Category: Healthcare

Seven Hospitals in Six States to Pay U.S. More Than $6.3 Million to Resolve False Claims Act Allegations Related to Kyphoplasty

Seven hospitals in Florida, Mississippi, Texas, South Carolina, North Carolina and Alabama have agreed to pay the United States a total of more than $6.3 million to settle allegations under the False Claims Act. Between 2000 and 2008 these hospitals performed kyphoplasty, a minimally invasive treatment for certain spinal fractures that is often performed on an outpatient basis.

Doctors’ FCA Claim Against Hospital Survives Summary Judgment

On November 10, 2010, U.S. District Court Judge Maurice B. Cohill, Jr., of the Western District of Pennsylvania denied the defendant’s Motion for Summary Judgment, thereby permitting the qui tam action by the doctors and U.S. Government to go forward.  Doctors Dilbagh Singh, Paul Kirsch, Rao Nadella, and Martin Jacobs filed a qui tam action pursuant to the False Claims Act against Bradford Regional Medical Center (“BRMC”),

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.html

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. 

Over $6 Billion Paid to Government by Pharmaceutical Companies

With the recent $422.5 million settlement by Novartis in the Eastern District of Pennsylvania, now seems to be a good time to step back and look more broadly at the magnitude of recent FCA settlements. Over the past 22 months alone, a total of 11 pharmaceutical companies have paid over $6 billion to the government.

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,

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