Category: Settlements

whistleblower awards

Press Release Source Here The United States Attorney’s Office for the Northern District of Georgia announced that it has reached a settlement with Dennis Jaffe and Dennis B. Jaffe D.M.D., P.C., to pay $324,327.05 to settle health fraud claims—specifically that Jaffe violated the False Claims Act by fraudulently billing Medicaid for tooth extraction procedures and […]

Two False Claims Act cases have settled, resulting in $54 million in payouts. Quarterly Rebates to Medicaid Pursuant to the Medicaid Drug Rebate Program, each quarter, drug manufacturers are required to pay rebates to state Medicaid programs. This is in exchange for Medicaid’s coverage of the manufacturers’ drugs. These quarterly rebates are based partly on […]

A very powerful new painkiller is taking over the market and has become a $100 million business. But, questions are lurking about how the drug is sold and to whom. In 2012, a new narcotic called Subsys, was approved by the F.D.A for use by cancer patients. It is used when painkillers like morphine fail […]

False Claims Act | SEC Whistleblower Claim

It looks like there has never been a better time to be a whistleblower. This is especially true for public companies or within the securities industry. In 2010 the Securities & Exchange Commission’s (SEC) established a whistleblower awards program.  As a result, whistleblowers now have unprecedented financial incentives to disclose potential misconduct to the government.  […]

Despite the historical number of Medicare fraud arrests, more are set to come.  According to Modern Healthcare reporter Lisa Schencker, “Federal officials announced Thursday the largest coordinated, criminal Medicare fraud takedown—and the first large-scale effort to focus on Medicare Part D fraud—in the history of the U.S. Justice Department. Over the last three days, the Medicare Fraud […]

Bottom line: Medicaid pays the same amount for a Midwife as for an Ob-Gyn. Thus, some hospitals have a financial incentive to push even the high-risk patients to use Midwives rather than doctors. Unfortunately, this is happening at considerable risk and sometimes serious damage to patients. $100 Million Lawsuit Filed $100 Million federal law suit […]