healthcare fraud

July 12, 2013
North Carolina-based TranS1 Inc., now known as Baxano Surgical Inc., has agreed to pay the U.S. government $6 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to Medicare and other federal health programs, the U.S. Department of Justice announced last week. The government alleged that TranS1 knowingly caused health...
July 9, 2013
The federal government has intervened in a False Claims Act lawsuit against Infirmary Health System Inc. and related entities IMC-Diagnostic and Medical Clinic  (IMC), Diagnostic Physicians Group P.C. and Infirmary Medical Clinics  (DPG), the Department of Justice announced this week.  The lawsuit alleges that IMC, in Mobile, Ala., billed Medicare for...
July 5, 2013
Fifty-five hospitals located throughout the United States have agreed to pay the U.S. government over $34 million to settle allegations that the facilities knowingly submitted or caused the submission of false claims to Medicare for kyphoplasty procedures, the U.S. Department of Justice announced this week.  Kyphoplasty is a minimally-invasive procedure used to treat...
June 24, 2013
Dr. Alfred Chan, and oncologist in Lakewood, Wash., and his wife Judy Chan have agreed to pay $3.1 million to settle allegations that they defrauded federal health care programs by overbilling for cancer treatment medication, U.S. Attorney Jenny Durkan announced last week. The government alleged that Dr. Chan, with the assistance of his wife, Judy, routinely billed federal...
June 19, 2013
New York-based Parkshore Home Health Care, dba Renaissance Home Health Care, a home health care services agency, agreed to pay $1 million to resolve allegations that it provided unqualified home health aides to home health agencies, who in turn sent these unqualified aides into the homes of Medicaid recipients throughout New York City and then billed the Medicaid program for...
May 28, 2013
ISTA Pharmaceuticals has pleaded guilty to federal felony charges of conspiracy to introduce a misbranded drug into interstate commerce and conspiracy to pay illegal remuneration in violation of the Federal Anti-Kickback Statute, the U.S. Department of Justice announced last week.  In addition to criminal fines and asset forfeiture, ISTA has also entered into a civil...
May 24, 2013
Parkland Memorial Hospital of Dallas, Texas has agreed to pay a $1.4 million settlement to resolve allegations that they knowingly submitted or caused the submission of false claims to Medicare and Medicaid, the Dallas Morning News reported recently.  Parkland has also agreed to enter into a corporate integrity agreement with federal health regulators to monitor future...
May 21, 2013
Texas-based U.S. Renal Care has agreed to pay $7.3 million to resolve allegations that their subsidiary, Dialysis Corporation of America (DCA), violated the False Claims Act by knowingly submitting false claims to the Medicare program for more medication than was actually administered to dialysis patients, the U.S. Department of Justice announced today. Epogen is an...
May 7, 2013
Adventist Health and its Los Angeles-based affiliated hospital White Memorial Medical Center have agreed to pay the United States and the State of California $14.1 million to settle allegations that they violated the Anti-Kickback Act, the Stark Statute, and the False Claims Act, the U.S. Department of Justice announced last week. Adventist Health allegedly improperly...
May 1, 2013
The United States filed a second false claims action against Novartis Pharmaceuticals Corp. alleging that they paid kickbacks to doctors to induce them to prescribe Novartis pharmaceutical products that were reimbursed by federal health care programs, the Justice Department announced last week. The government alleges that from January 2001 through November 2011, Novartis...