qui tam lawyers Archives - Medical Malpractice Lawyers

2026 National Health Care Fraud Takedown: 455 Defendants Charged With Over $6.5 Billion In Alleged Fraud

September 7, 2026

The United States Department of Justice announced on June 23, 2026 the 2026 National Health Care Fraud Takedown, which resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in health care fraud and opioid abuse sche[...]

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[...]

PT Practice Owners Sentenced To Jail For Medicare Fraud

August 21, 2026

Two residents of Erie County, Pennsylvania, each have been sentenced in federal court to six years in prison, to be followed by three years of supervised release, and ordered to pay a $250,000 fine on their convictions of conspiracy to commit wire fraud and healthcare fraud. United States District J[...]

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[...]

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[...]

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[...]

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 [...]

Minnesota Couple Indicted In $15 Million Medical Billing Fraud Scheme

June 9, 2025

On April 10, 2025, an indictment was unsealed alleging that Gabriel Langford and Elizabeth Brown, a Minnesota couple, engaged in a $15 million scheme to defraud Medicare, Medicaid, and other insurers by overbilling for neurofeedback therapy, following the couple’s arrest and initial appearances in[...]

Guilty Plea To $1B Health Care Fraud Conspiracy

April 11, 2025

On February 20, 2025, a Kansas man pleaded guilty to operating an internet-based 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, Gregory Schreck, 50, of Johnson County, admitted [...]

UCHealth Pays $23M To Resolve Allegations Of Fraudulent Billing For Emergency Department Visits

January 14, 2025

The United States Attorney’s Office District of Colorado announced on November 12, 2024 that University of Colorado Health, known as UCHealth and headquartered in Aurora, Colorado, has agreed to pay $23 million to resolve allegations that it violated the False Claims Act in seeking and re[...]

Texas Hospital Settles Concurrent Heart Surgeries Medicare Billing Allegations For $15 Million

August 30, 2024

The U.S. Attorney’s Office, Southern District of Texas announced on June 24, 2024 that Baylor St. Luke’s Medical Center (BSLMC), Baylor College of Medicine (BCM), and Surgical Associates of Texas P.A. (SAT) have jointly agreed to pay $15 million to resolve claims they billed for concurrent h[...]

Cape Cod Hospital Pays $24.3 Million To Resolve Allegations That It Failed To Comply With Medicare Cardiac Procedure Rules

July 25, 2024

Cape Cod Hospital has agreed to pay $24.3 million to resolve allegations that it knowingly submitted claims to Medicare for transcatheter aortic valve replacement (TAVR) procedures that failed to comply with Medicare rules specifying the way in which hospitals were required to evaluate patient suita[...]

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