Recent News
Tennessee Supreme Court Upholds Jury Verdict Against Assisted Living Facility For Wrongful Death Resulting From Understaffing
In a unanimous decision, the Tennessee Supreme Court reinstated a jury verdict against an assisted living facility, finding that there was material evidence to support the jury’s determination that understaffing at the facility caused the death of a resident....
Social Worker Receives $160,000 For Exposing Ambulance Transport Fraud
A clinical social worker will receive $160,000 for filing a whistleblower lawsuit that exposed a fraudulent scheme in which Medicare was improperly billed for routine, non-emergency ambulance transports that were not medically necessary. According to the allegations...
Doctor Receives $4,046,000 For Filing Whistleblower Lawsuit
A pathologist who formerly worked at a clinical laboratory will receive $4,046,000 as a reward for filing a whistleblower lawsuit that exposed fraudulent Medicare billing practices, including the payment of illegal kickbacks and the billing of medically unnecessary...
Skilled Nursing Facility To Pay $700,000 To Resolve False Claims Act Allegations
Fairfax Nursing Center, a skilled nursing facility based in Fairfax, Virginia, and its owners have agreed to pay $700,000 to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to Medicare of false claims for...
New Medicare Regulations Require Face-To-Face Physician Encounters For Durable Medical Equipment Orders
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
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
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
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...