Posts Tagged ‘False Claims Act’
HHS-OIG Details Successes of Efforts to Curb Healthcare Fraud and Abuse in Semiannual Report to Congress
The U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) recently released its Semiannual Report to Congress touting its many successes but also adding that a lack of funding has resulted in an inability to go after even more healthcare fraud and abuse. “We are turning down 300 to 400 viable…
Read MoreWPB Man Sentenced for Role in $7M DME Fraud, Kickback and False Claim Scheme
A West Palm Beach man was sentenced to a little more than five years in prison and ordered to pay $7 million in restitution for his part in a durable medical equipment (DME) fraud scheme. Christopher Margait pleaded guilty to conspiracy to commit healthcare fraud by fraudulently trafficking in orders for durable medical equipment such…
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 MoreFormer Florida Marketer Charged with DME Fraud, in violation of the Anti-Kickback Statute, Bilking Medicare out of $100M
A former Florida resident living in Puerto Rico has been charged for his role in a $101 million durable medical equipment (DME) kickback scheme. Raheel Naviwala, 34, was charged with conspiracy to violate the federal Anti-Kickback Statute. According to court documents, Naviwala and his conspirators owned and operated several call centers (NAVIWALA Supply Companies) through…
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 MoreFlorida Cardiology Group and Physicians Settle False Claims Act Litigation for $2 Million
A Florida cardiology practice that operates in Central Florida and ten of its physicians agreed to pay $2 million to resolve allegations that they violated the False Claims Act (FCA) by submitting inflated claims to Medicare and Medicaid and for billing while the physicians were outside the United States. The settlement grew out of a…
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 MoreGenetic Testing Kickback Scheme Settled
Jacksonville, Fla.-based Ocenture LLC and its subsidiary, Carelumina LLC, agreed to pay $3 million to settle allegations that they paid and received kickbacks in connection with genetic testing samples. It was alleged that Ocenture solicited genetic testing samples from Medicare beneficiaries directly and through other marketers. The company then paid physicians to falsely attest that…
Read MoreElectronic Health Records Company Settles Civil False Claims Lawsuit for $45 Million
Modernizing Medicine Inc. (ModMed) has agreed to pay $45 million to resolve allegations it violated the False Claims Act (FCA). The Boca Raton-based electronic health record (EHR) technology vendor is alleged to have caused millions of dollars in claims to be submitted to the federal government by accepting and providing remuneration in exchange for referrals…
Read MoreBoca Man Admits to Selling MD Orders
A Boca Raton man has pleaded guilty to conspiracy and kickback charges for his role in selling fraudulent doctors’ orders to others, who used them to obtain at least $25 million in fraudulent payments from Medicare. According to information filed in the case, Nagaindra Srivastav was the owner of B2B Apps Solutions, a Tampa-based company.…
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