Minnesota, USA — Unpacking Lincoln’s Law: The Importance of the False Claims Act 

Magnifying glass by John Lester

From the Minnesots Lawyer piece: …As the largest consumer in the United States, indeed, the world, the United States Government is susceptible to fraud from a vast array of sources. The False Claims Act has become the primary tool to stop those who reap financial benefits based on false statements and misrepresentations to the Government. During […]

U.S. — Company that treats autistic kids settles fraud claims 

Magnifying Glass by Emma Craig

From the Tri-City Herald (Nashville) news article: …Jack Smith, the acting U.S. Attorney for the Middle District of Tennessee, said the TRICARE health program pays for treatment for some of the most vulnerable citizens — those who have autism spectrum disorder. Smith, in a statement, said the federal prosecutor’s office would diligently pursue any violations that […]

U.S. –Pharmacy Owners Charged in $158 Million Health Care Fraud Scheme 

From the Department of Justice news article: …According to the DOJ, Noryian, Nourian, and Rydberg controlled 3 pharmacies: Ability Pharmacy, Industrial & Family Pharmacy, and Park Row Pharmacy. Allegedly, the defendants filed forms to transmit payments electronically from the Department of Labor-Office of Workers’ Compensation (DOL-OWCP) for pricey creams used to treat scars, wounds, and […]

U.S. — Charles River Laboratories International Inc. Agrees to Pay United States $1.8 Million to Settle False Claims Act Allegations 

From the Department of Justice news article: …Charles River holds contracts with National Institutes of Health (NIH) for services relating to the development, maintenance, and distribution of colonies of animals as well as the provision of laboratory animals to the NIH. Charles River billed to NIH labor and associated costs of employees at its Raleigh, […]

U.S. — Pennsylvania False Claims Act bill to be introduced again 

Drugs by Images Money

From the PennRecord news item: “This has been introduced in the Pennsylvania State Legislature, I believe, since 1998. It’s received three votes in the House [of Representatives], all being unanimous. It used to be introduced by Republican lawmakers. I have taken over the interest of the taxpayers that want to bring fraud dollars back to […]

U.S. — Physicians Charged with Healthcare Fraud, Identity Theft in PR 

From the HealthIT Security news item: A District of Puerto Rico Federal Grand Jury charged the owner of a durable medical equipment company and three physicians with multiple counts of conspiracy to commit healthcare fraud, healthcare fraud and aggravated identity theft. The defendants reportedly “conspired with each other and with other individuals known and unknown to […]

U.S. — Westchester Doctor Accused in $50M Health Care Fraud Scheme 

From the Department of Justice news article: Defendants Provided False Patient Medical Information and Used the Identities of Doctors Who Did Not Work at the Clinic to Submit More Than $50 Million in Fraudulent Health Care Claims Preet Bharara, the United States Attorney for the Southern District of New York, William F. Sweeney Jr., the […]

U.S. — 16 Texans Charged in $60 Million Medicare Fraud Scheme 

Money-Euro-USD-LEI_53073-480x360 by Emilian Robert Vicol

From the CBS Local news article: …The indictment alleges that over a four-year period, the company Novus Health Services billed Medicare and Medicaid $60 million for fraudulent hospice services, of which some $35 million was paid to the company. The defendants are accused of submitting false claims for hospice services, false claims for continuous care hospice services, […]

U.S — Feds Recover $4.7B from Drug Companies, Other Industries 

From the Drugwatch  news article: …Of that, $2.5 billion came from the health care industry, including drug companies, medical device companies, hospitals, nursing homes, laboratories and physicians. The False Claims Act gives authorities the power to fight alleged fraud in a wide variety of industries receiving federal funds. It also includes financial incentives for whistleblowers […]

U.S — Breadth of NJ Health Care Anti-Fraud Statute Is Debated in Court 

From the New Jersey Law Journal  news article: …At stake is whether the attorney, Robert Borsody, and the California chiropractor, Daniel Dahan, can be held liable for nearly $4 million in damages for violating the fraud prevention act when they helped a New Jersey chiropractor, J. Scott Neuner, in 1996, set up a practice, Northfield […]