Qui Tam News
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WellCare Announces Final Resolution of Whistleblower Claims |
March 23, 2012 - WellCare Health Plans, Inc. (NYSE: WCG) today announced that the settlement agreements, which resolve the pending inquiries of the Civil Division of the United States Department of Justice (Civil Division) and the United States Attorneys' Offices for the Middle District of Florida and the District of Connecticut, are now effective. These settlements are related to four qui tam complaints filed by relators against WellCare under the whistleblower provisions of the False Claims Act.
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Prime Healthcare CEO Resigns Amidst Upcoding Accusations |
February 24, 2012 - After a year of upcoding accusations and in the face of a reported federal investigation, Prime Healthcare Services President and CEO Lex Reddy has resigned, the California-based health system confirmed yesterday. The company did not mention the reason for his departure, but Reddy reportedly will form a new hospital management company, according to Payers & Providers.
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$4.1 Billion Recovered in Health Care Judgments in 2011 |
February 14, 2012 - Up 50% from 2009, Federal authorities say they have recovered $4.1 billion in health care judgments in 2011, marking a record high. The Department of Justice and the Department of Health and Human Services say agencies are doing a better job to stop the fraud by performing on site visits for moderate risk providers and performing criminal background and finger print checks for higher risk providers. In 2011, 323 defendants were charged in a $1 billion Medicare fraud scheme involving nine states, over 100 doctors, nurses and physical therapists.
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Dava Pharmaceuticals to Pay $11 Million to Settle Drug Rebate Fraud Allegations |
February 10, 2012 - The United States Government has reached an $11 million settlement with Dava Pharmaceuticals, Inc. ("Dava"), involving allegations that it violated the False Claims Act by misreporting drug prices to in turn reduce its Medicaid drug rebate obligations.
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Boeing Pays $4.3 Million to Settle False Claims Case |
February 8, 2012 - Last month, Boeing was forced to pay $4.3 million to resolve federal allegations that it improperly billed the Pentagon for work at the company’s Ridley Park, Pennsylvania facility.
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14 Hospitals Settle Medicare Fraud Allegations for $11.9 Million |
February 8, 2012 - Fourteen hospitals alleged to have submitted false claims to Medicare have reached a settlement with the Government for $11.9 million. It is alleged that these hospitals performed kyphoplasty procedures at in-patient facilities to increase Medicare billings during 2000-2008.
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Healthcare Workers & Clinics in Michigan Indicted for Alleged Medicare & Medicaid Kickbacks |
February 7, 2012 - Healthcare professionals and other associated clinics of Lakeshore Spine and Pain in Ludington, MI, were recently indicted in an alleged Medicare and Medicaid kickback scheme. The indictment alleges that medical clinics, out patient rehabilitation facilities and home health care companies paid employees and outside healthcare providers for patient referrals.
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Hospice Owner in Alabama Gets 28 Months in Prison for Medicare Fraud |
February 7, 2012 - An Alabama man who owned a corporation that provided hospice care was sentenced to 28 months in prison for participating in a Medicare health care fraud scheme totaling more than $3 million.
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Whistleblowers Helped Recover $8.8B in False Claims in 3 Years |
February 1, 2012 - Since 1986, the Government has recovered $30 billion in False Claims Act cases. Attorney General Eric Holder has reported that since 2009, the Government has recovered $8.8 billion.
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Support the Ohio False Claims Act |
January 31, 2012 - Attention Ohio Residents! State Sen. Jim Hughes and State Rep. Ross McGregor are sponsoring a False Claims Act for Ohio that would permit whistleblowers with evidence that the State of Ohio has been defrauded, to recover a portions of the money (15-30%) recovered by the State.
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