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False Claims Act
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Surgeon Claims Retaliation After Blowing the Whistle on Colleague

A Cincinnati surgeon has filed a lawsuit against the Cincinnati Children’s Hospital Medical Center, claiming he was retaliated against when he raised concerns about a colleague’s fitness. Dr. Charles Mehlman claims he was targeted by hospital leadership and two other doctors who served on the “professional provider evaluation committee” after he spoke out. Case background Read More

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Unsealed Whistleblower Lawsuit Accuses Epic of Double-Billing Anesthesia Services

Epic, a medical billing software service, has been accused of prompting hundreds of hospitals across the country to double-bill Medicaid and Medicare for anesthesia services. This resulted in hundreds of millions of dollars in fraudulent payments. The recently unsealed lawsuit was originally filed in 2015, and the federal government declined to intervene in the case. Read More

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Rehabilitative Therapy Business Must Pay $9.6 Million in Damages

A rehabilitative therapy business in Georgia, along with its founder, has been ordered to pay $9.6 million in damages for submitting nearly 800 false health care claims. Case background Middle Georgia Family Rehab LLC, along with owner/CEO Brenda Hicks, are jointly liable for 796 false claims submitted to TRICARE and Medicaid. The defendants were paid Read More

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Department of Justice Announces Pair of False Claims Act Settlements

The U.S. Department of Justice recently announced two settlements of qui tam lawsuits under the False Claims Act, which allows private individuals to file lawsuits on behalf of the government when they become aware of fraud committed by companies or individuals. Here’s a brief overview of these settlements. Healthkeeperz, Inc. Healthkeeperz, Inc., a behavioral healthcare Read More

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Telecom Will Pay $13.4 Million to Settle False Claims Act Allegations

TracFone Wireless Inc., a Miami-based telecommunications carrier, will pay $13.4 million to settle allegations of False Claims Act violations. The case was originally brought by a whistleblower, Farrell Gordon, who will receive $462,500 in compensation for his services in bringing the case forward. Whistleblowers in False Claims Act cases are eligible to receive 15 to Read More

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Federal Government Files Lawsuit Against Doctor for False Claims Act Violations

The U.S. Attorney’s Office for the Middle District of Pennsylvania recently announced it initiated a lawsuit against family medical doctor Peter J. Baddick, III over allegations of medically unnecessary prescriptions for Subsys, a fentanyl-based spray used for cancer pain. Case background In the complaint, the federal government alleges Dr. Baddick violated the False Claims Act Read More

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2021 Was a Massive Year for False Claims Act Settlements

The U.S. Department of Justice recently revealed that 2021 was a major year for False Claims Act settlements and judgments. According to the DOJ, the federal government took in more than $5.6 billion in settlements and judgments, the largest since 2014 and the second-largest amount ever recorded. This number includes the gigantic $2.8 billion Purdue Read More

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Surgical Company, Physician Settle Whistleblower Lawsuit for $3 Million

A recent lawsuit against a Georgia surgical company and the physician who owns it resulted in a $3 million lawsuit. The False Claims Act case was filed against Dr. Jeffrey Gallups and his company, Milton Hall Surgical Associates. A former staff doctor blew the whistle on alleged fraudulent practices, including ordering unnecessary tests for patients Read More

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Mallinckrodt Must Pay $234 MIllion to Resolve False Claims Act Lawsuit Brought by Former Employee

The federal government, in conjunction with individual states, the District of Columbia and Puerto Rico, recently settled a False Claims Act lawsuit against Mallinckrodt PLC, a pharmaceuticals company. The lawsuit alleged Mallinckrodt regularly and knowingly underpaid Medicaid rebates for one of its products, Acthar. As a result of the action, the company must pay nearly Read More

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Orthopedic Surgeon Must Pay $343,000 to Settle Allegations of False Claims Act Violations

Dr. Mark Stephen Wilson, an orthopedic surgeon based in Oklahoma, will pay the federal government nearly $343,000 to resolve allegations of False Claims Act violations. According to the Department of Justice, Wilson accepted illegal kickback payments from Brookhaven Specialty Pharmacy LLC. Case background DOJ attorneys stated Wilson knowingly accepted payments from Brookhaven Specialty Pharmacy from Read More

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