Bristol-Myers Squibb (“BMS”) will pay the United States and participating states $75 Million, plus interest, to settle a case alleging it knowingly...
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Category: Medicaid Fraud
Federal appeals court affirms $111 million jury award to Government in whistleblower case for kickbacks by blood testing diagnostic laboratories
A federal jury has awarded the Government $111 million against two blood testing labs and their sales consultants were hit with a $111 million for knowing and willful violations of the Antikickback statute and False Claims Act (31 U.S.C. § 3729) (FCA). Blood testing labs Health Diagnostic Laboratory (HDL) and Singulex entered into exclusive...
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Laboratory company pays $17million settling False Claims Act case alleging fraudulently billing Medicare for medically unnecessary feces tests
Genova Diagnostics, A laboratory company will pay the government $10 Million for allegedly tested patients' feces unnecessarily and billed the federal government, leading to charges of Medicare fraud. Now, they'll pay between $17-43 million to settle those allegations and others, according to the Department of Justice. A lawsuit filed in federal court alleged Genova improperly...
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Common Types of Medicare Fraud
Medicare fraud, which is a widespread problem in the United States, occurs when an individual, medical team, pharmaceutical company, or healthcare facility claims reimbursement for services to which they aren't entitled. This practice costs the government and taxpayers billions of dollars each year, which is why the government requests that people report...
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U.S. Government joins healthcare fraud suit against Omnicare and CVS for billing invalid prescriptions to elderly and disabled
[T]he United States has filed a civil healthcare fraud lawsuit against OMNICARE, INC., and its parent company, CVS HEALTH CORPORATION. The Government’s Complaint seeks damages and civil penalties under the False Claims Act for fraudulently billing federal healthcare programs for hundreds of thousands of non-controlled prescription drugs dispensed based on stale, invalid...
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Answers to Common Medicare Fraud Whistleblower Questions
Medicare fraud is a widespread problem in the United States, and it occurs when a person or entity claims reimbursement for services to which they aren't entitled. Medicare fraud costs the government billions of dollars every year, which is why the government encourages people to report fraud whenever it is discovered. In...
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How to Report Medicare Fraud
Medicare fraud costs the government a tremendous amount of money each year. In fact, the government estimates that Medicare fraud costs approximately $60 billion a year. In order to combat this practice and encourage individuals to report Medicare fraud, the government offers those who report fraud, also known as “whistleblowers,” financial compensation....
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Hospitals pay $20 million to settle allegations of false claims to Medicare, Medicaid and TRICARE and for unnecessary spinal surgeries
Sanford Health, Sanford Medical Center and the Sanford Clinic (collectively, Sanford) have agreed to pay $20.25 million to resolve False Claims Act (FCA) allegations that they knowingly submitted false claims to federal health care programs, including Medicare, Medicaid and TRICARE, resulting from violations of the Anti-Kickback Statute and medically unnecessary spinal surgeries. The Anti-Kickback...
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Tenet Healthcare to pay $66 million to settle whistleblower suit asserting billing Medicare for docs who received kickbacks
Tenet Healthcare Corp. has agreed in principle to pay the federal government about $66 million to settle a whistleblower lawsuit alleging it billed public programs for medical services provided by physicians having improper financial relationships with a hospital partly owned by Tenet.
Tenet disclosed the tentative settlement in its
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Owner of alcohol and drug rehab center pleads guilty to $48 million Medicaid fraud, operating a drug premises money laundering
Ryan Sheridan, former owner of Braking Point Recovery Centers in Austintown and Whitehall, pleaded guilty to a 60-count indictment. He and five associates were charged in February with conspiracy to commit health care fraud, health care fraud, use of a registration number issued to another to obtain a controlled substance, operating a...
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