UTC Laboratories Inc. (RenRX) has agreed to pay $41.6 million,to resolve allegations that they violated the False Claims Act by paying kickbacks in exchange for laboratory referrals for pharmacogenetic testing and for furnishing and billing for tests that were not medically necessary. RenRX, a laboratory company headquartered in New Orleans, Louisiana, also agreed...
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Category: Medicare Fraud
Answers to Common Medicare Fraud Whistleblower Questions
Medicare fraud is a widespread problem in the United States, and it occurs when a person or entity claims reimbursement for services to which they aren't entitled. Medicare fraud costs the government billions of dollars every year, which is why the government encourages people to report fraud whenever it is discovered. In...
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How to Report Medicare Fraud
Medicare fraud costs the government a tremendous amount of money each year. In fact, the government estimates that Medicare fraud costs approximately $60 billion a year. In order to combat this practice and encourage individuals to report Medicare fraud, the government offers those who report fraud, also known as “whistleblowers,” financial compensation....
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Hospitals pay $20 million to settle allegations of false claims to Medicare, Medicaid and TRICARE and for unnecessary spinal surgeries
Sanford Health, Sanford Medical Center and the Sanford Clinic (collectively, Sanford) have agreed to pay $20.25 million to resolve False Claims Act (FCA) allegations that they knowingly submitted false claims to federal health care programs, including Medicare, Medicaid and TRICARE, resulting from violations of the Anti-Kickback Statute and medically unnecessary spinal surgeries. The Anti-Kickback...
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Tenet Healthcare to pay $66 million to settle whistleblower suit asserting billing Medicare for docs who received kickbacks
Tenet Healthcare Corp. has agreed in principle to pay the federal government about $66 million to settle a whistleblower lawsuit alleging it billed public programs for medical services provided by physicians having improper financial relationships with a hospital partly owned by Tenet.
Tenet disclosed the tentative settlement in its
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Reckitt Benckiser Group to pay $22.7 million to Kentucky in Medicaid fraud case for Suboxone administration without counseling
Reckitt Benckiser will pay $22.7 million in state and federal Medicaid dollars after reaching an agreement with a pharmaceutical distributor over its improper marketing and promotion of the drug Suboxone.
The civil settlement resolves allegations that, from 2010 through 2014, Reckitt, directly or through its subsidiaries, knowingly:
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Genetic testing co. UTC Labs and principals to pay $42.6 million to settle kickback and Medicare fraud claims
UTC Laboratories, Inc. (RenRX) has agreed to pay $41.6 million, and its three principals, Tarun Jolly, M.D., Patrick Ridgeway, and Barry Griffith, have agreed to pay $1 million to resolve allegations that they violated the False Claims Act by paying kickbacks in exchange for laboratory referrals for pharmacogenetic testing and for furnishing...
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Doctor Indicted For Submitting Medicare and Medicaid Claims for Services Performed By Other Physicians
Dr. Antonio Reyes-Vizcarrondo was indicted for one count of conspiracy to commit health care fraud and one count of health care fraud following allegations that he submitted false claims to both Medicare and Medicaid.
According to the Department of Justice, Reyes-Vizcarrondo submitted a total of 8,159 claims between 2008...
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Three Marketers Plead Guilty to Violating Federal Anti-Kickback Statutes After Recruiting Physicians to Write Unnecessary Prescriptions
Daniel Ferguson, John Frohrip, and Kevin Partin, pleaded guilty to violating federal anti-kickback statutes following allegations that they paid illegal kickbacks and recruited doctors to write prescriptions for expensive drugs as part of their health care fraud scheme.
According to the Department of Justice, the defendants recruited physicians to...
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“Goodie Bag” Doctor Charged in $3.2 Million Healthcare Fraud Scheme Involving Distribution of Oxycodone
Andrew M. Berkowitz, M.D., is facing an indictment of 19 counts of healthcare fraud and 23 counts of distributing oxycodone outside of medical treatment following allegations that he provided each of his patients with a “goodie bag” of prescription drugs after each visit, despite their individual ailments. It is also alleged that...
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