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Recoverable Damages In Negligent Reproductive Health Care Cases

False Claims Act Settlements And Judgments Exceeded $5.6 Billion In Fiscal Year 2021

August 10, 2022

The United States Department of Justice announced on February 1, 2022 that it obtained more than $5.6 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the fiscal year ending September 30, 2021, which is the second largest annual total i[...]

Arkansas Man Charged In $100 Million COVID-19 Health Care Fraud Scheme

December 7, 2021

The U.S. Department of Justice announced on November 3, 2021 that a federal grand jury in the Western District of Arkansas returned an indictment on November 2, 2021 charging an Arkansas man who owned or managed numerous diagnostic testing laboratories with health care fraud in connection with over [...]

135 Month Prison Sentence For Health Care Fraud Involving Tricare

June 13, 2021

The U.S. Attorney’s Office for the Southern District of Florida announced on May 28, 2021 that a Georgia man was sentenced on May 27, 2021 to over 135 months in federal prison for defrauding Tricare of approximately $12 million through a South Florida compounding pharmacy fraud scheme. Tricare[...]

University Of Miami Agrees To Pay $22 Million To Settle Alleged False Claims Act Violations

May 31, 2021

The United States Department of Justice announced on May 10, 2021 that the University of Miami (“UM”) has agreed to pay $22 million to resolve allegations that it violated the False Claims Act by ordering medically unnecessary laboratory tests, and submitting false claims through its lab[...]

Three Florida Men Charged With $46M Healthcare Fraud

May 25, 2021

The U.S. Departmnet of Justice announced on May 3, 2021 that three telemarketing company owners were charged for their alleged participation in a $47 million health care fraud, kickback, and money laundering scheme involving the referral of medically unnecessary cancer genetic tests to labs in excha[...]

Feds Detail Hospice And Home Health Agencies $150 Million Health Care Fraud Scheme

May 20, 2021

A Texas man was sentenced on April 21, 2021 to 27 months in prison for his role in a conspiracy at the Merida Group, a chain of hospice and home health agencies throughout Texas, to falsely convince thousands of patients with long-term incurable diseases they had less than six months to live in orde[...]

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[...]

Texas Heart Hospital And Its Management Company Agree To Pay $48M To Settle False Claims Act Allegations

January 8, 2021

The U.S. Department of Justice announced on December 18, 2020 that Texas Heart Hospital of the Southwest LLP, a partially physician-owned hospital in Plano, Texas, and its wholly owned subsidiary, THHBP Management Company, LLC (collectively, the “Heart Hospital”) have agreed to pay the United St[...]

Federal Appellate Court Affirms Podiatrist’s Conviction For His Involvement In Illegal Kickback Scheme

December 15, 2020

On November 24, 2020, the U.S. Court of Appeals for the Eleventh Circuit affirmed a Georgia podiatrist’s conviction and sentence for his alleged role in an illegal kickback scheme involving TRICARE, a federal program for members of the military and their families. The Defendant, Dr. Alap Sha[...]

Atlanta Hospital System Agrees To Pay $16 million To Settle False Claims Allegations

August 9, 2020

The United States Attorney’s Office Northern District of Georgia announced on June 25, 2020 that Piedmont Healthcare, Inc. (“Piedmont”), an Atlanta-based hospital system, has agreed to pay $16 million to settle allegations that it violated the False Claims Act by billing Medicare and M[...]

Federal Civil Fraud Suit Filed Against Anthem, Inc., For Falsely Certifying The Accuracy Of Its Diagnosis Data

July 3, 2020

The Department of Justice U.S. Attorney’s Office Southern District of New York announced on March 27, 2020 that the United States filed a civil fraud lawsuit against ANTHEM, INC. (“ANTHEM”), alleging that ANTHEM falsely certified the accuracy of the diagnosis data it submitted to the Centers f[...]

Virginia Hospital System And ENT Practice Agree To Pay Over $9M To Settle False Claims Act Kickback Allegations

June 16, 2020

The U.S. Attorney’s Office for the Western District of Virginia announced on April 22, 2020 that a Virginia hospital system and ENT practice have agreed to pay over $9 million to settle allegations that they entered into an illegal kickback scheme in violation of the federal False Claims Act and t[...]

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