Health and Human Services Guidelines to Bar Drug Firm Executives for Fraud

On October 20, 2010, the Department of Health and Human Services’ (“HHS”) Office of Inspector General (“OIG”) announced guidelines enabling the barring of executives of pharmaceutical companies from contracting with U.S. Government health programs when they know, or if the OIG concludes they should have known, about Medicare fraud at their company.

Government Contractor to Pay $69 Million

On November 5, 2010, an engineering contractor, Louis Berger Group, Inc. (“LBG”), agreed to pay over $69 million to settle claims of defrauding the U.S. Government related to reconstruction contracts in Iraq and Afghanistan.  LBG is a New Jersey-based engineering consulting company which performed engineering contracts for the U.S. Department of Defense and United States Agency for International Development in Iraq and Afghanistan.

St. Joseph Medical Center in Maryland to Pay U.S. $22 Million to Resolve False Claims Act Allegations

St. Joseph Medical Center has agreed to pay the United States $22 million to settle allegations under the False Claims Act that it paid unlawful remuneration under the Anti-Kickback Act and violated the Stark Law when it entered into a series of professional services contracts with MidAtlantic Cardiovascular Associates.

For more information see: http://www.justice.gov/opa/pr/2010/November/10-civ-1271.

Miami-Dade Healthcare Operators Charged in Biggest Medicare Fraud Strike Force Case in History

Four Miami-Dade healthcare operators have been charged with scheming to defraud Medicare out of a $200 million by fraudulently billing for mental health services. A whistleblower lawsuit was filed against American Therapeutic, the nation’s largest chain of community mental health centers licensed by Medicare.  American Therapeutic and its senior employees were charged with scheming to bill Medicare for unnecessary group therapy sessions or sessions that never occurred.

Countrywide Execs Settle $73 Million Lawsuit with the SEC

Angelo R. Mozilo, founder and former chief executive of Countrywide Financial Corporation, and two others settled a $73 million deal with the SEC to avoid going to trial on allegations of fraud and insider trading.  The SEC suit, filed in June 2009, alleged that Countrywide’s exposure to risky loans was misrepresented by the three men and also accused Mozilo of insider trading.

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