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From the monthly archives: December 2010

A new trend in healthcare fraud enforcement reflects a willingness by hospitals to be more forthcoming. Detroit Medical and St. Mary’s Medical Center in Pennsylvania recently reported improper financial relationships with physicians — voluntarily. Detroit Medical entered into a $30 million settlement agreement with the U.S. government stemming from violations [...]

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Recently, a slew of False Claims Act settlements with hospitals represent the FCA’s most successful recent target. Among the perpetrators: John D. Archbold Memorial Hospital in Georgia, Detroit Medical Center, and the Mayo Clinic. Additionally, Tuomey Healthcare in South Carolina was [...]

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Synthes Inc., and its subsidiary, Norian Corp., recently pled guilty to performing unauthorized testing of its bone cement for off-label uses. Approved for use in arms, initial studies nonetheless suggested that the cement could cause blood clots. Despite the limited approval and clotting concerns, the company injected the bone cement into spinal surgery [...]

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The Justice Department recently announced the $280 million settlement of a False Claims Act case against Dey Pharmaceuticals, of which $67.2 million will be awarded to whistleblower Ven-A-Care.

The case accused Dey of reporting false and inflated prices for four drugs used to treat asthma and respiratory conditions. Federal health care programs rely [...]

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CDI Corporation, an engineering service provider, agreed to pay the U.S. $1.95 million to resolve False Claims Act allegations of military contracting fraud. Working under a military aircraft engine contract for The General Electric Company (GE), CDI billed the military for work that was never performed. The suit was initially filed in Cincinnati [...]

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When the SEC released proposed whistleblower regulations required under Dodd-Frank, they requested comments from the public.  In response, Arent Fox, a law firm that represents Wal-Mart and drugmakers Elan and Genzyme, recently sent a letter to the SEC. In it, the firm advocated that the SEC first [...]

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The new Financial Reform Bill recently signed by President Obama includes a new whistleblower program for the Security and Exchange Commission (SEC) that will reward potentially large sums of money to individuals who assist the government in convicting people of violations of securities laws.  Under the program, whistleblowers who report “original information” about [...]

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Dr. Walter Janke and his wife, Lalita Janke, recently settled False Claims Act charges of Medicare fraud by agreeing to pay the government $22.6 million. The Jankes, owners of America’s Health Choice Medical Pans Inc. (AHC), based in Vero Beach, Florida, were charged with overcharging Medicare by falsely reporting diagnosis codes.

AHC is [...]

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The new healthcare laws passed this spring mandate that makers of prescription drugs and medical devices report payments made to physicians to the Department of Health and Human Services.  DHHS will then make the information available on a public website starting in 2013.  Although doctors rarely admit to being influenced by anything other [...]

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John Carlo Inc. and Angelo Iafrate Construction Company, two Michigan construction companies, recently agreed to pay the U.S. $1.4 million to resolve False Claims Act charges. While working on a federally funded construction project at Detroit’s Wayne County Metropolitan Airport, the companies falsely claimed that they had hired Disadvantaged Business Enterprises (DBEs) when they in [...]

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American Grocers and its owner Samir Itani have recently settled False Claims Act charges for $13.2 million. The case alleged that they fraudulently shipped expired or near-expired food products to the U.S. military stationed in the Middle East. Whistleblower Delma Pallares, a former logistics manager and general merchandise manager at the company from 1996 to [...]

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