In a decision that shows the courts take whistleblower allegations very seriously, the Ninth Circuit Court of Appeals (the “Ninth Circuit”) has revived a whistleblower lawsuit that was dismissed at the district level in 2015. The suit, U.S. ex. rel. Campie…
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False Claims Act, Fraud, Medicaid, Medicare, Qui Tam, qui tam lawsuit, whistleblower lawsuit
Three Ohio-based health care companies and their executives will pay $19.5 million to resolve two whistleblower health care lawsuits. The lawsuits alleged that, beginning in 2008, the companies falsified Medicare claims for unnecessary services that allegedly harmed patients. The whistleblowers in…
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health care lawsuits, Medicare, Whistleblower award, whistleblowers
More than 400 people have been charged with taking part in health care fraud schemes and opioid scams that totaled $1.3 billion in false billing, Attorney General Jeff Sessions announced Thursday. Calling the collective action the “largest health care fraud…
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Government, Healthcare Fraud, Jeff Sessions, Medicare, U.S. Department of Justice
A health care lawsuit brought by two whistleblowers against a hospice company has settled for $2.4 million. The lawsuit alleged that the company had paid kickbacks to doctors for patient referrals and had also falsely billed Medicaid and Medicare. According…
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health care lawsuit, Healthcare Fraud, Medicaid, medical fraud, Medicare, Qui Tam, qui tam lawsuit, Whistleblower
In any industry, there are unscrupulous people who try to defraud companies and individuals – and healthcare fraud is no exception. Medicare and Medicaid fraud is particularly troublesome because this type of healthcare fraud can cost Federal health care programs…
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Healthcare Fraud, Medicaid, medical fraud, Medicare, Whistleblower, whistleblower attorney
Freedom Health Inc., a Medicare Advantage insurer based in Florida, has agreed to pay the government $32.5 million to settle a qui tam lawsuit brought by a whistleblower. The original qui tam suit was filed in 2009 by Dr. Darren…
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Fraud, Healthcare Fraud, Medicare, Medicare Advantage, Qui Tam, Whistleblower
The U.S. Justice Department recovered over $4.7 billion in 2016 from cases brought under the False Claims Act (FCA). Of that amount, $2.9 billion – 60% – was recovered through cases begun by whistleblowers. These results show how successful an…
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False Claims Act, Fraud, Healthcare Fraud, Medicaid, Medicare, Whistleblower, whistleblower attorney
The Department of Justice (“DOJ”) announced yesterday that “[a] major U.S. hospital chain, Tenet Healthcare Corporation, and two of its Atlanta-area subsidiaries will pay over $513 million to resolve criminal charges and civil claims relating to a scheme to defraud…
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False Claims Act, Healthcare Fraud, Medicaid, Medicare, Qui Tam, Whistleblower, whistleblower attorney, Whistleblower award
The Department of Justice (“DOJ”) recently announced a settlement with Johnson & Johnson subsidiary Acclarent Inc. over allegations of off-label marketing. The DOJ’s suit alleged that Acclarent caused false claims to be submitted to the government in conjunction with the…
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Healthcare Fraud, medical fraud, Medicare, Qui Tam, Whistleblower award
The Department of Justice (“DOJ”) announced Wednesday that another 51 hospitals have settled with the government to wrap up a Medicare fraud suit filed under the False Claims Act. In 2008, the government began a federal probe sparked by allegations…
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False Claims Act, medical fraud, Medicare, Whistleblower award