Medicaid Fraud

September 26, 2014
Caremark L.L.C., operated by CVS Caremark Corporation, has agreed to pay the U.S. federal government $6 million to settle allegations that the company knowingly submitted or caused the submission of false claims to Medicaid for prescription drug beneficiaries who were eligible for drug benefits under Medicaid-administered private health plans, the U.S. Department of Justice...
September 24, 2014
Pennsylvania-based Shire Pharmaceuticals LLC has agreed to pay $56.5 million to resolve allegations that the company knowingly submitted or caused the submission of false claims to Medicaid, the U.S. Department of Justice announced today.  Shire manufactures and sells pharmaceuticals, including Adderall XR, Vyvanse, and Daytrana, which are approved for the treatment of...
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...
July 21, 2014
The U.S. Department of Justice has filed a complaint against Midwest Neurosurgeons LLC and its owner, Dr. Sanjay Fonn, and DS Medical LLC and its owner, Deborah Seeger, for alleged violations of the False Claims Act and the Anti-Kickback Statute in connection with spinal implants and supplies used during surgeries performed by Dr. Fonn. The Anti-Kickback Statute prohibits...
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 25, 2014
Ohio-based Omnicare, the nation’s largest provider of pharmaceuticals and pharmaceutical services to nursing homes, has agreed to pay $124.24 million to settle allegations that the company knowingly submitted or caused the submission of false claims to federal health care programs, the U.S. Department of Justice announced today. The settlement resolves allegations that...
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 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....
May 6, 2014
Florida-based Baptist Health Systems has agreed to pay $2.5 million to settle allegations that the company knowingly submitted or caused the submission of false claims to federal health care programs such as Medicare, Medicaid, TRICARE, and the Federal Employee Health Benefits Program, the U.S. Department of Justice announced today. This settlement resolves allegations that...
May 1, 2014
The Medical Center of Southeastern Oklahoma (MCSO) and its parent, Health Management Associates, Inc., have agreed to pay $1,065,000 to the U.S. and $435,000 to the State of Oklahoma to resolve allegations that the hospital knowingly submitted or caused the submission of false claims to the Oklahoma Medicaid Program, the U.S. Attorney’s Office for the Eastern District of...