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Hospital Pays More Than $3 Million in Whistleblower Claim Settlement

John Peter Smith Hospital recently agreed to pay $3.3 million to settle allegations of False Claims Act violations. The hospital was alleged to have upcoded claims submitted to healthcare programs to receive more money in reimbursements. Case background The lawsuit that prompted the FCA action originally was filed in 2018 by the former Director of Read More

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Navistar Defense Settles False Claims Act Allegations for $50 Million

Navistar Defense LLC, a company based in Illinois that manufactures military vehicles, recently agreed to pay $50 million to settle a False Claims Act case alleging it inflated prices in an agreement with the U.S. Marine Corps for suspension systems for armored vehicles. Case background The inflated prices came in the midst of a contract Read More

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6th Circuit Court Rules FCA Whistleblower Protections Include Post-Employment Retaliation

The Sixth Circuit Court ruled on March 31 that the whistleblower protection provisions of the False Claims Act (FCA) include protections for former employees who are subject to retaliation from employers after their employment ceases. The case, United States ex rel. Felten v. William Beaumont Hospital, centered on a plaintiff who worked as a doctor Read More

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SavaSeniorcare LLC Pays $11.2 Million in False Claims Act Case Settlement

SavaSeniorCare LLC recently agreed to pay $11.2 million and possible additional amounts to resolve allegations the company (referred to as Sava) violated the False Claims Act by causing skilled nursing facilities to bill Medicare for unreasonable rehab services, as well as allegations that the company billed Medicare and Medicaid for “grossly substandard” nursing care. Case Read More

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Whistleblower Information Leads to Recovery of $14.1 Million via False Claims Act Cases

In April and May, the U.S. Department of Justice recovered approximately $14.1 million in three False Claims Act case settlements. Each case was initiated by whistleblowers via the legislation’s qui tam provisions, meaning those whistleblowers were eligible to receive between 15 and 30 percent of the recoveries. Case background There were three notable settlements included Read More

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Whistleblowers Collect More than $4.2 Million in False Claims Act Cases Involving Unnecessary Surgeries and Financial Misconduct

A pair of physicians acted as whistleblowers recently, initiating False Claims Act cases against a neurosurgeon and his two medical device companies. The whistleblowers received 20 percent of the $4.4 million total recovery under the False Claims Act, and also received separate settlements for cases involving that same neurosurgeon, including one award of $3.4 million. Read More

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Whistleblower Receives Award in False Claims Act Case Relating to Billing Violations Against Eye, Ear, Nose and Throat Care Providers

The U.S. Department of Justice settled a False Claims Act lawsuit against Massachusetts Eye and Ear (encompassing several care providers), with the organization agreeing to pay $2.675 million in the case. The organization provides both inpatient and outpatient care to people with a variety of eye, ear, nose and throat health problems. According to the Read More

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Akumin Corporation Must Pay $700,000 to Resolve Healthcare Fraud Claims

Akumin Corporation and Delaware Open MRI Radiology Associates, LLC agreed to a $749,600 settlement with the U.S. government to resolve healthcare fraud allegations that arose under a False Claims Act case. A whistleblower familiar with the case prompted the legal action by filing a claim under the quit tam provisions of the False Claims Act. Read More

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Florida Woman Faces Significant Consequences for Role in Healthcare Fraud Scheme

A woman from Indian Rocks Beach in Florida owes more than $20.3 million in restitution and could face up to 13 years in federal prison for her role in perpetrating a healthcare fraud scheme. Kelly Wolfe pleaded guilty to conspiracy to commit healthcare fraud and filing false tax returns. She will be sentenced later this Read More

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The Department of Justice Recovered $1.8 Billion in Healthcare Fraud Settlements and Judgments Last Year

A recent report from the Department of Justice (DOJ) indicates the department recovered $1.8 billion from healthcare fraud and false claims cases in the 2020 fiscal year. The cases that led to these recoveries involved many sectors of the healthcare industry, including medical devices, drug manufacturers, hospitals, pharmacies, managed care providers, physicians, hospice organizations and Read More

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