Archives: False Claims / qui tam

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Physician Receives $11.4 Million Whistleblower Reward for Reporting Up-Coding Scheme

Healthcare Service Provider to Pay $60 Million to Settle Medicare and Medicaid False Claims Act AllegationsTeamHealth Holdings, a major U.S. hospital service provider and successor in interest to IPC Healthcare Inc., (IPC), has agreed to pay $60 million to resolve allegations that IPC violated the False Claims Act by billing Medicare, Medicaid, the Defense Health Agency and the Federal Employees Health Benefits Program for higher and more expensive levels of … Continue Reading

Whistleblowers to Share Reward for Reporting Illegal Kickback Scheme

False Claims Act, Medical Fraud“Dermagraft” manufacturer, Shire Pharmaceuticals LLC (Shire) agreed to pay $350 million to settle False Claims Act allegations. The federal government alleged that Shire employed kickbacks and other unlawful methods to induce clinics and physicians to use or overuse its product. Shire entered into a $350 million settlement agreement to settle both federal and state False … Continue Reading

Grassley Reminds Supreme Court Nominee of the Importance of False Claims Act

Sen. Grassley said he wanted to bring up the False Claims Act so Judge Gorsuch would understand how important it is to him.Washington, D.C. March 24, 2017. The Senate Judiciary Committee’s confirmation hearing for President Trump’s nominee for the U.S. Supreme Court began on Monday.  Sen. Chuck Grassley, Chairman of the Committee and long-time advocate of whistleblower rights, brought the issue of the False Claims Act (FCA) to Nominee Judge Neil Gorsuch’s attention.… Continue Reading

Whistleblower Paid $7.8 Million for Reporting Pharmaceutical Kickback Scheme

SECURITIES AND COMMODITIES FRAUD , SEC WHISTLEBLOWER AWARDS LISTOn December 15, 2016, the Department of Justice announced that Forest Laboratories LLC (Forest), located in New York, New York, and its subsidiary, Forest Pharmaceuticals Inc., have agreed to pay $38 million to resolve allegations that they violated the False Claims Act by paying kickbacks to induce physicians to prescribe the drugs Bystolic®, Savella®, and … Continue Reading

Whistleblowers to Receive Award for Reporting Misuse of Government Funds Intended for Clean Up at DOE’s Contaminated Hanford Site

Whistleblowers to Receive Award for Reporting Misuse of Government Funds Intended for Clean Up at DOE’s Contaminated Hanford SiteOn November 23, 2016 the Justice Department announced that Bechtel National Inc., Bechtel Corp., URS Corp. (predecessor in interest to AECOM Global II LLC) and URS Energy and Construction Inc. (now known as AECOM Energy and Construction Inc.) agreed to pay $125 million to resolve allegations under the False Claims Act that they made false … Continue Reading

Whistleblower Receives $5.1 Million for Reporting Misuse of Medical Device

Medical Device Maker Biocompatibles Pleads Guilty to Misbranding and Agrees to Pay $36 Million to Resolve Criminal Liability and False Claims Act AllegationsPennsylvania-based medical device manufacturer Biocompatibles Inc., a subsidiary of BTG plc, plead guilty on November 7, 2016 to misbranding its embolic device LC Bead and will pay more than $36 million to resolve criminal and civil liability arising out of its illegal conduct. LC Bead is used to treat liver cancer, among other diseases.… Continue Reading

Whistleblowers Responsible for More Than Sixty Percent of FCA Recoveries in 2016

The Department of Justice announced yesterday that it obtained more than $4.7 Billion in settlements and judgments from cases involving fraud against the government. This amount marks the third highest annual recovery in the history of the False Claims Act (FCA). The FCA brings in a yearly average of $4 billion with a total of … Continue Reading

Huge Win for Whistleblowers with Unanimous Supreme Court Decision

Washington, D.C. December 6, 2016. An attempt by large government contractors and the U.S. Chamber of Commerce to undermine the False Claims Act (FCA) was beaten back by whistleblower advocates. The U.S. Supreme Court issued a unanimous decision today in the case of State Farm Fire and Casualty Company v. U.S. ex rel. Rigsby ruling … Continue Reading

Qui Tam Whistleblower Rewards Paid October 2016

In October the Department of Justice announced settlements of  cases that were brought under the qui tam or whistleblower provision of the False Claims Act (FCA). The “qui tam” provision allows private citizens to file lawsuits alleging false claims on behalf of the government.  If the government prevails in the action, the whistleblower is eligible … Continue Reading

Celebrating the 30th Anniversary of the 1986 Amendments to the False Claims Act

Celebrating the 30th Anniversary of the 1986 Amendments to the False Claims ActWashington, D.C. October 27, 2016.  Today marks the 30th Anniversary of the 1986 amendments to the federal False Claims Act (FCA). Since these amendments were passed, the FCA has proven to be the most effective anti-fraud law in the United States, recovering over $48 billion from those who defrauded the U.S. government.… Continue Reading

Fraud in Humanitarian Food Aid Program Uncovered by Whistleblower

AP photoAugust 1, 2016: Jacintoport International LLC (Jacintoport) and Seaboard Marine Ltd. (Seaboard Marine) have agreed to pay $1.075 million to settle a lawsuit alleging that the companies violated the False Claims Act in connection with a warehousing and logistics contract for the storage and redelivery of humanitarian food aid.  Jacintoport is a cargo handling and … Continue Reading

DOJ Intervenes in Whistleblower Lawsuit Alleging Fraud in Afghanistan and Iraq Reconstruction Contracts

July 28, 2016: The Justice Department announced it filed suit under the False Claims Act against Derish M. Wolff and Salvatore J. Pepe, respectively the former CEO and CFO of Louis Berger Group Inc. (LBG), for conspiring to overbill the U.S. Agency for International Development (USAID) and other government agencies for costs incurred performing reconstruction … Continue Reading

Whistleblower Says Major Insurers Defrauded Government

August 11, 2016. On Wednesday the U.S. Court of Appeals for the Ninth Circuit reversed a lower court’s dismissal of a False Claims Act case against several of the nation’s largest health insurers. The Court ruled that the whistleblower, James Swoben, put forward enough evidence to suggest that insurers like HealthCare Partners, UnitedHealthCare and Aetna … Continue Reading

Improper Billing & Illegal Kickback Scheme Exposed by Whistleblowers

False Claims Act SettlementsJune 30, 2016: An Ocala, Florida, cardiologist, Dr. Asad Qamar, and his practice, the Institute of Cardiovascular Excellence (ICE), will pay $2 million, plus release any claim to $5.3 million in suspended Medicare funds, to resolve a lawsuit alleging that they improperly billed Medicare, Medicaid and TRICARE for medically unnecessary procedures, and paid kickbacks to … Continue Reading

Justice Department’s First Public Statement on Supreme Court’s Unanimous Escobar Decision Slams Toyobo’s “Half-Truths” in Pending False Claims Act Whistleblower Suit

Washington, D.C. June 22, 2016 – Today, the U.S. Department of Justice filed a Notice of Supplemental Authority in a pending False Claims Act case, U.S. ex rel. Westrick v. Second Chance Body Armor, et al., No. 04-0280 (D.D.C.), setting forth the DOJ’s official position on the impact of the Supreme Court’s unanimous decision announced … Continue Reading

Government Contractors Ask Supreme Court for False Claims Act Loophole So They Can “Pick and Choose” What Regulations to Follow

On April 19th I visited the Supreme Court to listen to oral arguments in Universal Health Services v. U.S. ex rel. Escobar, arising under the whistleblower provisions of the False Claims Act.  However, I was shocked at what I heard. The hospital that was sued in this case actually asked the Justices to believe that: … Continue Reading