Author: Qui Tam

California Medical Billing Company Resolves Allegations of False Claims to Federal Health Care Programs

The Justice Department announced today that Janzen, Johnston & Rockwell Emergency Medicine Management Services Inc. (JJ&R), who handles billing services for physicians, hospitals and other health care providers, was accused of submitting false claims to Medicare and Louisiana’s Medicaid program and has agreed to settle and pay the United States $4.6 million.

Customs Fraud Scheme Reaches FCA Settlement

A $3.85 million settlement involving a customs fraud scheme carried out by a Hong-Kong based jewelry manufacturer and its partners has recently been made public. Kirby McInerney LLP filed the action under the FCA on behalf of its client, a whistleblower who learned about the fraudulent conduct. The whistleblower will receive approximately 19% of the $3.85 million settlement.

Medicare Integrity Program

The Government Accountability Office was requested to look into how effectively the funding provided for the Centers for Medicare & Medicaid Services’ (CMS) Medicare Integrity Program (MIP) are being used to address the integrity of the Medicare Program. GAO took into account use of funding by CMS for MIP, how CMS evaluates MIP’s efficiency,

Minnesota Transit Constructors to Pay $4.6 Million to Resolve False Claims Act Allegations

Minnesota Transit Constructors Inc. (MnTC), a joint venture comprised of Granite Construction, C.S. McCrossan Inc. and Parsons Transportation Group, as well as a number of subcontractors, have agreed to pay the United States $4.6 million to resolve allegations that they knowingly submitted false claims related to a federally-funded transit construction project in Minneapolis.

California-Based Taleo Corp. Agrees to Pay $6.49 Million to Resolve False Claims Act Allegations

The Justice Department has announced that Taleo Corp. has agreed to pay $6.49 million to resolve allegations that it knowingly caused false claims to be submitted to the Transportation Security Administration (TSA).

Taleo’s subcontract with an entity that provided human resource services to the TSA stated that Taleo would provide supporting software and would charge its commercial rates with certain discounts. 

Male v. Female Billing Error Results in Settlement

St. Francis Hospital and Medical Center has settled a False Claims Act complaint for $516,527 amidst claims that it overbilled Medicare for a prostate cancer treatment. The drug Lupron is an injectable that is used to treat prostate cancer in men, as well as endometriosis and fibroids in women. The treatment for males and females each have a separate billing code,

Hospital Settles False Claims Act Complaint after Criminal Conviction

Following the conviction of cardiologist Dr. John R. McLean on six charges of health care fraud offenses, Peninsula Regional Medical Center in Salisbury, Maryland has agreed to pay $1.8 million to settle allegations that the hospital failed to prevent the doctor from inserting medically unnecessary cardiac stents. The $1.8 million settlement is being paid under the False Claims Act.

SEC Issues Subpoenas to Natural Gas Shale Well Producers

In response to a recent New York Times Article (Insiders Sound an Alarm Amid a Natural Gas Rush, June 25, 2011) concerning inflated projections for the production of natural gas from three shale gas formations, the SEC has issued subpoenas to at least two producers, Quicksilver Resources, Inc. and Exco Resources,

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