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In a recent case, healthcare providers and laboratory marketers agreed to pay over $19 million to resolve kickback allegations. This settlement stems from violations of the Anti-Kickback Statute, which is designed to prevent improper financial incentives in healthcare, ensuring that medical decisions remain focused on patient welfare. Understanding the Allegations The case involved several medical […]

Healthcare Associates, a healthcare organization, has been ordered to pay $16.5 million for committing Medicare fraud. This case stems from allegations that the organization knowingly billed Medicare for services that were either unnecessary or not provided, a significant violation of federal healthcare regulations. The judgment comes after an extensive investigation revealed that Healthcare Associates misrepresented […]

Understanding the $11 Million Medicare Fraud Settlement Health Net Federal Services LLC, along with Centene Corporation, has agreed to pay over $11 million to resolve allegations related to fraudulent claims submitted to the Medicare program. The settlement, which follows an investigation by the Department of Justice, highlights the company's submission of improper claims for services […]

Saint Vincent's Catholic Medical Centers Agrees to Pay $29M to Resolve Alleged False Claims In a significant development for the healthcare industry, Saint Vincent’s Catholic Medical Centers of New York has agreed to pay $29 million to resolve allegations related to false claims made to the federal government. This case, which stems from alleged violations […]

Overview of the False Claims Act Settlement An Ohio physician, Dr. Ronald F. Ambrosia, has agreed to pay $600,000 to settle allegations under the False Claims Act. The case involved fraudulent Medicare claims concerning electro-acupuncture devices. Dr. Ambrosia, based in Powell, Ohio, provided electrical nerve pulse stimulation services across various facilities in the state between […]

Athira Pharma Inc., a biotech company based in Bothwell, Washington, has agreed to pay $4.06 million to resolve allegations related to the False Claims Act (FCA) for not disclosing research misconduct. The case stems from actions by the company's former CEO, Leen Kawas, who allegedly falsified and manipulated scientific images in her doctoral dissertation and […]

Medicare Advantage fraud has made headlines once again, as Independent Health, a leading provider of Medicare Advantage plans, has agreed to settle a False Claims Act lawsuit for up to $98 million. This settlement comes after allegations that the company knowingly submitted invalid diagnosis codes to Medicare in order to inflate payments. Background on the […]

The company engaged in a systematic kickback operation involving their drug Sucraid, which treats Congenital Sucrase-Isomaltase Deficiency (CSID). Between 2018 and 2022, QOL Medical provided free Carbon-13 breath test kits to healthcare providers and paid for laboratory analysis of these tests. The Kickback Operation The scheme worked through several key steps: QOL distributed free breath […]

Gen Digital Inc., formerly known as Symantec Corp., has paid a substantial $55.1 million judgment in a significant False Claims Act case. The payment includes $16.1 million in damages and $36.8 million in civil penalties, plus additional costs and interest, concluding a decade-long litigation process. Nature of the Fraud The company knowingly made false claims […]

Dr. Basem Hamid, a 52-year-old neurologist from Pearland, Texas, has agreed to pay $948,359.85 to resolve allegations of submitting false claims to Medicare. The case centers around fraudulent billing for surgical implantation of neurostimulator electrodes between August 2019 and October 2022. The Fraudulent Scheme Dr. Hamid's actions violated the False Claims Act by knowingly submitting […]