Medicaid Fraud

June 7, 2016
Genentech Inc. and OSI Pharmaceuticals LLC have agreed to collectively pay $67 to resolve allegations that the pharmaceutical companies knowingly submitted or caused the submission of false claims in connection with misleading statements about the effectiveness of the drug Tarceva in treating non-small cell lung cancer, the U.S. Department of Justice announced yesterday....
May 10, 2016
Hollister Inc., a manufacturer of disposable health care products, and Byram Healthcare Centers Inc., a supplier of medical products, have to agreed to collectively pay $20.9 million to resolve allegations that the companies violated anti-kickback legislation that resulted in the submission of false claims to California's Medicaid program, Medi-Cal, the U.S. Department of...
April 29, 2016
Pharmaceutical companies Wyeth and Pfizer Inc. have agreed to pay $784.6 million to resolve allegations that Wyeth knowingly submitted or caused the submission of false claims in connection to two of its proton pump inhibitor (PPI) drugs, Protonix Oral and Protonix IV, the U.S. Department of Justice announced earlier this week.  Pfizer, which is headquartered in New York...
March 25, 2016
Respironics Inc. has agreed to pay $34.8 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to state and federal health care programs, the U.S. Department of Justice announced earlier this week. The United States alleged that Respironics violated the Anti-Kickback Statute and the False Claims Act by providing free...
October 26, 2015
Millennium Health has agreed to pay $246 million to resolve allegations that Millennium knowingly submitted or caused the submission of false claims for medically unnecessary urine drug and genetic testing and for providing free items to physicians who agreed to refer expensive laboratory testing business to Millennium, the U.S. Department of Justice announced last week....
October 14, 2015
West Chester Hospital and its parent UC Health have agreed to pay the federal government $4.1 million to settle allegations that West Chester knowingly submitted or caused the submission of false claims to federal health care programs, the U.S. Department of Justice announced last week. This settlement resolves allegations that West Chester Hospital knowingly submitted claims...
October 12, 2015
PharMerica Corp., the United States’ second-largest nursing home pharmacy, has agreed to pay $9.25 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to state and federal health care programs, the U.S. Department of Justice announced last week.  PharMerica allegedly solicited and received kickbacks from...
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 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 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...