CMS Final Rule Aims to Save $1.6 Billion in Fraud

On April 24, 2012, the Centers for Medicare & Medicaid Services (CMS) issued a final rule requiring stronger protections against fraudsters.  The final rule allows only qualified, identifiable providers and suppliers to order or certify medical services, equipment, and supplies for Medicare beneficiaries.

CMS will be diligently verifying provider credentials.

McKesson Corp. Pays U.S. More Than $190 Million to Resolve False Claims Act Allegations

On Thursday, April 26, 2012, Stuart F. Delery, Acting Assistant Attorney General for the Justice Department’s Civil Division; New Jersey U.S. Attorney Paul J. Fishman; and Daniel R. Levinson, Inspector General of the U.S. Department of Health and Human Services announced that the McKesson Corporation has agreed to pay the United States a $190 million settlement to resolve allegations that the company violated the False Claims Act.

ATK Launch Systems Inc. Settles False Claims Product Substitution Case for Nearly $37 Million

In a Qui Tam False Claims Act suit filed in the U.S. District Court for the District of Utah,  ATK Launch Systems Inc., has agreed to pay the United States $21 million and provide necessary in-kind services worth $15,967,160 in reparation costs for 76,000 malfunctioning para-flares that were sold to the government.

Johnson & Johnson commits more than 238,000 violations of Arkansas’s Medicaid fraud laws

After an Arkansas jury found that Johnson & Johnson (JNJ) company officials misled doctors and patients about the risks of one of their drugs, a judge ruled that JNJ must pay more than $1.1 billion in fines. The drug was an antipsychotic medication called Risperdal. The jury had concluded that J&J’s marketing of this particular drug violated both Medicare fraud laws and Arkansas’s deceptive trade practices statutes.

RCOG to pay $3.8 Million to Settle False Claims Act Case

The Justice Department announced on April 3, 2012 that Radiotherapy Clinics of Georgia LLC, a radiation oncology practice, and its affiliates RCOG Cancer Centers LLC, Physician Oncology Services Management Company LLC, Frank A. Critz, M.D. and Physician Oncology Services L.P. (jointly, RCOG) agreed to pay $3.8 million to settle claims that they violated the False Claims Act.

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