qui tam

And Yet Another Whistleblower-Originated False Claims Act Kickback Settlement

By the Constantine Cannon Whistleblower Team Last Thursday (July 30), the Department of Justice (DOJ) announced that Houston-based Access DX Laboratory -- and its former CEO Michael Stewart along with Florida businessman Harold Shatz -- agreed to collectively pay $36.4 million to settle allegations they violated the False Claims Act and Anti-Kickback Statute by paying kickbacks and billing Medicare/Medicaid for...

DOJ Settles Another Whistleblower-Originated False Claims Act Kickback Case

By the Constantine Cannon Whistleblower Team Last Wednesday (June 17), the Department of Justice (DOJ) announced that Arkansas-based Advanced Pathology Solutions (APS) -- and its owners Kevin Hannah, Donell Burkett, and Daniel Hunter Pledger -- agreed to pay $30 million to settle allegations they violated the False Claims Act and Anti-Kickback Statute by paying kickbacks to gastroenterology practices for pathology...

Boston Heart Executives, Marketers, and Physician to Pay $2M+ to Settle Illegal Kickback Allegations

By the Constantine Cannon Whistleblower Team  On June 1, the government announced that former Boston Heart Diagnostics Corporation CEO Susan Hertzberg and VP of Sales Matthew Theiler agreed to pay $1.2 million to settle False Claims Act allegations that they paid doctors illegal kickbacks for lab referrals in violation of the Anti-Kickback Statute. One doctor — Frederick Brown — and six marketers agreed to...

Government Contractors Agree to Pay Over $3.6 Million to Resolve False Claims Act Allegations Involving Veteran-Owned Small Business Contracts

By the Constantine Cannon Whistleblower Team On June 2, United States Attorney Gregory W. Kehoe announced that Officium Global LLC and Loyal Source Government Services LLC agreed to pay over $3.6 million to resolve allegations that they improperly obtained contracts set aside for service-disabled veteran-owned small businesses in violation of False Claims Act and Contract Disputes Act.[1]

What Was the Alleged...

DOJ Secures $56.6M False Claims Act Settlement Concerning Alleged Medicare Advantage Fraud

By the Constantine Cannon Whistleblower Team Last week (on June 3), Nashville-based Matrix Medical Network, HealthFair, and HealthFair’s founder Shahriah Ekbatani agreed to pay $56.5 million to settle allegations they violated the False Claims Act by causing the submission of false or invalid diagnosis codes to the Medicare Advantage program.[1]  It is just the latest in an ongoing string of False Claims Act...

Oglethorpe and Three Executives Agree to Pay $32 Million to Settle FCA Case

By the Constantine Cannon Whistleblower Team According to a recent DOJ press release, Oglethorpe, Inc., a company that operates psychiatric hospitals, and three of its executives have agreed to pay $32 million to settle a False Claims Act case alleging a failure to return Medicare overpayments in connection with patient admissions at Oglethorpe facilities.[1]  The DOJ partially intervened in the case prior to the...

Clothing Company to Pay $3 Million to Settle False Claims Act Case Initiated by Investigative-Firm Whistleblower

By the Constantine Cannon Whistleblower Team The U.S. Attorney for the Eastern District of New York recently announced a settlement of a False Claims Act case initially brought by a whistleblower against Lafayette 148, Inc., a clothing company based in Brooklyn, New York.  The FCA case alleged that Lafayette “falsely certify[ied] that it was eligible for a pandemic-era second-draw Paycheck Protection Program...

PET Scan Provider to Pay $8.3M to Resolve Allegations of Kickbacks and False Claims Act Violations

By the Constantine Cannon Whistleblower Team California-based medical scan provider, Modern Nuclear Inc. (MNI), agreed to pay $8,334,350, and additional money based on future revenue, to resolve allegations that it violated the False Claims Act by paying referring cardiologists hefty fees to supervise positron emission tomography (PET) scans, in violation of the Anti-Kickback Statute.[1]

What Did the Alleged...

AssuredPartners to Pay $107M to Settle False Claims Act Allegations of Affordable Care Act Enrollment Fraud

By the Constantine Cannon Whistleblower Team On April 7, the Department of Justice (DOJ) announced that Florida-based AssuredPartners, Inc. (AP), a national partnership of insurance companies, agreed to pay $107 million to settle allegations of violating the False Claims Act by submitting fraudulent applications for Affordable Care Act (ACA) insurance.[1]  In a parallel criminal proceeding, AP’s insurance...

Advanced Urology Pays $14M to Settle False Claims Act Allegations of Billing Medicare for Medically Unnecessary Services

By the Constantine Cannon Whistleblower Team On April 2, the Department of Justice (DOJ) announced that Georgia-based Advanced Urology, Inc. and its founder Dr. Jitesh Patel will pay $14 million to settle allegations they violated the False Claims Act and Georgia False Medicaid Claims Act by billing for urology procedures that were medically unnecessary or not performed at all.[1]  Notably, DOJ highlighted that...