There have been several noteworthy False Claims Act (FCA) settlements in the second quarter of 2023.
Four of these settlements have come in over $20 million. This post summarizes key settlements of interest.
On April 24, a doctor agreed to pay $7.96 million to resolve allegations that he and the pharmacy owned by his wife submitted false claims to the federal Workers' Compensation Program as a result of a scheme through which they sent federal employees unwanted, unnecessary and costly medications by mail. The doctor also allegedly received kickbacks for his referrals to the pharmacy.
On April 28, a plastic surgeon, his son, medical practices, and billing company agreed to pay $23.9 million to resolve allegations that, among other things, they falsified the place of service for skin grafts to maximize reimbursements and billed multiple times for single-use products. As part of the settlement, the surgeon and one of his medical practices agreed to a voluntary exclusion from federal healthcare programs for 15 years, while the surgeon's son agreed to an exclusion for three years.
On May 25, a vascular surgeon agreed to pay up to $43.419 million to resolve allegations that he defrauded federal healthcare programs. The surgeon was alleged to have falsely billed for (1) the placement of multiple vascular stents in the same blood vessel and (2) arterial thrombectomies based on occlusions that were not actually present. He allegedly prepared...
APPLETON, Wis. (WBAY) - An Appleton medical clinic will pay over $382,000 to settle accusations from the U.S. Attorney’s Office that it submitted false claims to Medicare and offered medically unn...