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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
On December 19, the Securities and Exchange Commission announced a $37 million award to a whistleblower whose information led to successful enforcement and related actions. The SEC did not indicate what company the action was against, but the Wall Street Journal...
Fraudulent billing continues to be a major issue throughout the healthcare industry. We have discussed various cases and settlements over time. A topic within this realm that seems to grow in importance is the risk adjustment fraud that occurs concerning the...
Despite numerous complaints of inappropriate behavior, Dr. Stanley Patrick Weber worked for decades at federal Indian Health Service (HIS) hospitals, mainly in Montana and South Dakota. The government agreed to pay $14.5 million to eight sexual abuse victims, each...
Attorney General Letitia James announced on August 1 that a medical doctor from Kings Point and his company (America’s Imaging Center, Inc.) are accused of unnecessary radiological testing and kickbacks to employees and defrauding Medicaid. The years-long scheme...
On June 21, 2022, the U.S. Supreme Court agreed to hear a case that hinges on whether the federal government can drop cases taken up on its behalf as a qui tam action. The dispute involves whether the government can drop the case regardless of whether the relator or...
The Middle District of Florida convicted two men of a $1.4 billion health care fraud after a 24-day trial. They conspired to fraudulently bill private insurers using a sophisticated pass-through billing system where drug test analyses were reportedly conducted in...
The Centers for Medicare and Medicaid Services (CMS) hit two hospitals in Georgia with $1.1 million in financial penalties for violating the 2021 rules requiring hospitals to share their medical procedures and treatment prices. This change (which the CMS will enforce)...
The Southern District of New York and the U.S. Department of Health and Human Services have filed a healthcare lawsuit against 11 New York-based defendants. The lawsuit seeks damages and penalties for billing Medicare for unreasonable or unnecessary procedures at 11...
Two licensed home care services agencies in Brooklyn have settled claims of not appropriately paying their staff. The cases were heard in the Eastern District of New York. All American Homecare Agency and Crown of Life violated the federal False Claims Act and New...
The pandemic stretched the health care system beyond its limits, causing waiting rooms to overflow with those trying to get treatment and hospital beds to be hard to come by. While things have settled down in the spring of 2022, the aftermath of the last few years...