Category: Federal False Claims Act

The First Circuit Court of Appeals Rules that State Wrongful Discharge Lawsuit triggers Public Disclosure Bar under the False Claims Act

On September 8, 2010, the First Circuit Court of Appeals dismissed a false claims act case by invoking the public disclosure bar.  The court held that a complaint for wrongful discharge under state law triggers the public disclosure bar where the wrongful termination is based on the same set of operative facts as the qui tam action.

United States Considers Joining Cycling Qui Tam Suit Over Doping

The Justice Department is considering joining a qui tam lawsuit now under seal concerning the use of performance enhancing drugs in cycling races. The qui tam relator is Floyd Landis, a former teammate of Lance Armstrong. The federal connection to the lawsuit involves the US Postal Service’s sponsorship of Armstrong’s team for several years,

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.

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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