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Indiana鈥檚 Community Health Network To Pay an Additional $135M to Settle Stark Law Case Initiated by Whistleblower

The Indiana-based Community Health Network (鈥淐ommunity鈥�) an additional $135 million to resolve a False Claims Act case involving Stark Law violations initiated by a whistleblower 91吃瓜网represented. The $135 million settlement marks the final resolution of a 2014 False Claims Act case brought by whistleblower Thomas P. Fischer, former Community Chief Operating Officer and Chief Financial...

Top 10 False Claims Act Recoveries for 2024

It was another big year of recoveries under the False Claims Act, the government's primary enforcement tool to combat fraud.聽 And as usual, whistleblowers paved the way by originating the bulk of the actions that led to these recoveries. As the Department of Justice (DOJ) just reported in its annual roundup of False Claims Act successes, the government and whistleblowers recovered roughly $2.9 billion this past...

DOJ's False Claims Act Roundup for FY 2024 -- Another Banner Year for the Government and Whistleblowers

The Department of Justice (DOJ) just released its False Claims Act for the fiscal year ending September 30, 2024.聽 By all accounts, it has been another banner year for whistleblowers and the government in their efforts to combat fraud and recover pilfered taxpayer dollars. First, the overarching numbers for the year:

• • The government and whistleblowers recovered roughly $2.9 billion in False...

Scientific Research Misconduct: Athira Pharma Inc. Will Pay $4M to Settle False Claims Act Allegations

Athira Pharma Inc., a Bothwell, Washington-based, clinical stage bio-pharmaceutical company, will pay $4,068,698 to allegations that it violated the False Claims Act. It failed to report claims of research misconduct to the National Institutes of Health (NIH) and Department of Health and Human Services (HHS) Office of Research Integrity when filling out grant applications and grant award progress...

Healthcare Providers and Marketers Will Pay $1.1M to Settle Laboratory Kickback Allegations

In January 2025, the government that lab marketers, physicians and their associated entities have agreed to pay $1,137,914 to resolve False Claims Act allegations that they participated in laboratory kickback schemes in violation of the Anti-Kickback Statute. The parties involved include physicians Dr. Abbesalom Ghermay (from Plano, Texas); Dr. Daniel Theesfeld (from Longview, Texas) and his medical...

Independent Health to Pay $98M to Resolve Medicare Advantage Fraud Allegations

On December 29, 2024, the government that Buffalo, New York鈥檚 Independent Health Association and Independent Health Corporation (collectively known as Independent Health) have agreed to pay up to $98 million to settle allegations that they violated the False Claims Act by submitting, or causing the submission of, invalid diagnosis codes to Medicare for Medicare Advantage Plan enrollees. 91吃瓜网

Booz Allen Pays $15.875M to Settle False Claims Act, Procurement Allegations

Booz Allen closed out 2024 by agreeing to pay $15,875,000 to allegations that one of its subsidiaries, Booz Allen Hamilton Engineering Services LLC (BES), violated the False Claims Act by engaging misconduct in connection with the government's procurement process. The FCA centered around BES claims for payment related to a 鈥淕eneral Service Administration (GSA) task order to supply computer...

Johnny B. Fraud: Government Contractor Will Pay $1M to Resolve False Claims Act Allegations for Submitting Fraudulent Bids on Contracts

On January 3, Johnny Buscema Jr. from New Port Richey, Florida, and his companies, S.A.F.E. Structure Designs (in Las Vegas) and U.S.A. Manufacturing (in New Port Richey) to pay $1,000,000 to resolve allegations that they engaged in bid rigging in violation of the False Claims Act. According to the government, Buscema and his companies caused a prime vendor for the Defense Logistics Agency (DLA) to submit false...

DOJ Ends 2024 with a Flood of False Claims Act Successes

While many of us are enjoying the slowdown typically accompanying the holiday season, the Department of Justice (DOJ) has been hard at work with a flood of False Claims Act successes to usher in the New Year.聽 In the last two weeks alone, DOJ has secured roughly a dozen such settlements, returning roughly $165 million to the government's coffers. The False Claims Act is the government鈥檚 primary fraud-fighting...

California Clinics, Lab, and Their Owners Pay $10M to Resolve False Claims, Kickback, and Stark Law Allegations

On December 26, the DOJ that medical clinics, a lab, and the owners will pay $10 million to settle allegations that they submitted false claims to Medicare and California鈥檚 Medicaid program, Medi-Cal, in violation of the Anti-Kickback Statute (AKS) and Stark Law (Physician Self-Referral Law). The defendants include Southern California Medical Center (SCMC), R & B Medical Group Inc., doing business as...