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In a major enforcement action, the U.S. Attorney for the Southern District of New York, Damian Williams, announced a $202 million civil settlement with Gilead Sciences, Inc. over allegations that the company used speaker programs to funnel improper payments and benefits to healthcare providers in order to boost prescriptions of its HIV medications. The settlement […]

In a major enforcement action, Summit BHC New Jersey, LLC, doing business as Seabrook, a drug and alcohol rehabilitation facility in Bridgeton, New Jersey, has agreed to pay $19.75 million to resolve allegations under the federal False Claims Act. The settlement—announced by U.S. Attorney Alina Habba—addresses claims that Seabrook improperly billed for services provided to […]

Raytheon Company, RTX Corporation, and Nightwing Group, LLC, have agreed to pay $8.4 million to settle allegations of violating the False Claims Act by failing to meet cybersecurity requirements in their federal contracts. These violations were related to the Department of Defense (DoD) contracts that required contractors to comply with specific cybersecurity standards to safeguard […]

Community Health Care Solutions, LLC, and the estate of its former owner, Yolanda Burnom, have agreed to pay $4.6 million to resolve allegations of the submission of false claims to Medicaid. The settlement, announced by the U.S. Attorney’s Office for the Western District of Louisiana, addresses improper billing practices involving personal care services provided to […]

In a recent legal resolution, Providence Park, Inc., operating as Ascension Living Providence Village, and Ascension Providence, formerly known as Providence Health Services of Waco, have agreed to pay $6.5 million to settle allegations under the Federal False Claims Act and the Texas Health Care Program Fraud Prevention Act. This case stems from the submission […]

A recent federal enforcement action highlights the U.S. government’s continued efforts to combat illegal healthcare kickback schemes. According to the U.S. Department of Justice, health care providers and laboratory marketers have agreed to pay more than $1.9 million to resolve allegations involving violations of the Anti-Kickback Statute and the False Claims Act. The settlement resolves […]

Healthcare Associates has agreed to pay $16.5 million to resolve civil allegations that it improperly billed Medicare for services provided to patients in nursing facilities, according to reporting by Bloomberg Law. The settlement addresses claims brought under the False Claims Act and resolves the matter without a trial or a judicial finding of liability. The […]

Health Net Federal Services, LLC (HNFS), together with its parent company Centene Corporation, has agreed to pay more than $11 million to resolve allegations under the False Claims Act related to improper Medicare Advantage risk-adjustment practices, according to the U.S. Department of Justice. The settlement addresses claims that inaccurate diagnosis codes were submitted to the […]

Saint Vincent’s Catholic Medical Centers of New York (SVCMC) has agreed to pay $29 million to resolve allegations under the federal False Claims Act, according to an announcement by the U.S. Department of Justice. The civil settlement addresses claims related to Medicare and Medicaid overpayments and compliance failures identified through internal audits. The settlement resolves […]

An Ohio physician has agreed to pay $600,000 to resolve civil allegations under the federal False Claims Act, according to an announcement by the U.S. Attorney’s Office for the Southern District of Ohio. The settlement addresses claims that the physician improperly billed Medicare for services that were not medically necessary or not supported by adequate […]