Medicaid Fraud

Pharmaceutical Company Mylan Settles False Claims Act Whistleblower Lawsuit for $465 Million

Posted on by Simon Mikail
Category: Whistleblower Protection
In one of the largest qui tam False Claims Act (“FCA”) settlements of 2017, pharmaceutical company Mylan Inc. entered into a $465 million dollar settlement.  Our Los Angeles based qui tam FCA whistleblower attorneys reported that the allegations stemmed from allegations that Mylan violated the FCA by misclassifyin...

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

Posted on by Simon Mikail
Category: Health Care Employee Rights, Whistleblower Protection
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

Posted on by Simon Mikail
Category: Health Care Employee Rights, Whistleblower Protection
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 ...

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

Posted on by Simon Mikail
Category: Health Care Employee Rights, Whistleblower Protection
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...

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

Posted on by Simon Mikail
Category: Health Care Employee Rights, Whistleblower Protection
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...

Bilking Money from Medicare Does Not Pay – Walgreens and Bay Sleep Clinic Settle FCA Whistleblower Lawsuits for Over $50 Million Dollars

Posted on by Simon Mikail
Category: Whistleblower Protection
Our Los Angeles based False Claims Act (“FCA”) focused attorneys report that after a qui tam whistleblower lawsuit was filed against Walgreens, Walgreens recently paid $50 million to settle allegations of kickback and violations of the FCA.  In the settlement agreement, Walgreens settled allegations that it violat...

Just in time for the holidays, the U.S. Justice Department Reports that it Paid-Out $519 Million to Whistleblowers in 2016

Posted on by Simon Mikail
Category: Retaliation, Whistleblower Protection
As many of our clients know, reporting your company’s fraudulent activity or even seemingly fraudulent actions such as over-billing for lower level services, avoiding payments owed to the government, or billing for unnecessary procedures to extract money from government programs like Medicare and Medicaid can be very...

Supreme Court Evaluates Whether Implied or Express Certification of a Violation is Necessary for False Claims Case

Posted on by Simon Mikail
Category: Employee Rights, Health Care Employee Rights, Retaliation, Whistleblower Protection
One of the most important US Supreme Court decisions interpreting the Federal False Claim Act, 31 USC 3729, is currently under submission. (Universal Health Services, Inc., vs United States ex rel Escobar). In this case, the relator's daughter was allegedly misdiagnosed and mistreated by a health care clinic that bille...