Tag Archives: False Claims Act
New Whistleblower Lawsuit Alleges UnitedHealth Defrauded Medicare
A recently filed whistleblower lawsuit alleges UnitedHealth Group and other health plans that hired subsidiaries of the insurance company routinely submitted false information about the conditions of patents to boost reimbursement rates from Medicare. If the allegations turn out to be true, the fraudulent scheme could have generated hundreds of millions to billions of dollars […]
Doctors Split $2.7 Million False Claims Act Settlement
Two doctors will split a $2.7 million award after winning a False Claims Act lawsuit in which they claimed another physician at a nonprofit hospital in Florida was performing unnecessary cardiac studies and procedures. The total settlement was worth $12 million. The doctors filed the lawsuit against South Miami Hospital and one of its physicians […]
Whistleblowers Urge Judge to Reconsider Dismissal of Claim Against CCS Medical
Three whistleblowers have asked a federal judge in Massachusetts to reconsider her dismal of a False Claims Act case in which a large medical supplier was accused of converting customers to another company in exchange for discounts and other benefits. The whistleblowers who exposed the problem said that the arrangement between CCS Medical and Coloplast […]
3 Major Retailers Won’t Face False Claims Act Suit
Three of the world’s largest retailers have avoided a potential False Claim Act lawsuit, after claims surfaced that Wal-Mart Stores Inc., Kmart Corp. and Rite Aid Corp. had charged the federal Medicare and Medicaid programs for expired or almost-expired prescription medications. U.S. District Court for Massachusetts Judge Patti Saris dismissed nearly all of the qui […]
New York Whistleblower Recovers $1.1M in False Claims Act Case
A whistleblower case in New York alleging false income tax claims was settled for $1.1 million. In the case, real estate developer Asher Roshanzamir was accused of wrongfully deferring income tax payments to both the city and state of New York. The ensuing investigation performed by the state attorney general’s office uncovered evidence that he […]
$1 Billion Lawsuit Against Raytheon Will Proceed
According to the 9th U.S. Circuit Court of Appeals in Pasadena, California, a billion-dollar lawsuit against Raytheon Co. will proceed. The defense contractor is accused of fraudulently overbilling the U.S. federal government in a contract to develop weather sensors for environmental satellite systems. The whistleblower is a former engineer for the company, and according to […]
How to Reduce Risk Associated with Employees Leaving Your Company
There has been a growing amount of litigation under the False Claims Act in recent years, with many more cases being brought by current or former employees against their companies. Therefore, organizations should have prevention strategies in place to help mitigate the risk of FCA litigation brought forth by anyone who works or has worked […]
Genesis Healthcare Faces FCA Action After Claims of Unnecessary Treatments
A group of therapists has filed a False Claims Act lawsuit against Genesis Healthcare LLC, claiming the organization was regularly overcharging the government for therapies and putting its patients through a number of unnecessary treatments to make more money. The plaintiffs in the suit are four occupational therapists and a speech therapist, all of whom […]
How Long Do Employers Have to Repay After a False Claims Act Violation?
According to the Patient Protection and Affordable Care Act of 2010, anyone who receives an overpayment of Medicaid or Medicare funds report is required to pay back the amount of the overpayment within 60 days of when the problem was discovered and identified. The failure to repay is considered a violation of the False Claims […]
Judge Sides with Lincare in Whistleblower Lawsuit
A Florida judge recently shot down a False Claims Act lawsuit filed against Lincare Inc. after a plaintiff accused the medical supplies company of fraudulent billing and making a number of improper Medicare telemarketing phone calls. According to the judge, the two former employees of Lincare who brought the suit did not provide enough evidence […]
