Enforcement Actions

• Camden County Man Admits Trafficking in Oxycodone Pills

  Jan. 5, 2021

  • Criminal and Civil Actions

• The United States And Tennessee Resolve Claims With Three Providers For False Claims Act Liability Relating To ‘P-Stim’ Devices For A Total Of $1.72 Million

  Jan. 4, 2021

  • Criminal and Civil Actions

• University Medical Associates of The Medical University of South Carolina Agreed to Pay $81,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Anesthesiology Services

  Dec. 30, 2020

  • Fraud Self-Disclosures

• Aeon Global Health Agreed to Pay $75,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Non-Covered Services

  Dec. 22, 2020

  • CMP and Affirmative Exclusions

• Frye Regional Medical Center Agreed to Pay $100,000 for Allegedly Violating Patient Dumping Statute by Failing to Provide an Appropriate Medical Screening Examination and Stabilizing Treatment

  Dec. 21, 2020

  • CMP and Affirmative Exclusions
  • EMTALA/Patient Dumping

• Two Owners of New York Pharmacies Charged in a $30 Million COVID-19 Health Care Fraud and Money Laundering Case

  Dec. 21, 2020

  • COVID-19
  • Criminal and Civil Actions

• Acting Manhattan U.S. Attorney Announces $40.5 Million Settlement With Durable Medical Equipment Provider Apria Healthcare For Fraudulent Billing Practices

  Dec. 21, 2020

  • Criminal and Civil Actions

• Acting Manhattan U.S. Attorney Announces Settlement With Substance Abuse Treatment Center And Its Owner For Enrolling Patients Through Kickbacks And Using Falsified Patient Admissions Forms

  Dec. 21, 2020

  • Criminal and Civil Actions
  • EMTALA/Patient Dumping

• Palomar Health Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Therapy Services that Lacked Medical Necessity

  Dec. 21, 2020

  • Fraud Self-Disclosures

• St. Joseph’s Hospital Agreed to Pay $729,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free or Below Market Value Space, Equipment, and Services

  Dec. 21, 2020

  • Fraud Self-Disclosures

• Sweetwater Hospital Association Agreed to Pay $141,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Misidentified the Rendering Providers

  Dec. 21, 2020

  • Fraud Self-Disclosures

• AG James Secures $6 Million Over False Medicaid Billing Scheme at an Inpatient Drug Treatment Center

  Dec. 21, 2020

  • State Enforcement Agencies

• Texas Heart Hospital and Wholly-Owned Subsidiary THHBP Management Company LLC to Pay $48 Million to Settle False Claims Act Allegations Related to Alleged Kickbacks

  Dec. 18, 2020

  • Criminal and Civil Actions
  • EMTALA/Patient Dumping

• Tallahassee Doctor Pleads Guilty To Defrauding Health Insurance Providers of $29 Million And Performing Unnecessary Invasive Surgical Procedures On Hundreds Of Patients

  Dec. 18, 2020

  • Criminal and Civil Actions

• Nurse Practitioner Charged Following TBI Medicaid Fraud Investigation

  Dec. 18, 2020

  • State Enforcement Agencies

• Steven Yohay Agreed to Be Excluded for 15 Years for Inducing Medicaid Beneficiaries for Enrolling Medicaid Patients in Substance Abuse Treatment Through Kickbacks

  Dec. 17, 2020

  • CMP and Affirmative Exclusions

• Biogen Agrees to Pay $22 Million to Resolve Allegations that it Paid Kickbacks Through Two Co-Pay Foundations

  Dec. 17, 2020

  • Criminal and Civil Actions

• Thursday, Federal Court Orders North Carolina Pharmacy, Pharmacy Owner, and Pharmacist-in-Charge to Pay More Than $1 Million and to Cease Dispensing Opioids or Other Controlled Substances

  Dec. 17, 2020

  • Criminal and Civil Actions

• Sleep lab pays over $150,000 to resolve false billing claims

  Dec. 17, 2020

  • Criminal and Civil Actions

• Former Medical Director of Suboxone Manufacturer Indivior Sentenced in Connection with Drug Safety Claims: Action Follows Sentencing of Former CEO and Corporate Resolutions

  Dec. 17, 2020

  • Criminal and Civil Actions

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