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In a significant development for healthcare fraud prevention, Precision Toxicology, LLC (doing business as Precision Diagnostics, Inc.) has agreed to pay $27 million to settle allegations of submitting false claims to Medicaid programs across the United States. This settlement, announced by Hawaii Attorney General Anne Lopez, involves the federal government, the District of Columbia, and […]

This settlement marks a major victory for the U.S. Department of Justice and highlights the ongoing efforts to combat fraud in the healthcare industry. The Case Against Teva Pharmaceuticals Pharmaceutical Giant Agrees to Massive Payout to Resolve Accusations of Illegal Copayment Assistance and Price Fixing Teva Pharmaceuticals USA Inc. and its subsidiaries (Teva) have agreed […]

In a significant development in the fight against healthcare fraud, a medical device distributor has agreed to pay over $1 million to resolve allegations of False Claims Act violations. This case highlights the ongoing efforts to combat fraud in the healthcare industry and the crucial role of whistleblowers in exposing such misconduct. Case Overview and […]

In a significant development for healthcare oversight, two former high-ranking Indiana state officials have filed a whistleblower lawsuit alleging widespread Medicaid fraud by major insurers and hospitals. This case highlights the critical role of whistleblowers in uncovering and combating healthcare fraud, potentially saving taxpayers millions of dollars. The Whistleblowers and Their Allegations Who Are the Whistleblowers? […]

This settlement addresses claims that the company engaged in illegal kickback schemes to induce patient referrals, ultimately leading to the submission of false claims to Medicare. The U.S. Department of Justice accused Oak Street Health of two primary violations: Providing Remuneration to Physicians: Oak Street allegedly offered remuneration to physicians and physician groups in exchange […]

Details of the Settlement: Connecticut Dentists Pay $1.7 Million to Settle Kickback Allegations Two Connecticut dentists have agreed to pay $1.7 million to resolve allegations that they violated the False Claims Act by engaging in an illegal kickback scheme. Dr. Rawa Hassan and Dr. Syed Pasha, who own and operate multiple dental practices in Connecticut, […]

A medical device company has agreed to pay $700,000 to resolve allegations of violating the False Claims Act. The company, Zimmer Biomet Holdings Inc., was accused of knowingly submitting false claims to Medicare for unnecessary knee replacement devices. The Case Details The settlement stems from allegations that Zimmer Biomet marketed and sold its "Subchondroplasty" procedure […]

The United States Department of Justice has reached a settlement with Wilmington-based Durable Medical Equipment (DME) supplier Medline Industries, Inc. to resolve allegations of fraudulent billing practices. The company agreed to pay $1,000,000 to settle claims that it violated the False Claims Act by submitting false claims to Medicare for DME that was not medically necessary. […]

Understanding Touhy Regulations: A Guide for Whistleblowers If you're a whistleblower working with a government agency on a government contract fraud whistleblower case, you might encounter something called "Touhy regulations." Don't worry - it's not as complicated as it sounds. Let's break it down in simple terms. What are Touhy Requests or Regulations? Touhy regulations […]

A recent indictment filed in the Southern District of New York has revealed a widespread fraud scheme involving staged slip-and-fall accidents and fraudulent lawsuits. This case highlights the importance of whistleblowers in exposing complex fraud operations that victimize businesses and insurance companies. The Fraud Scheme According to the indictment, from January 2013 to April 2018, […]