Yesterday the DOJ announced that Gentiva, the successor to Kindred at Home, has agreed to a settlement of roughly $19.5 million. This resolution addresses allegations that Kindred, and its related entities violated the False Claims Act by billing the government for unnecessary hospice services and improperly retained overpayments. The accusations spanned [...]
Armstrong Group, a major northeastern cable television, telecommunications and internet service provider based in Butler, Pennsylvania, has agreed to pay $6.5 million to settle allegations under the False Claims Act concerning its participation in the Federal Communications Commission’s (FCC) High-Cost Program. This program, part of the Universal Service Fund (USF), [...]
Last week, the U.S. Attorney’s Office for the Middle District of Florida announced a $2.45 million settlement with three Clermont-based laboratories: Vista Clinical Diagnostics, LLC; Access Dermpath, Inc.; and Advanced Clinical Laboratories, Inc. The settlement resolves allegations that the labs submitted manipulated diagnosis codes to Medicare and Medicaid, violating the [...]
Legal and Regulatory Developments SPOTLIGHT: 2 Cases in Visa, Mastercard MDL Ready for Trial, Judge Says Law360 – July 9, 2024 (subscription required) The New York federal judge handling multidistrict litigation over Visa and Mastercard merchant fees suggested on Monday separating from the MDL the lawsuits involving the Target and [...]
“Our message to whistleblowers is clear: The Department of Justice wants to hear from you. And to those considering a voluntary self-disclosure, our message is equally clear: Knock on our door before we knock on yours.” Deputy Attorney General Lisa Monaco from the Washington Post article on the soon-to-be-launched DOJ white-collar crime whistleblower rewards program. Stay tuned! Read [...]
Artur Schaback, the co-founder, and former Chief Technology Officer (CTO) of Paxful Inc., pleaded guilty yesterday to conspiracy charges related to his failure to maintain an effective anti-money laundering (AML) program. There are significant efforts being made to regulate virtual currency platforms and ensure compliance with the financial laws. The [...]
Last week, three former executives of Outcome Health, a Chicago-based health technology start-up, were sentenced for a massive fraud scheme in which they deceived clients, lenders, and investors, resulting in approximately $1 billion in fraudulently obtained funds. Rishi Shah, 38, co-founder and former CEO of Outcome Health, received a sentence of seven [...]
In Saint Louis, Dr. David A. Parks along with his clinical manager and spouse, James M. Bilderback, and front desk staffer Michelle J. Scheer, face serious allegations of conspiracy and health care fraud. Indicted by the U.S. District Court, the three are accused of illegal prescription practices and fraudulent activities aimed [...]
Legal and Regulatory Developments SPOTLIGHT: Supreme Court Lets Complaint on Debit Fees Proceed Payments Dive – July 1, 2024 The Supreme Court ruled Monday that a lawsuit by a North Dakota merchants group challenging a debit card interchange rate set by the Federal Reserve can proceed. The case, filed in [...]
The U.S. Attorney’s Office for the Southern District of New York announced a substantial settlement with Visiting Nurse Service of New York (formerly VNSNY, now VNS Health) and its related entities. This settlement addresses allegations of fraudulent billing practices that undermined the Medicaid program meant to support some of the [...]