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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 […]

In recent news out of Kansas City, Missouri, a former Overland Park, Kansas resident, now residing in Lawrenceville, Georgia, has pleaded guilty to charges stemming from fraudulent activities under the Coronavirus Aid, Relief, and Economic Security (CARES) Act. Mirza Michael Reazuddin, 66, admitted guilt before U.S. Chief District Judge Beth Phillips to one count of […]

On February 22, the United States Attorney’s Office announced that Cornerstone Healthcare Group Holding Inc. and CHG Hospital Medical Center LLC agreed to pay the United States more than $21 million to resolve claims that the company violated the False Claims Act by improperly billing Medicare. Cornerstone Healthcare Group allegedly billed for unauthorized services as […]