Wednesday, February 29, 2012
Mylan Settles Average Wholesale Price Case for $57 Million
Mylan Inc. has agreed to pay $57 million to resolve allegations that it fraudulently increased the reimbursement amount for its drugs by reporting inflated prices. This case is one of several average wholesale price fraud cases brought by corporate whistleblower Ven-A-Care. The whistle-blowing company has recovered over $3 billion for the federal government.
Read the entire article, “Mylan to Pay $57 Million to Settle Drug Overpricing Claims"
Posted by eithurburn on 02/29 at 06:29 PM
DOJ Intervenes in American Commercial College Case
The DOJ has intervened in a False Claims Act case against American Commercial College, Inc., a for-profit college. According to the complaint, the college failed to comply with federal regulations that require a college receive no more than 90% of its income from federal student aid. Similar suits have been filed against other for-profit colleges, including Education Management Corp..
Read the entire article, “U.S. Joins False Claims Lawsuit Against Texas Career College"
Posted by eithurburn on 02/29 at 06:27 PM
Tuesday, February 28, 2012
Dallas Doctor Arrested for Submitting $375 Million in Fake Bills
The FBI arrested a Dallas physician for healthcare fraud. According to the indictment, the physician was responsible for over $375 million in fraudulent billings. The physician and his office assistant allegedly obtained signatures from random individuals, including homeless people who were each paid $50, in order to bill for services that were never provided. Over five years, the doctor amassed more Medicare beneficiaries than any other medical practice in the United States.
Owners of three home health agencies allegedly associated with Dr. Roy’s scheme were also indicted. Seventy-eight home health agencies who worked with Dr. Roy will be suspended from participating in Medicare for up to 18 months.
Read the entire article, “$375-million Medicare fraud: Dallas doctor accused in record case"
Read the entire press release, “Dallas Doctor Arrested for Alleged Role in Nearly $375 Million Health Care Fraud Scheme"
Posted by eithurburn on 02/28 at 06:24 PM
NY AG and Manhattan USAO Investigating State Street
According to a recent disclosure by the company, State Street Corp. has received inquiries from both the New York Attorney General’s office and the U.S. Attorney’s Office in New York regarding its foreign exchange business. California filed a suit against State Street in 2009 alleging that the company had charged its standing instruction clients, such as state pension funds, a higher foreign currency exchange rate than it previously promised. State Street previously received inquiries or subpoenas from several other government authorities, including the Department of Labor and the SEC. Similar charges are currently pending against BNY Mellon.
Both cases were initiated by a whistleblower group led by Harry Markopolos.
Read the entire article, “Firm’s foreign exchange unit gets more scrutiny"
Read our earlier article on the BNY Mellon case, “USAO Raises Fraud Allegations Against BNY Mellon to $1.5 Billion"
Posted by eithurburn on 02/28 at 06:22 PM
Friday, February 24, 2012
Judge Ups Whistleblower Reward in Verizon Case
A federal judge has increased the share that a whistleblower will receive from a $93.5 million settlement that resulted from his efforts. The whistleblower filed a qui tam case in 2007 alleging that Verizon had impermissibly charged the federal government for surcharges which were already included in its telecommunications contract. The government had minimized the whistleblower’s role, but U.S. District Court Judge Gladys Kessler found that the relator’s expertise, experience, and time spent on the case merited a higher award of 20 percent--$5.1 million more than he originally received. “[I]t is just not accurate to say that all that Relator provided was ‘an educated guess,’” Judge Kessler wrote. “This is a profoundly unfair characterization of the nature and extent of the expertise, experience, knowledge, analysis, and just plain hard work that Shea, and his lawyers, contributed to this litigation.” Judge Kessler stated that the whistleblower not only saved the government both time and resources, but he also brought the government’s attention to a fraud it would not otherwise have uncovered.
Read the entire article, “D.C. Judge Orders Government To Pay Whistleblower Millions More"
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Posted by eithurburn on 02/24 at 07:46 PM