All False Claims Act articles – Page 3

  • Blog post

    Tenet Healthcare to pay $513M in kickback settlement


    Tenet Healthcare and several of its subsidiaries today agreed to pay more than a combined $513 million to resolve criminal charges and civil claims relating to a scheme to pay kickbacks in return for patient referrals. Jaclyn Jaeger has more.

  • Article

    Compliance clauses can keep third parties in line, regulators at bay


    Even small companies have gone global and rely on a broad network of business partners. Those relationships, however, bring with them risks and potential regulatory hazards. Joe Mont discusses adding compliance and ethics clauses to contracts as a baseline for any third-party relationship.

  • Blog post

    Medical equipment companies to pay $12M for False Claims Act violations


    U.S. Healthcare Supply and Oxford Diabetic Supply will pay the United States more than $12.2 million for a False Claims Act violation in which they used a fictitious entity to make unsolicited telephone calls to Medicare beneficiaries. Jaclyn Jaeger reports.

  • Article

    Pharmaceutical industry bristles under FDA draft guidance


    The amount of FDA draft guidance in play during the past few months has drawn skepticism from the pharmaceutical industry, which has its own thoughts on how best to address the broad scope of the agency’s proposed authority. Jaclyn Jaeger reports.

  • Blog post

    False Claims Act penalties to double


    Federal contractors, beware: False Claims Act penalties will nearly double, effective Aug. 1. The increase in penalties is especially relevant to healthcare providers, government contractors and others that conduct business with the government. Jaclyn Jaeger has more.

  • Article

    U.S. Supreme Court clarifies, blurs scope of FCA liability


    A new ruling by the U.S. Supreme Court offers some clarity as to when a company can face liability under the False Claims Act, but does it also blur the lines? Jaclyn Jaeger has more.

  • Article

    Calls to reform False Claims Act revisited


    Is it time to reform the False Claims Act? The answer depends on whom you ask, says Jaclyn Jaeger. Critics argue that it leads to unfair penalties and unjust results for companies; others say it empowers whistleblowers to help the government conquer fraud.

  • Blog post

    Wyeth and Pfizer to pay $784.6 million in False Claims Act case


    Wyeth and Pfizer last week reached a $784.6 million settlement with the Department of Justice to resolve allegations that Wyeth knowingly reported to the government false and fraudulent prices on two of its drugs.

  • Blog post

    21st Century Oncology to pay $34.7 million for False Claims Act violations


    21st Century Oncology, a physician-led integrated cancer care provider, and its wholly owned subsidiary South Florida Radiation Oncology, will pay $34.7 million to settle allegations that they performed and billed for procedures that were not medically necessary. Since January 2009, the Justice Department has recovered a total of more than ...

  • Article

    Latest Review of False Claims Act Compliance


    Image: The Justice Department has settled a spate of False Claims Act cases with healthcare providers this fall, pointing to several important trends in FCA cases: increased scrutiny on physician payment arrangements, the broadening scope of whistleblowers, and an upsurge in FCA settlement amounts. “Enforcement agencies are aggressively using all ...

  • Blog post

    Millennium Health Appoints New Chief Compliance Officer


    Millennium Health, a health solutions company, has appointed Darrell Contreras as its new chief compliance officer. The announcement of Contreras' appointment comes just weeks after Millenium Health reached a $256 million settlement with the government to resolve allegations that it billed for Medicare, Medicaid, and other federal health care programs ...

  • Blog post

    457 Hospitals to Pay $250M in False Claims Act Case


    The Department of Justice today reached 70 settlements totaling more than $250 million involving 457 hospitals in 43 states to resolve allegations that these hospitals implanted cardiac devices in Medicare patients in violation of Medicare coverage requirements. “In terms of the number of defendants, this is one of the largest ...

  • Blog post

    Warner Chilcott to Pay $125 Million in False Claims Act Case


    Warner Chilcott U.S. Sales, a subsidiary of pharmaceutical maker Warner Chilcott, today reached a $125 million settlement with the Department of Justice to resolve charges of healthcare fraud. The company pleaded guilty to criminal charges that the company paid kickbacks to physicians throughout the United States to induce them to ...

  • Blog post

    Millennium Health to Pay $256 Million to Resolve False Claims Act Case


    Millennium Health (formerly Millennium Laboratories) today reached a $256 million settlement with the Justice Department to resolve allegations that it billed for Medicare, Medicaid, and other federal health care programs for medically unnecessary urine drug and genetic testing and for providing free items to physicians who agreed to refer expensive ...

  • Blog post

    Tuomey Healthcare System to Pay $72 Million in False Claims Act Case


    The Department of Justice announced last week that it has resolved a $237 million judgement against Tuomey Healthcare System to for illegally billing the Medicare program for services referred by physicians with whom the hospital had improper financial relationships. Under the terms of the settlement agreement, the United States will ...

  • Blog post

    Adventist Health to Pay $115 Million for False Claims Act Violations


    Adventist Health System, a non-profit healthcare organization that operates hospitals and other health care facilities in 10 states, this week agreed to pay $115 million to the government to resolve allegations that it violated the False Claims Act by maintaining improper compensation arrangements with referring physicians and by miscoding claims. ...

  • Article

    FCA’s Reach, Power Only Get Bigger


    Image: 2014 was a banner year for enforcement of the False Claims Act, with more civil fines and damages than ever before—but the penalty amounts aren’t what should alarm companies; the growing list of industries in the government’s crosshairs is. “Virtually any industry that does business with the federal government ...

  • Blog post

    DaVita Healthcare to Pay $350 Million for False Claims Act Violations


    DaVita Healthcare Partners, a dialysis services provider, agreed last month to pay $350 million to the Department of Justice to resolve claims that it violated the False Claims Act by paying kickbacks to physicians or physician groups to induce the referral of patients to its dialysis clinics. “This case involved ...