PharMerica seeks Supreme Court review in False Claims case
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Apr 27, 2016
Long-term care pharmacy services provider PharMerica is asking the U.S. Supreme Court to review its previous ruling on the “first-to-file” provision of the False Claims Act, claiming it paves...
Adventist to pay $118 million to settle false claims suit
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Sep 23, 2015
Adventist Health System has agreed to pay $118.7 million to settle a whistleblower lawsuit that alleges the Florida-based company paid kickbacks to doctors in exchange for referrals.
Feds join False Claims Act suit against hospital chain
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May 27, 2016
The U.S. Justice Department joined a False Claims Act lawsuit on Thursday that alleges a California-based hospital chain submitted more than $50 million in false Medicare claims and improperly admitted...
Court shuts down provider’s counterclaim against FCA whistleblower
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May 12, 2016
A federal court dismissed a healthcare company’s counterclaim against a former employee and False Claims Act whistleblower on Monday. The judge ruled that the whistleblower’s disclosure of...
To control private equity, legal experts suggest government sharpen existing tools
By
Kimberly Marselas
Mar 25, 2022
While the Biden administration is targeting private equity firms that invest in nursing homes for reforms, two attorneys well-versed in fraud argue that existing mechanisms could deter private equity from...
Hospice provider settles massive case for $2.5 million, claiming documentation errors
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Kimberly Marselas
May 23, 2018
Once accused of defrauding Medicare of $14 million in false claims in a single year, a Florida hospice provider has agreed to pay $2.5 million to resolve the allegations.
Federal courts continue upholding sampling tactic in FCA actions
By
John Hall
May 01, 2015
A federal court this week upheld the tactic of using “statistical samples” to prove alleged False Claims Act violations, echoing other recent decisions in similar whistleblower complaints.
Court won’t seal False Claims suit against RehabCare, despite whistleblower’s fear of retaliation
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Dec 07, 2016
A whistleblower’s fear of retaliation isn’t sufficient to justify sealing her False Claims Act lawsuit filed against RehabCare Group Inc., a judge ruled on Friday.
Nursing home, management reach $3.8M settlement with feds in kickbacks case
By
Kimberly Marselas
Jun 23, 2023
A California skilled nursing facility run by the state’s largest nursing owner has, in conjunction with its management firm, agreed to pay $3.8 million to settle kickback allegations brought by a whistleblower.
Upcoding case leads to $347M judgment
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Apr 05, 2017
Florida-based skilled nursing chain Consulate Health Care was hit with a $347 million judgment in early March after a jury found that it routinely inflated its Medicare and Medicaid claims.