Judge Shoots Down Proposed Settlement Of Health System Criminally Charged With Fraud

U.S. District Court judge Terrence Boyle rejected a proposed settlement and deferred prosecution agreement by WakeMed Health and Hospitals, a North Carolina health system criminally charged with ripping off Medicare for at least $1.2 million.  The first hospital or health system to be criminally charged with defrauding Medicare, WakeMed Health and Hospitals allegedly made false statements to Medicare in order to be reimbursed for costly inpatient stays of Medicare patients who never actually were inpatients at the hospital.

Attorney General Eric Holder Will Decide Whether To Join Whistleblower Lawsuit Against Lance Armstrong

Chair of Pietragallo’s national qui tam practice group, Michael A. Morse, was quoted in an article in today’s New York Daily News discussing how the legal fate of Lance Armstrong is in the hands of the Department of Justice.

To view the article, please see:
http://www.nydailynews.com/sports/i-team/lance-legal-fate-rests-ag-holder-hands-article-1.

Pharmaceutical Companies Settle Medicaid Fraud Claims For $36 Million

On January 4, 2013, the Attorney General for Texas, Greg Abbott, announced that Pfizer, Inc. and Endo Pharmaceuticals will pay $36 million to settle a whistleblower suit filed under Texas’ Medicaid Fraud Prevention Act.  The settlement resolves allegations that the companies defrauded Medicaid by misreporting the price of generic drugs for the Medicaid program.

Specialty Pharmaceutical Company To Pay $11.4 Million To Resolve Anti-Kickback Statute And False Claims Act Allegations

On January 10, 2013, a pharmaceutical company based in San Diego, Victory Pharma, Inc., agreed to pay $11.4 Million to resolve allegations that it improperly marketed its pharmaceutical products.  It is alleged that Victory violated the federal Anti-Kickback Statute and False Claims Act by paying kickbacks to doctors who prescribe the company’s drugs.

EMH-Regional Medical Center And North Ohio Art Center To Pay $4.4 Million For FCA Violations

On January 7, 2013, the U.S. Department of Justice announced a settlement resolving False Claims Act allegations against EMH Regional Medical Center (“EMH”) and North Ohio Art Center, Inc. (“NOHC”).  It was alleged that EMH and NOHC performed unnecessary stent procedures on patients between 2001 and 2006, including those reimbursed by Medicare.

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