Sep 9, 2024 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
Late last month, the DOJ announced that St. Peter’s Health agreed to pay $10.8M to settle False Claims Act allegations. The settlement resolves claims that the organization submitted inaccurate information to federal healthcare programs, including Medicare and...
Aug 18, 2024 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
On August 16, 2024, the plaintiff’s law firm Phillips & Cohen announced that health insurance giant Humana agreed to pay $90 Million to settle a qui tam whistleblower lawsuit filed under the federal False Claims Act (FCA). According to the law firm’s...
Jun 25, 2024 | False Claims Act, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
The False Claims Act, with its threat of treble damages and astronomical per-claim penalties, may not have been designed to punish substandard medical care, but as a recent $15 million FCA settlement demonstrates, the line between substandard medical care and...
Jun 25, 2024 | Criminal Matters, Government Investigations, Health Care, Health Care Fraud
On June 24, the Department of Justice (DOJ) announced the sentencing of two pharmacy owners in a case involving allegations of false claims submitted to Medicare and subsequent money laundering. Peter Khaim, 44, and his brother Arkadiy Khaimov, 41, both from Forest...
Jun 24, 2024 | False Claims Act, Fraud Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
On June 20, the United States Attorney’s Office for the District of Delaware announced that it filed a civil complaint against a pain management provider, the Center for Interventional Pain and Spine (CIPS) and its principal owner, Dr. Chee Woo. The lawsuit against...
Jun 14, 2024 | Government Investigations, Health Care, Health Care Fraud, White Collar Crime
On June 13, the U.S. Department of Justice announced that the founder and CEO of a California-based telehealth company, as well as the company’s clinical president, were charged in what the feds are calling a fraud worth over $100 million. According to the indictment,...
