Enforcement 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

• Bartell Drug chain settles allegations it filled invalid prescriptions: Pharmacy failed to have a system in place to ensure prescribers were licensed in Washington

  Dec. 17, 2020

  • Criminal and Civil Actions

• Federal Court Orders North Carolina Pharmacy, Pharmacy Owner, and Pharmacist-in-Charge to Pay More Than $1 Million and Stop Dispensing Opioids

  Dec. 16, 2020

  • Criminal and Civil Actions

• Owner of Texas Chain of Hospice Companies Sentenced for $150 Million Health Care Fraud and Money Laundering Scheme

  Dec. 16, 2020

  • Criminal and Civil Actions

• Suncoast Dermatology and Skin Surgery Center, Dr. Ralph Massullo, Jr., and Dr. William Welton III Agreed to Pay $2.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims Associated with Lesions

  Dec. 16, 2020

  • Fraud Self-Disclosures

• Trevose Ambulatory Surgery Care Agreed to Pay $88,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free or Below Fair Market Value Leased Space

  Dec. 16, 2020

  • Fraud Self-Disclosures

• Attorney General Moody Secures Millions from Pharmaceutical Companies Shortchanging Florida Medicaid Program

  Dec. 16, 2020

  • State Enforcement Agencies

• Attorney General Josh Stein Announces $10 Million Medicaid Settlement with Drugmakers

  Dec. 16, 2020

  • State Enforcement Agencies

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