Ensign Group Inc., which runs nursing homes in a number of US states, has consented to pay $48 million to settle Medicare billing fraud allegations that it billed the government for medical procedures that patients didn’t need. The case stems from whistleblower cases brought by Carol Sanchez and Gloria Patterson,…
After a month long trial, a federal jury in New York has found Bank of America liable on one civil fraud charge stemming from defective mortgages it sold through its Countrywide unit. The case was brought to the attention of the U.S. Justice Department by former Countrywide executive, Edward O’Donnell,…
Three doctors are suing Vanderbilt University Medical Center for Medicare fraud. They submitted their whistleblower lawsuit under the False Claims Act’s qui tam provision. The plaintiffs, all ex-VUMC anesthesiologists, are accusing the medical center of taking part in a scam involving the use of its medical practices to maximize income…
According to a whistleblower lawsuit, Quest Diagnostics and Laboratory Corporation of America Holdings committed Medicaid fraud by billing the program in Virginia a higher rate than other customers. Quest is the largest operator of medical labs in the United States. Hunter Laboratories LLC and its CEO Chris Riedel submitted the…
Shands Hospitals will pay $26 million to settle a Medicaid/Medicare fraud case accusing it of admitting patients that didn’t require hospitalization to six of its facilities. A whistleblower claim submitted in 2008 claimed that the company overbilled Medicaid and Medicare with the admissions. The Medicare/Medicaid fraud lawsuit accuses Shands of…
A Marlborough, MA commercial trucking company was ordered to pay more over $131,000 to a driver who was terminated for refusing to drive excess hours that would have violated national safety regulations. Following an in-depth investigation to the worker’s whistleblower claim, the U.S. Department of Labor’s Occupational Safety and Health…
A hotel management company was recently forced to pay a worker $22,225 in back wages and compensatory damages after he was terminated for voicing workplace safety concerns. The employee, who worked at the True North Devens Conference Center, filed a whistleblower complaint with OSHA after he was subjected to disciplinary…
The US Department of Justice and 55 hospitals have reached a $34M Medicare fraud settlement accusing 55 hospitals in 21 states of engaging in making false claims for kyphoplasty procedures. The allegations were brought under the False Claims Act by whistleblowers, who will receive about $5.5 million from the settlements…
The US Justice Department says that US Renal Care will pay $7.3 million to settle allegations that its Dialysis Corporation of America submitted false Medicare claims, billing more for Epogen, an anemia medication, than what it actually gave to dialysis patients. The accusations stem from a Qui Tam lawsuit filed…
Grace Healthcare LLC will pay $2.7M with interest to resolve fraud violations that it either knew of or caused their submission related to the Medicare and TennCare/Medicaid programs. The allegations were reported in a whistleblower lawsuit filed by one of the nursing home manager’s former employees, who will now receive…