$10M healthcare fraud case, where the osteopath, his wife, and a physical therapist conspired to defraud Medicare, Medicaid and TRICARE. Defendants conspired to fraudulently bill insurers for services the clinic never rendered and required patients to attend appointments to receive controlled substance prescriptions. All defendants pled guilty and were ordered to pay over $4M in restitution.
$1.2M fraud scheme, where executives of a Federal Home Loan Bank defrauded the bank by submitting a series of fraudulent reimbursement requests for hundreds of thousands of dollars for travel expenses that they identified as business-related but were in fact personal. They also falsely reported their number of unused vacation hours, totaling more than $450,000. Defendants pled guilty mid-trial and were ordered to pay approximately $1M in restitution to the bank.
Innovative use of the civil injunctive provision of the Controlled Substances Act to shut down a drug-infested hotel, which served as home base for multiple drug dealers. The husband-wife duo operating the hotel openly permitted drug distribution on their property, and the owner and drug distributors were criminally charged. The owner and top dealer both pled guilty, and the hotel was forfeited to the government and demolished.
$12.2M False Claims Act settlement paid by hospice companies that submitted claims to Medicare and Texas Medicaid that were rendered false by the payment of kickbacks. The kickbacks took the form of sham loans, a free equity interest in another entity, stock dividends, and free rental space, and were paid to medical providers in exchange for patient referrals to these hospice companies. After settlement with the hospice companies, a complaint in partial intervention was filed against the former owners—a doctor and nurse—which was also ultimately settled with an additional multi-million-dollar payment.
False Claims Act settlement paid by a university receiving federal grant money, after the university self-disclosed to the United States that from January 2011 through February 2016, they failed to ensure that the university’s time and effort reports related to certain federally funded grants were accurate and timely certified. A thorough analysis and review of the alleged errors confirmed the violations, and the parties reached a settlement of approximately $13M.
Illegal kickback scheme resulted in physician-owned hospital paying $7.5M to resolve claims that it violated the False Claims Act by paying physicians illegal kickbacks in the form of marketing and/or advertising services on physicians’ behalf and, in return, the physicians would refer their patients, including federal beneficiaries, to the hospital.
