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False Claims Act Archives

Trucking company fraudulently misused federal gas credit cards

Virginia-based Beam Bros. Trucking Inc. and its principles have agreed to settle a federal False Claims Act case for $1,025,000. According to the Justice Department, Beam Bros. entered into U.S. Postal Service contracts to transport mail.

DOJ accuses compounding pharmacy of TRICARE kickback scheme

The Department of Justice has just brought a mammoth case against a Florida compounding pharmacy, two of its executives, and the private equity firm that owns it. The agency accuses the defendants of paying illegal kickbacks to telemedicine doctors and, in some cases, patients, to induce prescriptions for scar creams, vitamins and pain creams without regard for medical need. These prescriptions were then reimbursed by TRICARE, the federally funded healthcare program for military service members and their families.

False Claims Act’s whistleblower provision is a powerful tool

The False Claims Act, originally instituted in 1863, is a federal law aimed at fighting fraud against the United States government. Recently, a lawsuit using the whistleblower provision of this law was filed in Florida by two former employees of Patient Care America (PCA), Marisela Medrano and Ada Lopez. This provision allows individuals to stand up for the integrity of the United States government to curb fraud.

$1 billion+ False Claims Act case vs. UnitedHealth moves forward

Last year, the Justice Department launched two lawsuits against UnitedHealth, which it accuses of defrauding Medicare through its Medicare Advantage plans. One of those suits was dismissed in October. Now, a federal judge has ruled that the other case can move forward with certain claims dismissed.

U.S. Attorney settles False Claims Act case with hospice provider

A private, for-profit hospice provider and its CEO have agreed to settle False Claims Act allegations brought by the federal government. The company and its head have agreed to pay $1,240,000 to resolve claims that they fraudulently billed Medicare and Medicaid.

Whistleblower suit costs Lockheed Martin $4.4 million

A former engineer for Lockheed Martin sued the corporation on behalf of the U.S. government under the False Claims Act. The whistleblower suit alleged that Lockheed knowingly sold defective surveillance and communications systems to the U.S. Coast Guard.

Imaging group to pay $16.2 million in False Claims Act judgment

Orthopaedic and Neuro Imaging LLC (ONI) and its owner were accused of submitting some $6,125,947.13 in false claims to Medicare. A default judgment has been issued against them. Generally, a default judgment is entered when defendants fail to defend themselves in court.

Whistleblower to receive $246,500+ in unnecessary opioids case

A former office manager for a Tennessee pain clinic filed a qui tam lawsuit under the federal False Claims Act accusing her former employer of falsely billing Medicare and TennCare for unnecessary painkillers, upcoding claims, and billing Medicare for improper nurse practitioner services. The federal government and the State of Tennessee brought suit and have just settled with a chiropractor, a nurse practitioner and several now-closed pain clinics. As a result of the whistleblower's actions, she will receive more than $246,500 -- a share in the total settlements.

Whistleblower to receive $225,000 in False Claims Act reward

San Diego-based Scripps Health, a health care system, has agreed to settle False Claims Act allegations for $1.5 million. According to the Department of Justice, Scripps Health violated the Act by billing Medicare and TRICARE for physical therapy services performed by un-enrolled therapists. A former employee blew the whistle on the unlawful billings against the two federal health programs, and she will receive a $225,000 reward in return for her service.

DOJ: Production incentives led to false dental claims

The Department of Justice and a large number of states collaborated on a settlement with dental management company Benevis LLC and over 130 Kool Smiles dental clinics that Benevis provided services for. The clinics and Benevis have agreed to settle allegations of false claims made against state Medicaid programs. The companies allegedly submitted claims for medically unnecessary dental procedures, and procedures that were not performed, on Medicaid-insured children.

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