False Claims / Whistleblowers

October 2, 2015
Adventist Health System has agreed to pay the United States $115 million to settle allegations that it knowingly submitted or caused the submission of false claims to state and federal health care programs by maintaining improper compensation arrangements with referring physicians and by miscoding claims, the U.S. Department of Justice announced last week.  ...
September 23, 2015
North Broward Hospital District, a special taxing district of the state of Florida that operates hospitals and other health care facilities in the Broward County, Florida, area, has agreed to pay the federal government $69.5 million to settle allegations that it knowingly submitted or caused the submission of false claims by engaging in improper financial relationships with...
September 18, 2015
PAE Government Services Inc. (PAE) and RM Asia (HK) Limited (RM Asia) have agreed to pay the federal government $1.45 million to resolve allegations that they knowingly submitted or caused the submission of false claims related to a U.S. Army contract for services in Afghanistan, the U.S. Department of Justice announced last week. In 2007, the Army awarded PAE a contract to...
September 14, 2015
Walter Investment Management Corp. (WIMC) has agreed to pay the federal government $29.63 million to resolve allegations that WIMC knowingly submitted or caused the submission of false claims in connection with their participation in the Department of Housing and Urban Development’s (HUD’s) Home Equity Conversion Mortgages (HECM) program, which insures “...
September 11, 2015
Columbus Regional Healthcare System and Dr. Andrew Pippas have collectively agreed to pay over $25 million to resolve allegations that they knowingly submitted or caused the submission of false claims in violation of the Stark Law, the U.S. Department of Justice announced last week.  Under the settlement agreement, Columbus Regional has agreed to pay $25 million, plus...
September 9, 2015
KMART Corporation has agreed to pay the federal government $1.4 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to federal health care program Medicare, the U.S. Department of Justice announced last week. The settlement resolves allegations that Kmart violated the False Claims Act by providing illegal inducements to...
September 4, 2015
Quest Diagnostics Inc. and Quest Diagnostics Clinical Laboratories have agreed to pay $1.79 million to settle allegations that the companies knowingly submitted or caused the submission of false claims to federal health care programs, the U.S. Attorney’s Office for the Eastern District of California announced last week. This settlement resolves allegations that Quest...
August 14, 2015
Mercy Health Springfield Communities and Mercy Clinic Springfield Communities, formerly St. John’s Health System and St. John’s Clinic, respectively, have agreed to pay $5.5 million to resolve allegations that they knowingly submitted or caused the submission of false claims to federal health care program Medicare, the U.S. Department of Justice announced yesterday...
August 20, 2015
U.S. Investigations Services (USIS) and its parent company, Altegrity, have agreed to forego collection on $30 million worth of payments supposedly owed by the federal government in order to resolve allegations that USIS knowingly submitted or caused the submission of false claims, the U.S. Department of Justice announced yesterday. USIS provided background investigations...
September 1, 2015
Pediatric Services of America and related entities (collectively, “PSA”) have agreed to pay $6.88 million to resolve allegations that the companies knowingly submitted or caused the submission of false claims to state and federal health care programs such as Medicare and Medicaid, the U.S. Attorney’s Office for the Southern District of Georgia announced...