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Chicago, Illinois 60603-5792

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False Claims Act and the Opioid Crisis: First-ever Civil Injunction Filed by Justice Department to Combat Opioid Over-Prescription

In August 2018, the U.S. Department of Justice announced allegations against an Ohio doctor for violating the False Claims Act (FCA) in addition to violating the Controlled Substances Act (CSA) for prescribing opioid prescriptions in excessive amounts or to those who are not in need of the medication. Although an FCA case is not the most traditional approach to these issues, it is clear that the Justice Department is making the opioid crisis a top priority and therefore potentially invoking the FCA more often in these cases. The government's focus on the opioid crisis has been consistently increasing and expanding from targeting manufacturers of opioids to targeting prescribers and healthcare providers that submit claims to federal health care programs or to the federal government. 

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Four Houston-Area Hospitals Pay $8.6 Million to Settle Ambulance Swapping Allegations

Four Houston-area hospitals have paid $8.6 million collectively to settle allegations of "ambulance swapping"—that ambulance companies paid kickbacks to the hospitals in exchange for the hospitals' lucrative Medicare and Medicaid transport referrals. The hospitals—Bayshore Medical Center, Clear Lake Regional Medical Center, West Houston Medical Center, and East Houston Regional Medical Center—are all affiliates of the Nashville-based Hospital Corporation of America. More

Common False Claims Act Cases in the Heath Care Industry

upcoding health care fraud

The health care industry includes some of the biggest violators of the False Claims Act. In fact, since January 2009, the Justice Department has recovered more than $19 billion through False Claims Act cases, with more than $13.4 billion of that amount recovered in cases involving fraud against federal health care programs. Fraud, waste, and abuse in the health care industry is such a problem that, when the Department of Health & Human Services released its budget for fiscal year 2015, it listed fraud prevention and the reduction of improper payments as “top priorities” for the current administration. More

Healthcare Fraud Harms Some of the Nation’s Most Vulnerable Patients

healthcare fraud

Medicare and Medicaid fraud, including kickbacks to health care providers, hurts taxpayers and the public by overcharging the government for medical services and by harming the integrity of the health care system. Sadly, some of the nation’s most vulnerable patients – such as the elderly, nursing home patients, and special needs individuals – are used as pawns in the fraudulent schemes of health care providers. More

Government Intervenes in Lawsuit against Health Management Associates

The Chicago whistleblower lawyers at Goldberg Kohn Ltd. commend the United States Department of Justice on its decision to intervene in a whistleblower lawsuit against Health Management Associates, Inc. (HMA) filed by David Chizewer and Matthew Organ of Goldberg Kohn on behalf of their client, a well-respected emergency room physician. More

Government Continues to Obtain Substantial Recoveries on the Heels of 2013’s Record High $3.8 Billion

2013 was a record year for False Claims Act recoveries! Last month, the Justice Department announced that it secured $3.8 billion in settlements and judgments from civil cases involving fraud against the government for the fiscal year ending September 30, 2013 – the second largest annual recovery of its type in U.S. history. With the funds recovered in 2013, the total recoveries under the False Claims Act reached an astonishing $17 billion in the past four years alone. More

Whistleblower News Update (December 6, 2013)

The whistleblower attorneys at Goldberg Kohn are committed to fighting fraud against the government and protecting the rights of whistleblowers. Below are summaries of recent developments pertaining to whistleblower, qui tam, and False Claims Act actions throughout the United States. More

Whistleblower News Update (November 22, 2013)

The whistleblower attorneys at Goldberg Kohn are committed to fighting fraud against the government and protecting the rights of whistleblowers. Below are summaries of recent developments pertaining to whistleblower, qui tam, and False Claims Act actions throughout the United States. More

Johnson & Johnson to Pay $2.2 Billion to Settle Fraud Claims and Other Whistleblower News (November 8, 2013)

The whistleblower attorneys at Goldberg Kohn are committed to fighting fraud against the government and protecting the rights of whistleblowers. Below are summaries of recent developments pertaining to whistleblower, qui tam, and False Claims Act actions throughout the United States. More

When Spinal Fusions Are Linked with Fraud and Other Whistleblower News (November 7, 2013)

The whistleblower attorneys at Goldberg Kohn are committed to fighting fraud against the government and protecting the rights of whistleblowers. Below are summaries of recent developments pertaining to whistleblower, qui tam, and False Claims Act actions throughout the United States. More

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