Healthcare Fraud

A settlement has been reached to resolve False Claims Act allegations against Pathway Genomics Corp.

The allegations arose from a lawsuit that claimed Pathway Genomics Corp, a San Diego-based medical diagnostic laboratory, was giving kickbacks to physicians in exchange for patient referrals.  Pathway Genomics gave physicians and medical groups reimbursements of up to $20 for each saliva kit they collected and submitted to Pathway Genomics for testing.  The claim also indicates the physicians received as much as $13,534 in reimbursement as part of the kickbacks from Pathway Genomics.

These allegations were brought forward by a former Pathway Genomics Corp employee. 

A settlement has been reached to resolve False Claims Act allegations against Aria Health.

The allegations arose from lawsuits claiming Aria Health violated the False Claims Act and Stark Law by compensating a cardiothoracic surgeon in excess of fair market value between August 2012 and March 2015 and for claims that a cardiologist performed unnecessary invasive procedures on patients between Oct. 1, 2012, and April 15, 2013.

Aria Heath will pay a total of approximately $3 million to settle these claims.

A settlement has been reached to resolve False Claims Act allegations against Memorial Health Inc.

The allegations arose from a lawsuit that claimed Memorial Health Inc violated the False Claims Act by submitting claims to the Government in violation of the Stark Law.

United States Attorney, Edward Tarver stated, “This settlement demonstrates the U.S. Attorney’s Office’s continued commitment to ensure that health care providers do not violate the Stark Law and all medical decisions are based strictly on the best interests of patients, not the financial interests of providers.”

The allegations were brought forward by Memorial Health's former CEO/President.

 

 

 

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Claims total $1.8 Billion in False Claims Act Lawsuit against Cleveland, Tennessee based Life Care Centers of America.

The allegations arose from a lawsuit claiming Life Care employees were encouraged to utilize high levels of therapy to maximize Medicare payments.

Life Care Centers of America was founded in 1970, and provides long-term elderly care in the United States, with facilities across 28 states.

A settlement has been reached to resolve False Claims Act allegations against Endo International Plc.

The allegations arose from a lawsuit, brought forward by a whistleblower claiming the generic drug maker Qualitest, owned by Endo International Plc, illegally labeled multivitamins that contained fluoride.

New York Attorney General disclosed that Qualitest's false labeling caused healthcare professionals to submit false reimbursement claims to Medicaid and federal health care plans and that it also put patients in higher risk of cavities.

The multivitamins contained only half of the fluoride amount recommended by the United States Food and Drug Administration.  

Arkansas Attorney General announced that Arkansas will receive $121,568.64 from the Settlement reached to resolve False Claims Act Allegations against Millennium Health.

The allegations arose from a lawsuit which claimed that Millennium Health had doctors order unnecessary urine drug tests from January 2008 to May 2015, as well as for false billings related to genetic testing, and for giving free medical supplies to physicians who agreed to refer expensive laboratory testing business to Millennium.

Arkansas is one of the 49 states to be included in the settlement against Millennium Health.

A settlement has been reached to resolve False Claims Act allegations against 457 hospitals in 43 states. The whistleblowers' share of the settlement will be more than $38 million The allegations arose from a lawsuit, claiming hundreds of hospitals within the United States implanted cardiac devices in Medicare patients in violation of Medicare coverage requirements.

The department of Justice announced Thursday that Government prosecutors have united in three lawsuits originally filed by former employees of SavaSeniorCare LLC, claiming that SavaSeniorCare LLC intentionally submitted false claims for unnecessary rehabilitation therapy services that were not needed or medically reasonable. SavaSeniorCare LLC, allegedly put pressure on its nursing facilities to meet unattainable financial goals by providing unnecessary services to Medicare patients and delaying patients discharge in order to increase its Medicare payments.

A settlement has been reached to resolve False Claims Act allegations against Warner Chilcott The whistleblowers' share of the settlement will be approximately $22.9 million The allegations arose from a lawsuit that claimed Warner Chilcott was rewarding physicians to persuade them to prescribe its drugs, endorse uses for drugs that were not approved, manipulated insurance companies to pay for prescriptions, and making fraudulent marketing claims.