New Medicare Regulations Require Face-To-Face Physician Encounters For Durable Medical Equipment Orders

False Claims Act

The Center for Medicare & Medicaid Services (“CMS”) recently published a final rule implementing several changes to policies relating to payment of physicians.  Among the changes is a new requirement that certain items of durable medical equipment (“DME”) can only...

Victory Pharma Inc. of San Diego Pays $11.4 Million to Resolve Kickback Allegations in Connection with Promotion of Its Drugs

False Claims Act, Whistleblower

Victory Pharma Inc., a specialty pharmaceutical company headquartered in San Diego, has agreed to pay $11,420,743 to resolve federal civil and criminal liability arising from its marketing of the pharmaceutical products Naprelan, Xodol, Fexmid and Dolgic. The...

Former Laboratory Manager Receives $660,859 As Reward For Filing Whistleblower Lawsuit

False Claims Act, Whistleblower

EMH Regional Medical Center (EMH) has agreed to pay the United States $3,863,857 and North Ohio Heart Center Inc. (NOHC) has agreed to pay the United States $541,870 to settle allegations that they submitted false claims to Medicare. EMH is a non-profit community...

Whistleblower Receives $2,601,228 For Exposing The Provider Of Fraudulent Sleep Diagnostic Services

False Claims Act, Whistleblower

American Sleep Medicine LLC has agreed to pay $15,301,341 to resolve allegations that it billed Medicare, TRICARE – the health care program for Uniformed Service members, retirees and their families worldwide – and the Railroad Retirement Medicare Program for sleep...

Sanofi US Agrees to Pay $109 Million to Resolve False Claims Act Allegations of Free Product Kickbacks to Physicians

False Claims Act, Whistleblower

Sanofi-Aventis U.S. Inc. and Sanofi-Aventis U.S. LLC, subsidiaries of international drug manufacturer Sanofi (collectively, Sanofi US), have agreed to pay $109 million to resolve allegations that Sanofi US violated the False Claims Act by giving physicians free units...