Author: ivan
DOJ Investigates Alleged Medicare Advantage Risk Scoring Fraud Scheme
In 2003, Congress passed the “Medicare Modernization Act of 2003,” creating Medicare Part C and private Medicare Advantage health plans. According to a relatively recent Center...
Medical Device Manufacturers Marketing Pre-1976 Devices for Unapproved Uses
In 1976, Congress amended the FDCA to require any post-1976 devices to be approved via the rigorous Pre-Market Approval (PMA) process, unless the manufacturer could...
Daiichi Sankyo Whistleblower Case Returns Over $39 Million to the Government
We recently announced that Daiichi Sankyo had agreed to pay $39, 015, 770 plus interest to resolve our client’s lawsuit. The qui tam case was...
Medical Device Manufacturer and Its Former CEO Plead Guilty to Distributing FDA-Rejected Devices to Heath Care Providers
False Claims Act violations can arise when medical device manufacturers sidestep the FDA pre-marketing approval process. Evidence of such misdirection is especially compelling when manufacturers...
What Happened After She Helped Nurse at Catholic Healthcare Blow Whistle on her Employer
What Happened After She Helped Nurse at Catholic Healthcare Blow Whistle on her Employer?Law.comNovember 5, 2014 A settlement agreement between Dignity Health and the Justice Deparment was...
Whistleblowers Can Provide the Evidentiary Catalyst to Criminal Prosecutions
Recently, NPR ran a radio segment on the False Claims Act titled, “How A Law From The Civil War Fights Modern-Day Fraud.” The broadcast did...
Relator Shares May Still be Viable after Company Self-Reports
After learning that their employers have supposedly self-disclosed fraud to the Government, would-be whistleblowers may believe that their potential qui tam actions are somehow barred simply...
DOJ Shows Continued Interest in Ferreting Out Inappropriate Inpatient Care
Oftentimes, potential healthcare whistleblowers inquire about whether the Justice Department has an interest in pursuing particular healthcare fraud schemes. The best indicators of DOJ interest...
Seven Whistleblowers Team up to Blow the Whistle on Neurosurgeon and Medical Device Supplier for Allegedly Violating the False Claims Act and Anti-Kickback Statute
First brought to the attention of the government in January 2012 by a qui tam lawsuit filed by several physicians, and others, the Justice Department...