Monday, September 10, 2007
Aventis Settles Drug Pricing Fraud Suit for Over $190 Milllion
Aventis Pharmaceuticals Inc. has settled a lawsuit to resolve allegations that it fraudulently priced and marketed an antiemetic drug, Anzemet, causing false claims to be filed with Medicare and other federal health programs. The government alleged that Aventis set inflated prices for the drug, which is used to prevent nausea and vomiting in oncology patients, knowing that federal health care programs established reimbursement rates based on these prices.
The difference between the reimbursement rate on a drug and the actual price paid by health care providers is commonly known as the “spread.” The larger a spread, the greater profit a pharmaceutical company makes. By setting the price at an inflated rate, the federal government contended that Aventis cause false claims to be submitted to Medicare and other federal health programs.
The lawsuit originally began as a qui tam suit filed by Ven-A-Care of the Florida Keys, Inc., a home-infusion company. As a part of this settlement, the Ven-A-Care whistleblowers will receive about $32 million as their share.
Click here to read more about Aventis’ Price Fraud Settlement.
Posted by Quitam Help Admin on 09/10 at 06:41 PM
Sunday, September 09, 2007
Maryland Cardiologist Settles Medicare Fraud Suit
Dr. Pradeep Srivastava of Potomac, MD has paid $476,000 to settle claims that he fraudulently billed Medicare.
Dr. Srivastava had offices in Greenbelt, MD and Oxon Hill, MD. He was accused of multiple billing abuses over a three-and-a-half year period. Denying the charges, Srivastava agreed to enter into a five-year integrity agreement with the Office of the Inspector General of the Department of Health and Human Services.
Click here to read the Gazette.Net story about Maryland Cardiologist Settles Medicare Fraud Suit.
Posted by Quitam Help Admin on 09/09 at 06:27 PM
Friday, September 07, 2007
Florida Businesswoman Convicted of Medicare Fraud
The Miami Herald is reporting that Marianela Smith, who owned and operated a Florida medical equipment company, has been convicted of Medicare fraud in Miami.
Ms. Smith owned Smith Medical Equipment and M.P. Residence, that provided her with access to Medicare patients. Throughout the trial, evidence was presented that Smith paid kickbacks to physicians to obtain phony prescriptions, to patients to accept unnecessary treatments, and received kickbacks from pharmacy owners to refer the false prescriptions.
One patient testified that Smith paid him $150 a month to use his Medicare card and to obtain phony prescriptions.
Lily’s Pharmacy, who conspired with Smith, billed Medicare more than $271,000 for the phony prescriptions. In exchange, Smith received more than $81,000 in kickbacks.
Smith faces a maximum sentence of 30 years in prison.
Click here to read the article in the Miami Herald about Florida Businesswoman Convicted of Medicare Fraud.
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Posted by Quitam Help Admin on 09/07 at 06:07 AM