False Claims Act lawyers Archives - Medical Malpractice Lawyers

Labcorp Agrees To Pay $14.5 Million To Settle Urine Drug Testing Fraud Allegations

September 24, 2026

The United States Attorney’s Office for the District of Massachusetts announced on July 15, 2026 that Laboratory Corporation of America (Labcorp), a national diagnostics testing laboratory, has agreed to pay $14.5 million to resolve allegations that it violated the False Claims Act by submitti[...]

Eleventh Circuit Upholds Qui Tam Provisions Of False Claims Act As Constitutional

September 2, 2026

In 2019, Dr. Clarissa Zafirov brought a qui tam action under the False Claims Sct (“FCA”) on behalf of the United States against her employer and related entities, Florida Medical Associates (d/b/a VipCare); Physician Partners, LLC; Anion Technologies, LLC; Freedom Health, Inc.; and Opti[...]

Aetna Agrees To Pay $117.7 Million To Resolve Alleged False Claims Act Violations Involving Medicare Advantage Enrollees

July 29, 2026

The United States Attorney’s Office for the Eastern District of Pennsylvania announced on March 10, 2026 that Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or[...]

California Medical Scan Provider Agrees To Pay $8.3 Million To Resolve False Claims Allegations That It Unlawfully Paid Doctors Kickbacks

June 22, 2026

The United States Attorney’s Office for the Central District of California announced on May 1, 2026 that Modern Nuclear Inc. (MNI), a La Habra-based mobile PET scan company, agreed to pay a total of $8,334,350 plus additional money based on future revenue to resolve False Claims Act allegation[...]

Five Ophthalmology Practices Pay $6M To Resolve Allegations Of Fraudulent Medicare And Medicaid Claims For Cranial Ultrasounds

March 11, 2026

The U.S. Department of Justice announced on January 15, 2026 that Florida ophthalmology practices Clay Eye Holdings LLC, Retina Macula Specialist of Miami LLC, Florida Eye Institute P.A., Miami Eye LLC, and Kendall Eye Institute Inc. have agreed to pay a total of nearly $6 million to resolve alleged[...]

Kaiser Permanente Affiliates Pay $556M To Resolve False Claims Act Allegations

March 4, 2026

The U.S. Department of Justice announced on January 14, 2026 that affiliates of Kaiser Permanente, an integrated healthcare consortium headquartered in Oakland, California, have agreed to pay $556 million to resolve allegations that they violated the False Claims Act by submitting invalid diagnosis [...]

ProMedica Health System, Inc. Sued By U.S. For Providing Grossly Substandard Nursing Home Services

December 3, 2025

The United States has intervened and filed a complaint in the U.S. District Court for the Eastern District of Pennsylvania under the False Claims Act (FCA) against ProMedica Health System, Inc. (ProMedica) and various affiliated entities including HCR ManorCare Inc. and four nursing homes located in[...]

Federal Appellate Court Affirms False Claims Act Lawsuit Barred By Public Disclosure Provision

October 17, 2025

The False Claims Act is the federal government’s sword against fraud. At the heart of the Act lies the qui tam provision, which deputizes private individuals, known as relators, to expose fraudulent schemes targeting federal programs in exchange for a share of any recovery. U.S.C. § 3730(d). Medi[...]

Owner Of Durable Medical Equipment Suppliers Received 12-Year Sentence For $61 Million Medicare Fraud Scheme

August 17, 2025

On July 1, 2025, a Florida man was sentenced to 12 years in prison and three years of supervised release for conspiring to defraud Medicare with false reimbursement claims for durable medical equipment (DME). He was also ordered to pay $21,195,540.18 in restitution and forfeiture in the amount of $2[...]

324 Defendants Charged With $14.6 Billion In Intended Health Care Fraud

August 14, 2025

It was announced on June 30, 2025 that criminal charges were filed and that civil resolutions were reached in three cases in connection with alleged schemes to unlawfully distribute controlled substances and defraud federal health care programs, including Medicare and Medicaid. The charges were file[...]

Health Care Software Company’s CEO Convicted Of $1B Medicare Fraud Conspiracy

August 1, 2025

A federal jury convicted the CEO of Power Mobility Doctor Rx, LLC (DMERx) for his role in operating a platform that generated false doctors’ orders to defraud Medicare and other federal health care benefit programs of more than $1 billion. According to court documents and evidence presented at tri[...]

United States Files False Claims Act Complaint Against Three National Health Insurance Companies And Three Brokers Alleging Unlawful Kickbacks And Discrimination Against Disabled Americans

July 5, 2025

On May 1, 2025, the United States filed a complaint under the False Claims Act (FCA) against three of the nation’s largest health insurance companies — Aetna Inc. and affiliates, Elevance Health Inc. (formerly known as Anthem), and Humana Inc. — and three large insurance broker [...]

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