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Top 10 False Claims Act Recoveries in Healthcare for 2024

Posted  01/22/25
Healthcare fraud image showing stethoscope with gavel
As we noted in our Top 10 False Claims Act Recoveries post, it was another big year of recoveries under the False Claims Act. 聽As usual, the majority of recoveries occurred in cases involving healthcare fraud. As the Department of Justice (DOJ) just reported in its annual roundup of False Claims Act successes, of the $2.9 billion the government and whistleblowers recovered this past fiscal year (ending September...

Tagged in: Anti-Kickback and Stark, False Claims Act, Healthcare Fraud, qui tam, Top 10,

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

Posted  01/13/25
lab with microscopes
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...

Tagged in: False Claims Act, qui tam,

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

Posted  01/7/25
Doctor holding hundred dollar bills
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

Tagged in: False Claims Act, Medicare Advantage Fraud, qui tam,

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DOJ Ends 2024 with a Flood of False Claims Act Successes

Posted  12/30/24
a silver whistle on top of a stack of cash
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...

Tagged in: False Claims Act, qui tam,

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

Posted  12/30/24
Medical lab equipment
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...

Tagged in: Anti-Kickback and Stark, False Claims Act, Medicaid, Medicare, qui tam,

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16 Cardiology 91吃瓜网 Across 12 States Pay $17.7M to Settle False Claims Act Allegations

Posted  12/27/24
Medical professional at computer
On December 20, 2024, the government that 16 cardiology practices and physicians across 12 states will pay a total of $17,761,564 to settle claims that they overbilled Medicare for diagnostic radiopharmaceuticals and thereby violated the False Claims Act (FCA). Diagnostic are 鈥渞adioactive drugs that healthcare providers use for special imaging tests and for treating certain types of...

Tagged in: False Claims Act, Medicare, qui tam,

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Fraud alert! California Hospital Pays $10.25M to Resolve Whistleblower Suit Alleging Medically Unnecessary Inpatient Admissions and Kickbacks

Posted  12/16/24
Healthcare Fraud
On December 12, the DOJ that California鈥檚 Oroville Hospital will pay $10,250,000 to the United States and the State of California to resolve allegations that it submitted false claims to Medicare and Medicaid for medically unnecessary inpatient hospital admissions, a kickback and physician self-referral scheme, and the use of incorrect diagnosis codes to maximize reimbursements.聽Oroville Hospital will pay...

Tagged in: False Claims Act, Healthcare Fraud, qui tam,

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Gen Digital Pays $55.1M False Claims Act Judgment for Intentional Overcharges to General Services Administration After Government Wins at Trial

Posted  12/4/24
Department of Justice Seal Logo
Gen Digital Inc. (formerly Symantec Corp.) knowingly overcharged the General Services Administration. Now the company is required to pay a hefty judgment after a decade of False Claims Act litigation. Located in Tempe, Arizona, Gen Digital Inc. $55.1 million. The company is required to shell out $16.1 million in damages and $36.8 million in civil penalties, in addition to post-judgment interest and...

Tagged in: False Claims Act, government contract fraud, qui tam,

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Deception Tied with a Bow: Dell and Iron Bow Settle for $4.3M Over False Claims Act Allegations in Army Bidding Scheme

Posted  11/26/24
Department of Justice
Dell Technologies, Inc. and Dell Federal Systems L.P. (鈥淒ell鈥�), based in Austin, Texas, have to pay $2.3 million to settle allegations of violating the False Claims Act. The allegations stem from claims that Dell submitted, and caused the submission of, non-competitive bids to the U.S. Army, resulting in overcharges under the Army Desktop and Mobile Computing 3 (ADMC-3) contract. In addition, Iron Bow...

Tagged in: False Claims Act, government contract fraud, qui tam,

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