This collection contains health care-related fraud settlements between states and/or the federal government and private companies that generally result from complaints filed under the False Claims Act. Many of the settlements are accompanied by Corporate Integrity Agreements (CIA). Some settlements have the compliance terms included within their text. In some cases PLUS does have original or amended complaints. The cost for each settlement with any available CIA, if requested, is $27 plus shipping, handling and any applicable state tax.
| Parties | Court | Amount |
| Fraud/Topic | Date | CIA? | |
|
| U.S. ex rel. Braeuning v. National HealthCare Corp. |
M.D. Fla. |
$27 mill. |
 |
| Inflated cost reports |
12/15/00 |
N |
|
| U.S. v. Beth Israel Med. C. |
S.D.N.Y. |
$1.25 mill. |
|
| Improper reimbursment |
12/14/00 |
C |
|
| U.S. v. James Desnick, M.D. |
N.D. Ill. |
$14 mill. |
|
| Medicare/Medicaid fraud |
12/14/00 |
N |
|
| U.S. ex rel. Thornton v. Adventist Health System Sunbelt Healthcare Corp. |
M.D. Fla. |
$8.7 mill. |
|
| Overcharging for ambulance services |
12/8/00 |
Y |
|
| U.S. ex rel. Thornton v. Adventist Health System Sunbelt Healthcare Corp. |
M.D. Fla. |
$8.7 mill. |
|
| Overcharging for ambulance services |
12/8/00 |
Y |
|
| U.S. v. HCA |
D.D.C. |
$840 mill. |
|
| Unlawful billing |
12/00 |
N |
|
| U.S. v. UnitedHealthCare Of Illinois Inc. |
N.D. Ill. |
$2.9 mill. |
|
| False reimbursement |
11/22/00 |
Y |
|
| U.S. v. Ashton Hall Nursing & Rehab. Cntr. |
E.D. Pa. |
$100,000 |
|
| Inadequate care |
11/7/00 |
N |
|
| U.S. ex rel. Menke v. Quorum Health Res. |
N.D. Ala. |
$18 mill. |
|
| Medicare billing |
10/27/00 |
N |
|
U.S. v. Kaiser Found. Hospital
(Richmond, CA & Bellflower, CA) |
|
$15,000 |
|
| Patient dumping |
10/26/00 |
N |
|
| U.S. v. Anesthesia Associates of So. Chester Co. and So. Chester Co. Med. Cntr. |
E.D. Pa. |
$700,000 |
|
| Medicare billing violations |
10/26/00 |
N |
|
| Florida v. Rite Aid Corp. |
Fla. Cir. Ct. |
$500,000 |
|
| Price boosting |
10/5/00 |
N |
|
| U.S. v. ex rel. Rotzell v. Positive Managers Inc. (Inc. Second Breath & WAC Inc., d/b/a Pleasant Manor) |
E.D. Pa. |
$1.35 mill. |
|
| Medicaid fraud |
9/28/00 |
Y |
|
| U.S. v. New England Health Assoc. (NEHA) |
D. Mass. |
$493,465 |
|
| Medicare billing |
9/12/00 |
N |
|
| U.S. ex rel. Rahman v. Oncology Assoc. |
D. Md. |
$9.9 mill. |
|
| Health care billing |
9/8/00 |
N |
|
| U.S. v. Lancaster Hosp. (Lancaster, CA) |
|
$9,000 |
|
| Patient dumping |
9/6/00 |
N |
|
| U.S. ex rel. Semtner v. MBLS Emerg. Physic. |
W.D. Okla. |
$87,000 |
|
| Medicare billing |
9/5/00 |
N |
|
| U.S. ex rel. Semtner v. Western Emerg. Physic. |
W.D. Okla. |
$87,000 |
|
| Medicare billing |
9/5/00 |
N |
|
| U.S. ex rel. Semtner v. McKean and Medicare Consultants (EPMG) |
W.D. Okla. |
$2.4 mill. |
|
| Medicare billing |
9/5/00 |
N |
|
| U.S. ex rel. Semtner v. Sierra Emerg. Physic. |
W.D. Okla. |
$79,000 |
|
| Medicare billing |
9/5/00 |
N |
|
| U.S. ex rel. Pina v. Staff Builders Inc. |
S.D. Fla. |
$1.4 mill. |
|
| Medicare/unallowable costs |
9/5/00 |
N |
|
| U.S. ex rel. Saunders v. U. of PA. Health System |
E.D. Pa. |
$12 mill. |
|
| Medicare billing |
8/30/00 |
N |
|
| U.S. v. Bindley Western Industries |
D. Nev. |
$20 mill. |
|
| Illegal resale of drugs |
8/29/00 |
N |
|
| U.S. ex rel. Piacentile v. Transworld HealthCare Inc. |
E.D. Pa. |
$10 mill. |
|
| Kickbacks/patient referrals |
8/22/00 |
N |
|
| Grijalva v. Shalala |
D. Ariz., |
NA |
|
| Appeal rights of Medicare Beneficiaries |
8/9/00 |
N |
|
| U.S. v. Abbott Ambulance |
E.D. Mo. |
$5.4 mill. |
|
| Medicare billing |
8/7/00 |
Y |
|
| U.S. ex rel. Kaufman v. Anwar Eye Center |
N.D. W.Va. |
$240,000 |
|
| Misrepresentation |
8/2/00 |
N |
|
| U.S. v. Allegheny General Hospital |
W.D. Pa. |
$3.2 mill. |
|
| Medicare billing |
8/00 |
N |
|
| U.S. v. Mercy Health Care System |
E.D. Pa. |
$1.2 mill. |
|
| Medicare Part B billing violations for Dr. srvcs. |
7/27/00 |
N |
|
| U.S. v. Hackensack University Med. Cntr. |
D.N.J. |
$4.2 mill. |
|
| Medicare overbilling |
7/18/00 |
N |
|
| U.S. v. Catholic HealthCare Arizonia West |
|
$10,000 |
|
| Patient dumping |
7/13/00 |
N |
|
| U.S. v. Midway Hosp. (Los Angeles) |
|
$30,000 |
|
| Patient dumping |
7/13/00 |
N |
|
| Granholm v. Gambro (Consent Judgement) |
MI. Cir. Ct. |
$300,000 |
|
| Antitrust/monopoly |
7/12/00 |
N |
|
| Herschthal v. Shalala |
S.D. Fla. |
N/A |
|
| Lifting of HHS Suspension |
7/70/00 |
N/A |
|
U.S. v. Kaiser Found. Hospital
(Richmond, CA & Bellflower, CA) |
|
$14,000 |
|
| Patient dumping |
7/5/00 |
N |
|
| U.S. v. East Liverpool Hosp. (E. Liverpool, OH) |
|
$20,000 |
|
| Patient dumping |
7/5/00 |
N |
|
| U.S. v. Uzi Bodman, M.D. |
D. Nev. |
$15,000 |
|
| Patient dumping |
7/5/00 |
N |
|
| U.S. v. Gambro |
D. Fla. |
$53 mill. |
|
| Medicare billing |
7/00 |
Y |
|
| New York v. St Francis Hospital |
S.D.N.Y. |
NA |
|
| Joint venture |
6/30/00 |
N |
|
| U.S. v. Michigan Masonic Home |
E.D. Pa. |
$891,000 |
|
| False reimbursement |
6/13/00 |
Y |
|
| U.S. v. Promark Holdings (MIM Corp.) |
W.D. Tn. |
$1.4 mill. |
|
| Medicaid violations |
6/00 |
Y |
|
| U.S. v. Mercer Medical C. |
D.N.J |
$449,600 |
|
| Overcharge/outpatient Services |
6/00 |
N |
|
| U.S. v. Humana Inc. |
S.D. Fla. |
$14.5 mill. |
|
| Inaccurate information |
6/00 |
Y |
|
| U.S. v MIM Corp. (ProMark Holdings) |
TN |
$2 mill. |
|
| Diversion Medicaid funds |
6/00 |
Y |
|
| U.S. v. St. Vincent's Medical Center |
D. Conn. |
$1.98 mill. |
|
| Medicare overpayments |
5/30/00 |
N |
|
| U.S. v. Griffin Hospital |
D. Conn. |
$307,000 |
|
| Medicare overpayments |
5/30/00 |
N |
|
| U.S. v. Bridgeport Hosp. |
D. Conn. |
$800,000 |
|
| Medicare overpayments |
5/30/00 |
N |
|
| U.S. v. Hospital of St. Raphael (CT) |
D. Conn. |
$8.3 mill. |
|
| Medicare Overpayments |
5/30/00 |
N |
|
| U.S. ex rel. Kohler v. Dr. Joseph Galicia |
D. Kans. |
$1.5 mill. |
|
| False Medicare claims |
5/19/00 |
Y |
|
| U.S. v. Roseland Comm. Hospital (Chicago) |
|
$5,000 |
|
| Patient dumping |
5/18/00 |
N |
|
| U.S. v. Suburban Medical Center (Paramount, Ca.) |
|
$13,000 |
|
| Patient dumping |
5/17/00 |
N |
|
| U.S. ex rel. Schrage v. Bethpage |
D. Neb. |
$296,000 |
|
| Medicaid fraud |
5/12/00 |
Y |
|
| U.S. v. Episcopal Hosp. (Philadelphia) |
|
$40,000 |
|
| Patient dumping |
5/10/00 |
N |
|
| U.S. v. Stacy Battle |
W.D. Mo. |
$85,000 |
|
| Medicaid overbilling |
5/3/00 |
N |
|
| U.S. v. Beebe Med. Cntr. |
D. Del. |
$1.4 mill. |
|
| Medicare billing |
5/2/00 |
Y |
|
| U.S. v. Lester Tyler |
D. In. |
$5,000 |
|
| Medicaid overbilling |
5/1/00 |
N |
|
| U.S. v. Gerald Levin |
D. In. |
$5,000 |
|
| Medicaid overbilling |
5/1/00 |
N |
|
| Calif. v. Guardian Postacute Services, Inc. |
Santa Clara Co. Court |
$120,000 |
|
| Patient Neglect |
5/00 |
Y |
|
| U.S. et al. v. Community Health Systems (CHS) |
NA |
$31 mill. |
|
| Upcoding |
5/00 |
Y |
|
| U.S. v. Shawnee Hills Inc. |
D.W. Va. |
$2.5 mill. |
|
| Medicaid billing |
4/28/00 |
Y |
|
| U.S. v. Geneva General Hospital (NY) |
W.D.N.Y |
$220,000 |
|
| Medicare false claims |
4/27/00 |
N |
|
| U.S. v. Geneva General Hospital (NY) |
W.D.N.Y. |
$220,000 |
|
| False claims |
4/27/00 |
N |
|
| U.S. v. Newark Cardiovascular & Thoracic Sug. |
NA |
$500,000 |
|
| Medicare billing |
4/14/00 |
N |
|
| U.S. v. Stephen F. Maberry |
N.D. TX |
$500,000 |
|
| Medicare billing |
4/14/00 |
N |
|
| U.S. v. A.B. Jones |
TX |
$1 mill. |
|
| Expense fraud |
4/13/00 |
N |
|
| U.S. v. C. Louise Maberry |
TX |
$1 mill. |
|
| Expense fraud |
4/12/00 |
N |
|
| U.S. v. Napa County, CA |
N.D. Cal. |
$975,000 |
|
| Medicare false claims |
4/12/00 |
Y |
|
| U.S. v. KALEIDA Health (f/k/a DeGraff Mem. Hosp.) |
W.D.N.Y. |
$750,000 |
|
| False billing |
4/6/00 |
C |
|
| U.S. v. Lewis-Gale Clinic |
W.D. Va. |
$345,000 |
|
| Improper reimbursement |
4/4/00 |
Y |
|
| U.S. v. Fromer |
E.D. Pa. |
$8.5 mill. |
|
| Medicare fraud |
4/4/00 |
N |
|
| U.S. ex rel. Abbott-Burdick v. University Med. Assoc. |
D.S.C. |
$5.2 mill. |
|
| Medicare billing |
4/4/00 |
N |
|
| U.S. v. Albuquerque Cab Co. |
D. N.M. |
$337,000 |
|
| Medicaid reimbursement |
4/00 |
Y |
|
| North Carolina v. Columbia/HCA Healthcare |
|
$650,000 |
|
| Medicare billing |
4/00 |
N |
|
| U.S. v. Professional Medical Transport Inc. |
D. Az. |
$1.1 mill. |
|
| Medicare fraud |
3/29/00 |
Y |
|
| U.S. v. La. State U. Health Sciences Center |
W.D.La. |
$1.5 mill. |
|
| Medicare false claims |
3/24/00 |
Y |
|
| U.S. v. St. Joseph Hosp. |
W.D.N.Y |
$121,101 |
|
| Medicare fraud |
3/23/00 |
N |
|
| U.S. v. Eisenhower Med. Center (CA) |
C.D, Cal. |
$1.3 mill. |
|
| Medicare billing |
3/21/00 |
Y |
|
| U.S. v. Inland Physicians' Service |
|
$1.4 mill. |
|
| False claims |
3/19/00 |
Y |
|
| U.S. ex rel. Tanner v. Accord Medical Mgmt. Inc. |
W.D. Tex. |
|
|
| Self-referral violations |
3/15/00 |
N |
|
| U.S. v. Audrain Med. Cntr. & |
E.D. Mo. |
$500,000 |
|
| False billing |
3/8/00 |
N |
|
| U.S. ex rel. Scott v. CGLIC (CT. Life Inc. Co.) |
D. Md. |
$9 mill. |
|
| Medicare billing |
3/7/00 |
Y |
|
| U.S. ex rel. Boettger v.The Devereux Foundation |
N.D. Ga. |
$560,000 |
|
| False cost reports |
2/21/00 |
Y |
|
| U.S. v. Home Call Inc. |
D. Md. |
$174,000 |
|
| Unlicensed therapist |
2/17/00 |
C |
|
| U.S. v. St. Mary's Hosp.of Norton |
|
$484,288 |
|
| Medicare billing |
2/15/00 |
N |
|
| U.S. ex rel. Reppine v. The Univ. of Chicago |
N.D. Ill. |
$10.9 mill. |
|
| Medicare billing |
2/10/00 |
Y |
|
| U.S. v. Princeton Medical Center |
D.N.J. |
$2.1 mill. |
|
| Medicare billing |
2/00 |
Y |
|
| U.S. v. University Med. Cntr. (UMC) of Tucson, Ariz. |
D. Ariz. |
$330,000 |
|
| Medicare billing |
2/00 |
N |
|
| U.S. v. David Falk |
E.D. Wis. |
$48,465.25 |
|
| False billing |
1/29/00 |
N |
|
| U.S. ex rel. Zello-Hughes v. Zale Lipshy Univ. Hospital |
N.D. Tex. |
$236,276 |
|
| Medicare billing |
1/28/00 |
Y |
|
| U.S. v. Grandview Hospital |
S.D. Ohio |
$695,000 |
|
| Medicare billing |
1/27/00 |
N |
|
| U.S. v. Truman Medical Center |
W.D. Mo. |
$330,000 |
|
| Medicaid billing |
1/24/00 |
Y |
|
| Florida v. Musa Hldngs (Eyeglass World) |
|
$500,000 |
|
| Business practices |
1/24/00 |
N |
|
| U.S. v. Interim HealthCare |
D. Md. |
$45,330 |
|
| False Medicare billing |
1/21/00 |
N |
|
| U.S. v. Gai-Fu Yang (UMC) of Tucson, Ariz. |
E.D. N.Y. |
$700,000 |
|
| Medicare billing |
1/12/00 |
N |
|
| U.S. ex rel. Health Out-Comes Technologies v. Greene Co. Mem. Hosp. |
E.D. Pa. |
$300,000 |
|
| Pneumonia coding violations |
1/7/00 |
Y |
|
