Medicare Advantage plans are owned and operated by private organizations called Medicare Advantage Organizations (MAOs). Medicare beneficiaries can enroll in and obtain healthcare through these plans. Unlike in traditional Medicare, MAOs are not paid based on services...
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False Claims Act
Whistleblowers get at least $27.4 mln in False Claims Act cases
The federal government intervened in eight False Claims Act lawsuits and brought criminal charges against Health Management Associates, LLC (HMA), a hospital chain that has since been sold. According to the Justice Department, HMA engaged in a scheme to defraud the...
Lockheed Martin employee reaches False Claims Act settlement
Richard O. was an employee of Lockheed Martin Corporation working for Mission Support Alliance (MSA) in August 2009. Lockheed Martin Services, Inc. (LMSI), a Lockheed Martin subsidiary, and MSA were hired by the Department of Energy to perform environmental cleanup of...
Another case of Medicare kickbacks brings $6.1-million settlement
It was an interesting scheme. According to allegations by the Department of Justice, Reliant Rehabilitation Holdings, Inc., wanted to induce or reward its client nursing homes for referring patients to Reliant for rehabilitation therapy. So, it sent over nurse...
Whistleblower to get $2,345,670 in medical kickbacks case
It has been reported that Post Acute Medical, LLC, and certain affiliates ("PAM") have agreed to pay $13,168,000 to settle claims by the Justice Department, Texas and Louisiana that they violated the False Claims Act and parallel state statutes. The nationwide...
Whistleblower to receive $4.9 million in medical kickbacks case
A Texas doctor will receive $4.9 million as a reward for blowing the whistle on seven ambulance industry defendants who allegedly paid kickbacks to municipal entities in several states in exchange for lucrative ambulance business. The alleged kickbacks violated the...
Lance Armstrong’s ex-manager to pay $1.2 mln in False Claims case
When Lance Armstrong used banned substances to win the Tour de France, he violated the False Claims Act, which imposes legal liability on those who commit fraud against federal programs. The reason his actions violated the False Claims Act is that he had received a...
Settlement: Whistleblower reveals defective bulletproof vests
It was recently reported that a former employee of Second Chance Body Armor, Inc., blew the whistle on that company's sales of defective Zylon bulletproof vests to federal, state, local and tribal law enforcement agencies through the Justice Department's Bulletproof...
Self-referrals, lack of documentation lead to $14.7 million case
It was recently reported, that, after four different employees blew the whistle on false and inflated claims to Medicare and Medicaid, two healthcare concerns have admitted responsibility and agreed to pay a $14.7 million settlement. One was Health Quest Systems,...
Company settles major False Claims Act case for $14.4 million
In 2009, the National Energy and Technology Laboratory (NETL) awarded a $14-million cooperative agreement to a company called North American Power Group Ltd. (NAPG) to collect and analyze carbon data and to design and implement carbon sequestration wells in Wyoming....