False Claims Act lawyers Archives - Page 3 of 6

Federal Appellate Court Finds Pfizer’s Proposed Copay Assistance Program For Expensive Heart Drug Would Violate Anti-Kickback Statute

January 4, 2023

Pfizer’s Proposed Copay Assistance Program Violates Anti-Kickback Statute: Pfizer, Inc. produces and sells a drug called tafamidis that treats a rare, progressive heart condition known as transthyretin amyloid cardiomyopathy. Without treatment, patients have a median life expectancy of two to [...]

Serial FCA Whistleblower Scores $183M Jury Win Against Ely Lilly

October 30, 2022

According to a press release issued by the lawyers for whistleblower Ronald J. Streck (“Streck”), a former executive of a network of regional drug wholesalers, a jury ordered Eli Lilly and Company (“Eli Lilly”) to pay in excess of $61 million in damages, which will be tripled[...]

North Carolina Doctor Indicted For $11 Million Durable Medical Equipment Scheme

September 15, 2022

The U.S. Attorney’s Office Western District of North Carolina announced on June 23, 2022 that a Charlotte, North Carolina doctor has been indicted for her alleged role in a durable medical equipment (DME) scheme that defrauded federal benefits programs of more than $11 million. Sudipta Mazumder,[...]

False Claims Act: Medically Unnecessary Medical Services

March 23, 2022

During the fiscal year ending September 30, 2021, the U.S. Department of Justice resolved a number of matters in which providers billed federal health care programs for medically unnecessary services or services not rendered as billed. For example, SavaSeniorCare LLC and related entities agreed to [...]

138 Defendants Charged With Over $1.4B In Health Care Fraud

October 15, 2021

The U.S. Department of Justice announced on September 17, 2021 criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in 31 federal districts across the United States for their alleged participation in various health care fraud schemes that r[...]

U.S. Sues UMPC And Its Surgeon For Overlapping Surgeries

October 2, 2021

The U.S. Attorney’s Office Western District of Pennsylvania announced on September 2, 2021 that the United States has filed a complaint under the False Claims Act against the University of Pittsburgh Medical Center (UPMC), University of Pittsburgh Physicians, and James Luketich, M.D. based on a t[...]

Louisiana Doctor Charged With Illegally Dispensing Over 1.2M Opioid Doses

September 22, 2021

On August 27, 2021, a federal grand jury in New Orleans, Louisiana returned an indictment charging a Louisiana physician for his role in distributing over 1,200,000 doses of Schedule II controlled substances, including oxycodone and morphine, outside the scope of professional practice and not for a [...]

Prime Healthcare Services and Two Doctors Pay $37.5M To Settle Allegations of Illegal Kickbacks And False Claims For Implantable Medical Hardware

August 17, 2021

The U.S. Department of Justice announced on July 19, 2021 that Prime Healthcare Services system (“Prime”), one of the largest hospital systems in the nation, and two of its doctors will pay $37.5 million to resolve violations of the False Claims Act and the California False Claims Act. T[...]

South Dakota Neurosurgeon Will Pay $4.4M To Settle Healthcare Fraud Allegations

May 23, 2021

The U.S. Department of Justice announced on May 3, 2021 that neurosurgeon Wilson Asfora, M.D. of Sioux Falls, South Dakota, and two medical device distributorships that he owns, Medical Designs LLC and Sicage LLC, have agreed to pay $4.4 million to resolve False Claims Act allegations relating to il[...]

Biogen To Pay $22M To Settle Illegal Kickbacks Allegations

January 9, 2021

The U.S. Attorney’s Office for the District of Massachusetts announced on December 17, 2020 that Cambridge-based pharmaceutical company Biogen Inc. (Biogen) has agreed to pay $22 million to resolve allegations that it violated the False Claims Act by illegally using two foundations, Chronic D[...]

Gilead Will Pay $97M To Resolve Alleged False Claims Act Liability For Illegal Kickbacks

November 30, 2020

The U.S. Department of Justice announced on September 23, 2020 that the pharmaceutical company Gilead Sciences, Inc. (“Gilead”), which is based in Foster City, California, has agreed to pay $97 million to resolve claims that it violated the False Claims Act by illegally using a foundatio[...]

Medical Device Manufacturer To Pay $18M To Settle Illegal Kickbacks Allegations

November 18, 2020

The U.S. Department of Justice announced on October 14, 2020 that medical device manufacturer Merit Medical Systems Inc. (“MMSI”) of South Jordan, Utah has agreed to pay $18 million to resolve allegations that the company caused the submission of false claims to the Medicare, Medicaid, a[...]

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