Author: Qui Tam

St. Jude Medical is in Talk to Settle False Claim Case

In 2006, Charles Donigan sued his former employer, St. Jude Medical, under the Federal False Claims Act for allegedly paying kickbacks to physicians and other health care providers to induce them to use St. Jude medical devices, including pacemakers. Four years later, after the government indicated its intent to intervene in the lawsuit,

Allergan settles Botox Claims for $600 million

Allergan settled claims of off-label marketing of its Botox pharmaceutical and other claims for a total of $600 million.  The government accused Allergan of recommending Botox for unapproved uses including headache, pain, spasticity and juvenile cerebral palsy.  As part of the settlement, Allergan also pleaded guilty to misdemeanor charge of misbranding,

South Florida Health Care Providers Plead Guilty in Medicare Fraud Scheme

A physician, clinic owner and a number of clinic nurses pleaded guilty to participating in a large Medicare fraud conspiracy.  Dr. Fred Dweck, Yudel Cayro and others referred numerous Medicare recipients for unnecessary home health care services and charged those services to Medicare. In total, Medicare paid more than $32 million of the $53 million fraudulent claims billed.

Hospital to the Stars to repay Government $5.25 million

St. John’s Medical Center of Santa Monica, California has agreed to repay the federal government $5.25 million to settle claims that it overbilled Medicare.  The government alleged that St. John’s “turbocharged” its claims to Medicare by raising charges more quickly than its actual costs rose.  According to the government, the practice allowed St.

Johnson & Johnson Unit Issued FDA Warning Letter

On August 19, 2010, the U.S. Food and Drug Administration issued a warning letter to DePuy Orthopaedics, Inc., a business unit of Johnson & Johnson, stating that it is marketing two products without required clearance or approvals in violation of the Federal Food, Drug, and Cosmetic Act. The warning letter was specifically directed at two (2) DePuy Orthopaedics’ products,

Medicare and Medicaid Contractor Settles Claim for $137.5 Million

On August 20, 2010, it was announced that a Medicare and Medicaid managed-care company, WellCare Health Plans, Inc., reached a preliminary settlement to pay $137.5 million to settle a False Claims Act case which has been pending for the past four years.  The allegations arise from claims that WellCare was responsible for schemes to avoid repaying overpayments which it received from Florida and New York’s Medicaid programs,

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