A former paralegal from Sanofi, Diane Ponte has filed a whistleblower action alleging that Sanofi paid tens of millions of dollars to pharmacy groups and hospitals, through consultants Accenture and DEloitte using contracts that looked legitimate but which were in fact inducements to buy Sanofi products. Ultimately the kickbacks were used...
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Category: Healthcare Fraud
Fraud charges against many healthcare execs increases
Revelations concerning healthcare executives involved in healthcare fraud and kickbacks has been increasing in recent months. The wrongdoings includes sales frauds to upcoding to kickbacks some concerning Medicare FRaud.
Daniel K. Lane Jr. was vice president and CFO of Compass Healthcare Inc., a medical equipment company headquartered in St. Louis. After...
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Department of Justice collects $2.3 billion in 2014 healthcare fraud recoveries
The Justice Department recovered $2.3 billion from whistleblower cases alleging healthcare fraud schemes in fiscal 2014.
It was the fifth consecutive year the Justice Department recovered more than $2 billion from cases alleging fraud against Medicare, Medicaid, and Tricare. Whistle-blowers, are allowed to file lawsuits on behalf of...
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Dignity Health pays $37 million to settle whistleblower case for fraudulent patient admissions
Dignity Health will pay the United States $37 million to settle a whistleblower case asserting that 13 of its hospitals in California, Nevada and Arizona knowingly submitted false claims to Medicare and TRICARE by admitting patients who could have been treated on a less costly, outpatient basis, the Justice Department announced today....
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Dialysis giant DaVita Healthcare pays $400 million to settle whistleblower suit on kickbacks to doctors
Davita Healthcare Partners which operates dialysis centers, has agreed to pay $400 million to settle a False Claims Act lawsuit involving kickbacks to doctors. DaVita , one of the nation's biggest providers of dialysis services ,paid doctors hidden kickbacks as a way to get patient referrals for its dialysis clinics and to reduce or...
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Directors of medical clinics charged with fraud for kickback scheme
Two managers and operators of three medical clinics with Medicare fraud and conspiracy to pay illegal kickbacks for medical procedures that were never actually provided.
Hovik Simitian, 47 and Anahit Shatvoryan, 49, were each charged in with one count of conspiracy to commit health care fraud, six counts of health care fraud and one count...
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Extendicare nursing homes pay $38 million to settle whistleblower case for worthless services
One of the nation's largest nursing home chains agreed to pay $38 million to settle federal and state charges that it wrongly billed Medicare and Medicaid for "effectively worthless" services and failed to provide proper care for some residents.
Extendicare Health Services Inc., which through its subsidiaries operates 146 skilled nursing facilities in 11 states,...
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CareMed pays $10 million to settle whistleblower case for fraudulent sales practices
The United States Department of Justice and the New York Attorney General have reached a $10 million settlement in a newly unsealed health care fraud case against Sorkin's Rx, Ltd. a/k/a CareMed Pharmaceutical Services ("CareMed"), a national specialty pharmacy based in Nassau County, New York.
Diagnostic biomarker labs may be violating anti-kickback laws by payings docs
Diagnostic laboratories part of a booming business of selling "biomarker" tests to help doctors predict various diseases in patients including heart disease, may be violating federal kickback laws which prohibit paying the doctors who send in the patients blood for testing. According to an article in the Wall Street Journal, the Department of Health...
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Optim Healthcare pays Uncle Sam $4 million to settle claims of false reimbursements
Optim Healthcare, a physician run healthcare organization in Georgia has agreed to pay Uncle Sam $4 million to settle False Claims allegations that it submitted inflated claims that were misidentified in order to receive higher reimbursements.
The Government's investigation was initiated when it received numerous complaints that patients, who lived in the Savannah...
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