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Doctor Robert M. Ritchea of Alabama has been charged with violating the False Claims Act by submitting false claims for reimbursement from Medicare.  In the complaint, the United States alleges that Ritchea submitted 4300 individual claims, causing Medicare to over-reimburse for medical services by approximately $2.2 million.

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WellCare’s hefty legal bill increased by $194 million with the announcement of a preliminary settlement which will resolve a federal class-action suit brought by the company’s shareholders.  To understand why WellCare wound up paying almost $200 million to shareholders, we must go back to the spring of 2009.

That’s when the federal government concluded a [...]

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The Department of Justice (DOJ) has settled a False Claims Act case against Minnesota based Center for Diagnostic Imaging which accused the company of Medicare fraud.  The radiologic imaging company has agreed to pay the U.S. government $1.2 million to settle part of the allegations in the lawsuit that related to Medicare billing procedures.  The [...]

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The Department of Justice (DOJ) is seeking to intervene in a qui tam lawsuit against St. Jude Medical Inc., a manufacturer of pacemakers and other heart devices.  The DOJ initially began its investigation in 2005, and this past December decided not to intervene in the case.  [...]

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A qui tam action under the False Claims Act brought in South Carolina would not be particularly interesting except for one small fact: the case is actually going to trial.  In fact, the case is going to trial for the second time, after a jury found that [...]

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Teva Pharmaceuticals has agreed to pay $78 million to settle Medicaid fraud allegations in Florida and Texas.  Teva owes the state of Florida $27 million due to alleged violations of the Florida False Claims Act.  Teva allegedly reported inflated drug prices to Florida’s Medicaid Program, which caused Florida to overpay [...]

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The Department of Justice (DOJ) announced today that it has charged 94 doctors, healthcare company owners, and executives with submitting more than $251 million in false claims to Medicare.  The arrests spread across five different states in areas the federal government has deemed fraud hotspots.  It was the largest federal crackdown on Medicare fraud since [...]

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An Orange County, CA based heart-monitoring services company has agreed to pay the U.S. government $3.6 million to settle allegations that the company overbilled Medicare from 1998-2004.  The complaint was first filed in 2004 against National Cardio Labs LLC, its manager Adrienne Stanman, and her husband Robert Parsons.

Specifically, the government accused National Cardio Labs [...]

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The United States has charged Dr. Nijam Azmat and the Satilla Regional Medical Center of Waycross, Georgia with violating the False Claims Act by billing Medicare for services that were of no medical value to federal health program patients.  The government alleges that Dr. Azmat and the medical center performed, and [...]

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