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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, […]

The Whistleblower Advocates: False Claims Act Victory in Customs Duty Evasion Case In a significant development for whistleblowers and advocates of corporate accountability, the U.S. Attorney's Office for the Southern District of Florida has announced a $7.6 million settlement in a civil False Claims Act lawsuit against a major womenswear company for allegedly underpaying customs […]

In a significant development for healthcare fraud prevention, DaVita Inc., one of the largest providers of kidney dialysis services in the United States, has agreed to pay $35.4 million to resolve allegations of illegal kickbacks. This settlement highlights the critical role of whistleblowers in exposing fraudulent practices and the government's commitment to combating healthcare fraud. […]

Kindred Healthcare and its related entities have agreed to pay $19.428 million to settle allegations of violating the False Claims Act by submitting ineligible claims for hospice patients. This settlement, announced by the Department of Justice on July 18, 2024, highlights the ongoing efforts to combat healthcare fraud and protect taxpayer dollars. Key Details of […]

Major Healthcare Fraud Settlement Highlights Critical Role of Whistleblowers The U.S. Department of Justice recently announced a significant settlement in a healthcare fraud case, underscoring the vital role whistleblowers play in uncovering and stopping fraudulent practices in the medical industry. The Case at a Glance The Grand Health Care System and 12 affiliated skilled nursing […]