BNA Document & Research Services
Health Care Fraud Settlements for 2005.

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.

PartiesCourtAmount
Fraud/TopicDateCIA? 

U.S. v. Life Care Centers of America Inc. (GA) N.D. GA. $2.5 mill. Add to Cart
Fraudulent Medicare & Medicaid billing 12/22/05 Y

U.S. v. Rush Univ. Med. Cntr. (Chicago) N.D. Ill. $1 mill. Add to Cart
Improper billings 12/8/05 Y

U.S. v. St. Barnabas Health Care System D. NJ. $3.8 million Add to Cart
Medicare overcharging 12/6/05 N

New York v. New York Oncology Hematology NY Sup. Ct. $1.2 mill. Add to Cart
Medicaid billing 12/5/05 N

U.S. ex rel. Pervez v. Beth Israel Med. Cntr. S.D.N.Y. $72 mill. Add to Cart
False statements re. Medicare Reimbursements 11/30/05 Y

New York v. Americare Certified Special Services (Brooklyn, NY) $7 mill. Add to Cart
Medicaid billing for adult home services 11/21/05 N

Texas ex rel. Ven-a-Care of the Florida Keys v. Roxane Labs Tex. Dist. Ct. $10 mill. Add to Cart
Fraudulent inflation of reported wholesale price of its drugs 11/18/05 N

U.S. ex rel. Bogart v. King Pharmaceuticals, Inc. E.D. Pa. $124 mill. Add to Cart
Underpaid rebates Overcharged state and federal entities for drugs 10/31/05 Y

Florida v. King Pharmaceuticals, Inc. E.D. Pa. $4.2 mill. Add to Cart
Underpaid rebates Overcharged state and federal entities for drugs 10/31/05 N

U.S. v. Erlanger Medical Center (Tenn.) E.D.Tenn. $40 mill. Add to Cart
Stark law violations & Medicare anti-kickback violations 10/24/05 Y

U.S. v. Serono Labs D. Mass. $704 mill. Add to Cart
Illegal marketing schemes 10/17/05 Y

U.S. & State of MD. v. Maryland Gen. Hosp. (MGH) D.MD. $173,600 Add to Cart
Billing for inaccurate lab tests 9/30/05 N

Academy of Medicine of Cincinnati v. Anthem BC/BS Ky. Cir. Ct. $160 mill. Add to Cart
Conspiracy to keep reimbursement rates artificially law 9/30/05 N

U.S. v. AdminaStar Federal (U.S. ex rel. Calabrese v. AdminaStar and U.S. ex rel. Moore and Scott v. AdminaStar) W.D. Ky. $6 million Add to Cart
Tampering and altering Medicare files and claims info. 9/20/05 N

U.S. ex rel. Brown v. AdvancePCS E.D. Pa. $137.5 mill. Add to Cart
Kickbacks 9/7/05 Y

U.S. v. GlaxoSmithKline S.D. Fla. $150 mill. Add to Cart
Pricing and marketing fraud re. Zofran & Kytril 9/2/05 Y

U.S. ex rel. Razin v. Eisenhower Med. Centr. C.D. Cal. $8 mill. Add to Cart
Overbilling of federal Health ins. programs 8/31/05 N

U.S. ex rel. Garner v. Anthem Insurance COs. S.D. Ohio $1.5 mill. Add to Cart
Overcharged FEHB 8/08/05 N

Tenet Healthcare Cases II (class action settlement) Cal. Super. Ct. Undetermined Add to Cart
Overpricing of drugs and medical products and services 8/5/05 N

U.S. ex rel. Reilly v. Catskill Reg. Med. Cntr.(Mt. Vernon Hosp.) S.D.N.Y. $2.65 mill. Add to Cart
Illegal Patient referral 7/28/05 Y

U.S. v. Central Montgomery Med. Cntr (CMMC) E.D. Pa. $200,000 Add to Cart
Failure of care 7/25/05 N

In re Managed Care Litigation - Wellpoint Inc. S.D. Fla. $198 mill. Add to Cart
Violation of federal racketeering and state prompt-pay laws 7/11/05 N

U.S. v. AmeriChoice of Pennsylvania Inc. E.D.Pa. $1.6 million Add to Cart
Claims processing 6/30/05 Y

U.S. ex rel. Falla v. Patel D. Mass. $400,000 Add to Cart
Government health program fraud 6/27/05 Y

U.S. ex rel. Buckman v. Rural Metro Corp. and Donlock, Ltd. M.D. Pa. $1.56 mill. Add to Cart
False claims for ambulance servcs. 6/21/05 N

U.S. v. Weill Medical College of Cornell U. S.D. N.Y. $4.4 million Add to Cart
Misuse of funds awarded by NIH 6/21/05 N

U.S. ex rel. Hudnall and State of Texas v. ResCare N.D. Tex. $2.1 million Add to Cart
Medicaid fraud 6/14/05 N

U.S. v. EMSCO Billing (ex rel. Trombetta & Freeman) N.D.Ill. $700,000 Add to Cart
Medicare/Medicaid overbilling 5/24/05 N

U.S. v. Abington Mem. Hospital (Pa.) E.D.Pa. $4.2 million Add to Cart
False claims for clinical lab tests 5/24/05 Y

U.S. ex rel. Long v. Mayo Foundation D.Minn $6.5 mill. Add to Cart
False Grant Expensing 5/23/05 N

New York v. Staten Island Univ. Hospital N.Y.Sup.Ct. $76.5 mill. Add to Cart
Medicaid overbilling 5/17/05 N

U.S. v. MedStar Health Visiting Nurse Assoc. $1.3 million Add to Cart
Fraudulent cost reports 5/9/05 Y

In re Managed Care Litigation - Prudential Financial Inc. S.D. Fla. $22.2 mill. Add to Cart
Violation of federal racketeering and state prompt-pay laws 5/3/05 N

U.S. v. Hospital of St. Raphael (Conn.) D.Conn. $632,000 Add to Cart
Medicare fraud 5/3/05 Y

In re Managed Care Litigation - Health Net Inc. S.D. Fla. $140 mill. Add to Cart
Violation of federal racketeering and state prompt-pay laws 5/3/05 N

U.S. v. St. Joseph Mercy Oakland (SJMO) $4 million Add to Cart
Improper remunerations to physicians 4/29/05 N

U.S. v. GlaxoSmithKline E.D.N.C. Bond only Add to Cart
Pharmaceutical manuf. deficiencies in P.R. 4/28/05 N

New York v. Omnicare Inc.(10 subsidiaries) $5.75 mill. Add to Cart
Medicaid billing 4/28/05 N

U.S. ex rel. Gober v. Univ. of Alabama N.D.Ala. $3.39 mill. Add to Cart
Medicare billing 4/14/05 C

U.S. ex rel. Harris v. Dr. Bernad and Neurology Services Inc. D.D.C. $122,500 Add to Cart
Medicare billing 4/13/05 N

U.S. v. Cares R Us Home Health Care E.D.Wisc. $250,000 Add to Cart
Medicaid billing 3/28/05 N

U.S. ex rel. Gorumba v. Cancer Treatment Centers of America W.D.Wash. $478,000 Add to Cart
Medicare/Tricare billing 3/18/05 Y

U.S. v. Novartis S.D. Ill. $49.2 mill. Add to Cart
Marketing practices 2/11/05 Y

U.S. ex rel. Satchell v. Assessment and Treatment Alternatives (ATA) E.D.Pa. $325,000 Add to Cart
Medicaid fraud 1/27/05 Y

U.S. ex rel. Reilly v. Catskill Reg. Med. Cntr. S.D.N.Y. $1.5 mill. Add to Cart
Patient referral 1/7/05 Y


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