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...
Recent News: Whistleblower
Whistleblower Receives $2,601,228 For Exposing The Provider Of Fraudulent Sleep Diagnostic Services
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
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...
Amgen Inc. Pays $612 Million to Resolve False Claims Act Allegations
Amgen has agreed to pay $612 million ($587.2 million to the United States and $24.8 million to the states) to resolve claims that it caused false claims to be submitted to Medicare, Medicaid and other government insurance programs. The federal civil settlement...
Whistleblower Receives More Than $7,875,000 For Exposing Fraudulent Failure To Pay Import Duties
Toyo Ink SC Holdings Co. Ltd and affiliated entities (“Toyo Ink”) agreed to pay $45 million to settle allegations that they violated the False Claims Act by knowingly failing to pay duties on products imported into the United States. The government alleged that Toyo...
Whistleblowers Receive $244,529.87 For Exposing Hospice Fraud
Former employees of a hospice provider received $244,529.87 for exposing billing practices that violated Medicare rules. The whistleblower lawsuit was filed against Harmony Care Hospice Inc., and included allegations that the hospice facilities knowingly submitted...
Whistleblower Receives $1.8 Million In Hospital False Claims Act Settlement
A former director of Health Management Services at Morton Plant Hospital will receive over $1.8 million as her share of the government’s recovery in a False Claims Act case arising from a hospital group’s submission of false claims for services rendered to Medicare...
Improper Payments To Skilled Nursing Facilities Cost Medicare $1.5 Billion In 2009
The Office of Inspector General for the U.S. Department of Health and Human Services recently conducted a study that identified errors in 25 percent of the claims submitted by skilled nursing facilities in 2009, resulting in $1.5 billion in inappropriate Medicare...
OIG Reports That Diabetes Test Suppliers Improperly Billed Medicare
In a recent report, the Office of Inspector General for the U.S. Department of Health and Human Services found that suppliers improperly billed Medicare for more expensive diabetes test strips. The study focused on practices that included (1) improperly billing mail...
OIG Study Finds That Medicare Contractors Lacked Controls To Prevent Millions In Improper Payments For Blood-Glucose Test Strips
The Office of Inspector General (OIG) recently conducted a review of contractors that process claims for home blood-glucose test strip and lancet supplies. Medicare Part B covers test strips and lancets prescribed by physicians for diabetics. This coverage depends...
Ex-Bayer Salesman Wins Award In FCA Retaliation Suit
Ex-Bayer Salesman Wins Award In FCA Retaliation Suit By Keith Goldberg Law360, New York (November 05, 2012, 3:52 PM ET) -- An Arkansas federal jury on Friday awarded a former Bayer Corp. sales representative nearly $900,000 after finding that the company fired him in...
Missouri Hospital System Agrees to Pay $9.3 Million to Resolve False Claims Act and Stark Law Violations
Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Monday, November 5, 2012 Missouri Hospital System Agrees to Pay $9.3 Million to Resolve False Claims Act and Stark Law Violations Hospital Allegedly Improperly Compensated Physicians for Referrals...