Millions Awarded for Medicare and Medicaid Fraud Cases

AstraZeneca to Pay $7.9 Million for Medicare Kickbacks

February 14th, 2015

The Department of Justice announced this week that the pharmaceutical manufacturer AstraZeneca has agreed to pay $7.9 million to settle a claim brought by two former AstraZeneca employees under the False Claims Act for allegedly offering kickbacks to Medco Health Solutions.

The Federal False Claims Act prohibits pharmaceutical companies from offering kickback incentives in exchange for preferential treatment. In this case AstraZeneca was alleged to have given Medco price breaks on Prilosec, Toprol XL, and Plendil, along with other drugs, in exchange for Medco listing Nexium as an eligible medication for government health care plans, such as Medicare. Because of this alleged agreement, claims submitted to Medicare and other government health care plans for Nexium violated the False Claims Act and Anti-Kickback statute.

The whistleblower provision of the False Claims Act is one of the most effective ways to put an end to this type of fraud on the government. Whistleblowers can be rewarded up to 30 percent of the money recovered by the government for its losses on fraudulent claims.

Do you have in-depth knowledge of Medicare fraud? Call the Law Office of James T. Ratner today at (845) 383-1728 for your confidential consultation with an experienced Medicare fraud attorney in New York. James Ratner represents whistleblower clients nationwide.

$28 million health care fraud settlement

November 20th, 2014

A recent settlement by Extendicare Health Service, Inc. demonstrates just how insidious health care fraud is today. Under a False Claims Act settlement, Extendicare has agreed to pay $28 million to eight states and the United States federal government for Medicare and Medicaid fraud. If you suspect medical care fraud and blow the whistle, you may be able to share in any settlement or award. Please contact our health care fraud lawyer today at (845) 383-1728 to schedule your free consultation.

In a settlement involving the federal government, the commonwealths of Kentucky and Pennsylvania, and the states of Indiana, Michigan, Minnesota, Ohio, Washington, and Wisconsin, Delaware-based Extendicare Health Services agreed to pay $28 million dollars to settle allegations that it fraudulently billed Medicare and Medicaid for nursing services that fell well below the usual standard of care. The plaintiffs allege that Extendicare knowingly charged for premium services while delivering very little.

The settlement money will be used to reimburse Medicare, Medicaid, and other health care programs for damages sustained during this breach of trust. Unfortunately, such health care fraud is commonplace, and our society relies on whistleblowers to keep medical professionals honest.

If you suspect health care fraud, it is your right and responsibility to blow the whistle and hold criminals accountable. And you may be entitled to a portion of the award. To discover how an experienced health care fraud lawyer can help, please contact the Law Office of James T. Ratner today at (845) 383-1728 to arrange a free consultation.

Medicare Fraud Case: $4 Million Seized

July 3rd, 2014

Dr. Stacey M. Johnson’s estate was ordered recently to turn over $4 million in assets to the federal government to pay for Medicare and Tricare fraud. Johnson was a cardiologist who owned Physicians’ Medical Center and the Ozarks and Physicians’ Surgical Center for 29 years.

In 2006, authorities began an investigation into Johnson’s businesses because of a large increase in Medicare billing from the businesses in the five previous years. Investigators reported that Johnson had ordered medically unnecessary and duplicative tests for patients and falsely billed Medicare and Tricare for the tests.

Johnson’s medical license was revoked in 2009 for gross negligence in ordering the unnecessary testing. The doctor ordered 80 procedures for one patient over the course of a month, 23 of which were on the same day.

A review of payment claims from January 2004 to June 2006 and January 2007 to June 2009 revealed that Johnson overbilled Medicare by $14 million.

If you are ready to blow the whistle on Medicare fraud and put an end to people like Dr. Johnson taking advantage of the system and wasting taxpayer dollars, please call (845) 383-1728 or contact James T. Ratner for your confidential consultation. We represent clients throughout New York and nationwide.

$450 Million in Wasted Drugs

May 30th, 2013

Medicare and Medicaid fraud are on the rise in New York and beyond. Many providers have tried to exploit the system, and the recent DaVita judgment is one more example of how whistleblowers and Medicare fraud attorneys can make a difference and save the taxpayer millions.

DaVita to pay $450 million for Medicare fraud

One of the largest providers of kidney dialysis equipment and treatment in the US agreed to a $450 million settlement in a qui-tam lawsuit early this month. The Denver-based company was accused of deliberately wasting medicines by using larger vials than needed in order to collect higher Medicare payments for “unavoidable” waste.

Other examples of Medicare and Medicaid fraud include:

  • Upcoding for services
  • Double billing
  • Improper referrals
  • Failure to return or report overpayments
  • Billing for unnecessary services
  • Unbundling tests at higher costs

Many employees may be afraid to come forward for fear of losing their job, but the costs of Medicaid and Medicare fraud are shared by all taxpayers. Having an experienced Medicare fraud attorney on your side can help you stand up for what is right. The Law Office of James T. Ratner has more than 15 years experience representing whistleblowers in New York and nationwide.

If you thinking about blowing the whistle on Medicare or Medicaid fraud, please contact us using the contact form or call toll-free (845) 383-1728 today. We handle cases in New York and nationwide.

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