The Department of Justice announced that the United States Government will receive $8,999,999 from AHS Hospital Corp., Atlantic Health System Inc., and Overlook Hospital, located in New Jersey to resolve False Claims Act allegations. The hospital falsely overbilled Medicare for patients that were considered outpatient or observation patients.
Abraham Gutterman and his companies, Alliance Capital Metals LLC and AR Goldman Wealth Management, LLC, are barred from the commodities industry by a court order from Judge Marcia G. Cook, of the U.S. District Court for the Southern District of Florida.
The United States government will collect $6.1 million from Hospice Care of Kansas LLC and its parent company, Ft. Worth, Texas-based Voyager HospiceCare Inc. as a result to resolve False Claims Act allegations. Former Hospice Care of Kansas nurse, Beverly Landis, under the qui tam, or whistleblower, provisions of the False Claims Act revealed that the hospice company was submitting false claims over a course of four years to Medicare for beneficiaries that did not have a terminal prognosis of six months or less.
The Internal Revenue Service’s tax whistle-blower program has been scrutinized by lawyers and politicians. Now, the IRS will evaluate the program and improve its working practices and backlog. According to Deputy Commissioner for Services and Enforcement Steven T. Miller, the guidelines and procedures for managing whistle-blower complaints will be thoroughly examined by the IRS and by various internal and external stakeholders within a 90-day deadline.
The United States Government will collect $5.4 million from the notional ambulance company, Rural/Metro Corp, to settle False Claims Act allegations. The ambulance company was accused of Medicare fraud, which was brought to light by Carl Crawley under seal in U.S. District Court. Daily, Mr. Crawley had witnessed various necessary Medicare documents being forged to bill Medicare and Medicaid for services that did not occur or that were unnecessary.
The United States Government collected $5 million from Christus Spohn Health System Corporation to resolve allegations of improperly admitting patients, which were filed under the False Claims Act.
Located in Texas, six hospitals of the Christus Spohn Health System Corporation falsely claimed outpatients as inpatients to be able to send false billings to Medicare.
The U.S. Government continues to collect federal funds that were not appropriately paid to private companies. Three large pharmaceutical companies still owe the U.S. Government an amount totaling $4.7 billion as a result to False Claims Act allegations.
In 2011, the Department of Justice (DOJ) announced some of the largest sums owed to the U.S.
There was a great article in the Philadelphia Inquirer on Thursday, June 14, 2012. David Sell, who covers the pharmaceutical industry for The Inquirer’s Business Department, wrote about the False Claims Act and Acting Assistant Attorney General Stuart F. Delery’s speech at the American Bar Association’s Ninth National Institute on the Civil False Claims Act and Qui Tam Enforcement.
The Securities and Exchange Commission (SEC), since its creation in 1934, has always had a program in place to report fraud, however this program has not had any incentive for people to report companies to the SEC until now.
The US Justice Department announced an agreement has been reached with Orthofix, Inc. to resolve civil and criminal charges brought as a result of a whistleblower action initiated by Jeffrey Bierman, a Midwest healthcare consultant.
Orthofix manufactures and distributes bone growth stimulators under various trade names.