Hospital System Settles Medicare Overbilling Case for $65 Million

AP News reported on August 4, 2018, that Prime Healthcare Services, one of the biggest hospital systems in the country and the company CEO agreed to pay $65 million to resolve claims the California based company overbilled Medicare. The lawsuit that forced the settlement was a whistleblower lawsuit. Prime will pay $61....

Nation’s Leading Medical Eye Surgery Equipment Supplier Sightpath Settles with Government for $12 Million after Allegations of False Claims Act and Medicare Fraud

The largest monetary False Claims Act (“FCA”) case this week was by one of the nation’s leading provider of mobile equipment and services for eye surgery Sightpath.  The company admitted no wrongdoing yet settled with the government for $12 million dollars after allegations surfaced that it violated the FCA and ...

Large Academic Medical Center Paying $6.5 Million and Medical Supply Company Paying $2.7 Million to Settle Medicare Fraud Allegations

In another multi-million dollar settlement, a health care system is paying millions to the government to settle allegations that it defrauded the Medicare program.  In the Vandebilt Hospital settlement, three formerly employed physicians claimed that the surgery center implemented fraudulent scheduling practices that ...

Hospice and Rehab Company Settlements Totaling $20 Million Dollars in Whistleblower Cases

For our weekly recap of False Claims Act (“FCA”) whistleblower settlement, we have a $19.5 million dollar settlement between management, therapy and hospice companies and the government for alleged Medicare billing fraud.  This is an interesting web of collusion between companies that should care for the elderly a...

Two Nurse Whistleblowers Receive $350,000 for Reporting False Claims Act Violations in form of Medically Unnecessary Services by Hospice Providers

Our Los Angeles Whistleblower Attorneys report another multi-million dollar settlement for alleged violations of the False Claims Act (“FCA”).  Between 2005 to 2011, several nursing homes and hospice care facilities admitted patients who did not actually need hospice care.  In turn, the facilities billed Medicare...

Allergan Settles for $13 Million after Whistleblowers Sue On Behalf of Government for Fraudulent Kickbacks to Eye Care Providers

A former Orange County, California headquartered company (now they are in Dublin, Ireland to avoid U.S. taxes) by the name of Allergan settled a False Claims Act (“FCA”) whistleblower lawsuit this week for $13 million dollars.  The main Whistleblower allegation was that Allergan engaged in kickback scheme with eye...

Software Vendor for Healthcare Providers Settles with Government for $155 Million FCA and Anti-Kickback Violations

In this issue, our False Claims Act (“FCA”) whistleblower attorneys report one of the largest FCA settlements in history.  This special type of settlement involved an Electronic Health Record (“EHR”) company by the name of eClinicalWorks.  This E.H.R. company provided software to health care providers.  The ...

This Week’s FCA Update Includes Rhine Drug Company Fraud and Florida MCO Risk Adjustment Fraud

Last week, a pharmacy and drug company settled False Claims Act (“FCA”) lawsuits for millions of dollars.  The allegations focused on violations of the FCA and Controlled Substances Act.  Specifically, the pharmacists billed government agencies such as Medicare for more than they actually dispensed and did not ke...

Genesis Healthcare Settles False Claims Act Lawsuits for $53.6 Million For Alleged Medically-Unnecessary Services

As we routinely report these settlements on a weekly basis, our False Claims Act (“FCA”) focused employment attorneys continue to represent whistleblowers in California.  Our attorneys submit many examples of these types of settlements to both California FCA violations and federal FCA violations of Medicare, Medi-...

Lab Company Quest Diagnostics Settles False Claims Act Lawsuits for $6 Million Dollars

In what has been a pattern in recent years, another diagnostics lab company settled for millions of dollars in a False Claims Act (“FCA”) allegation.  The main allegations here involved labs paying doctors kickbacks so that the doctors refer to the labs for certain services that were not necessary.  This was not ...