healthcare fraud

September 10, 2014
The U.S. federal government has filed two complaints against a Michigan neurosurgeon (Dr. Aria Sabit), a spinal implant company (Reliance Medical Systems), two of that company’s distributorships (Apex Medical Technologies and Kronos Spinal Technologies), and the company’s owners (Brett Berry, John Hoffman, and Adam Pike), the U.S. Department of Justice announced on...
September 3, 2014
The United States federal government has elected to intervene in two whistleblower lawsuits that allege Evercare Hospice and Palliative Care, now known as Optum Palliative and Hospice Care, knowingly submitted or caused the submission of false claims to Medicare, the U.S. Department of Justice announced last week. The Medicare hospice benefit is available for patients who...
August 19, 2014
Arizona non-profit Carondelet Health Network, doing business as Carondelet St. Mary’s Hospital and Carondelet St. Joseph’s Hospital in Tucson, Ariz., has agreed to pay the United States $35 million to settle allegations that the hospitals knowingly submitted or caused the submission of false claims to Medicare and other federal health care programs, the U.S....
August 8, 2014
The City of New York has agreed to pay the federal government $1.05 million to resolve allegations that the New York City Human Resources Administration (HRA) knowingly submitted or caused the submission of false claims to New York State’s Medicaid program, the U.S. Attorney for the Northern District of New York announced on Monday. Medicaid is a matching program in...
August 6, 2014
Community Health Systems (CHS), the nation’s largest operator of acute care hospitals, has agreed to pay $98.15 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to government health care programs, the U.S. Department of Justice announced earlier this week.  One of the company’s affiliated hospitals,...
July 23, 2014
Alabama-based Infirmary Health System (IHS), two affiliated clinics, and Diagnostic Physicians Group P.C. (DPG) have agreed to pay $24.5 million to settle allegations that they knowingly submitted or cause the submission of false claims to the Medicare program, the U.S. Department of Justice announced earlier this week. Two IHS affiliated clinics—IMC-Diagnostic and...
July 2, 2014
Medtronic Inc. has agreed to pay $2.8 million to settle allegations that the company knowingly submitted or caused the submission of false claims to state Medicaid programs for replacement insulin infusion pumps, the Pennsylvania Attorney General’s office announced earlier this week. Allegedly, Medtronic—doing business as Medtronic Diabetes—improperly...
June 23, 2014
Elizabethtown Hematology Oncology, PLC (EHO) and its owners have agreed to pay $3.7 million to resolve allegations that they knowingly submitted or caused the submission of false claims to federal health care programs Medicare, Medicaid, TRICARE, and the Federal Employee Health Benefit Program (FEHBP), the U.S. Attorney’s office for the Western District of Kentucky...
April 22, 2014
Illinois-based Astellas Pharma has agreed to pay $7.3 million to resolve allegations that the company knowingly submitted or caused the submission of false claims in connection with the drug Mycamine, the U.S. Department of Justice announced last week. The settlement resolves allegations that Astellas knowingly marketed and promoted the sale of Mycamine for pediatric use,...
April 17, 2014
The federal government has intervened in a False Claims Act lawsuit against Orbit Medical Inc. and its former Vice President Jake Kilgore, alleging that Orbit Medical’s sales representatives boosted power wheelchair and accessory sales by altering and forging physician prescriptions and supporting documentation, the Justice Department announced earlier this week....