sept. 30, 2022. Of that, $103,089,821 represents total collections in criminal and civil actions. The office further breaks it down stating that $43,048,067 was recovered in locally handled cases — $17,769,638 in criminal and…
Read More