BNA Document & Research Services
Health Care Fraud Settlements for 2006.

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? 

New York v. Cardinal Health Inc. NA $11 mill. Add to Cart
Drug-trading practices 12/26/06 N

U.S. v. University of Miami S.D. Fla. $2.3 mill. Add to Cart
Medicare billing 12/21/06 N

U.S. v. Michel(Larkin Community Hospital) S.D. Fla. $15 million Add to Cart
False claims & referral kickbacks 11/30/06 Y

U.S. v. Omnicare (ex rel. Lisiitza & Kammerer) N.D. Ill. $49.5 mill. Add to Cart
Prescription drug substitution 11/14/06 Y

U.S. v. InterMune Inc. N.D. Cal. $36.94 mill. Add to Cart
Illegal promotion of drug for off-label uses 10/26/06 Y

U.S. ex rel. Pitelli v. Keystone Mercy Health Plan E.D. Pa. $5 mill. Add to Cart
Failure to return overpayments to Medicaid 10/26/06 N

U.S. v. Danbury Hospital D. Ct. $2.35 mill. Add to Cart
Overbilling Medicare for patient hospital stays 10/25/06 N

U.S. v. Medco Health Solutions E.D. Pa. $8 mill. Add to Cart
False DME claims to Medicare 10/23/06 Y

U.S. ex rel. Piacentile v. Merck & Co. E.D. Pa. $155 mill. Add to Cart
False claims to govt. health plans 10/23/06 N

U.S. ex rel. Burns v. Northside Hospital N.D. Ga. $6.9 mill. Add to Cart
FCA and Stark law violations 10/20/06 N

Sutter v. Horizon Blue Cross Blue Shield of NJ N.J. Sup. Ct. NA Add to Cart
Deceptive practices 10/16/06 N

U.S. ex rel. Ghrist v. Orthoscript, James A. Nelson & Angela Isley N.D. Ga. $25,000 Add to Cart
Medicare fraud 10/13/06 N

Hoorman v. SmithKline Beecham Ill. Cir. Ct. $63.8 mill. Add to Cart
Class action settlement re. promotion of Paxil 10/6/06 NA

Michigan v. Specialized Pharmacy Services (Omnicare Inc.) Mich. Cir. Ct. $52.5 mill. Add to Cart
Medicaid fraud 10/5/06 Y

U.S. ex rel. O'Brien(Hill) v. Morehouse Medical Assoc. N.D. Ga. $987,815 Add to Cart
False Claims -code upgrading 10/3/06 N

U.S. v. Rogan (court opinion and order) N.D. Ill. $64 million Add to Cart
Defrauding Medicare & Medicaid 9/29/06 NA

U.S. ex rel. Lee v. Horizon West Inc. N.D. Cal. $14.7 mill. Add to Cart
Medicare Fraud Inflated Hours-SNF 9/26/06 Y

U.S. ex rel. Hall v. Pediatrix Med. Group D. Md. $25 mill. Add to Cart
Improper billing of health programs 9/21/06 N

U.S. v. Schering-Plough Corp. D. Mass. $435 mill. Add to Cart
Illegal sales and marketing of drugs 8/29/06 Y

U.S. ex rel. Kiern (Cole) v. Inove VNA Home Care E.D. Va. $9.6 mill. Add to Cart
False claims to Medicare & Medicaid 8/28/06 Y

U.S. v. State of North Carolina E.D. N.C. $151.5 mill. Add to Cart
Improper disbursement of Medicaid funds 8/18/06 N

U.S. v. Beverly Enterprises, Inc. N.D.Calif. $20 million Add to Cart
Fraudulent Medicare and Medicaid claims 8/18/06 N

U.S. v. Mount Sinai Med. Cntr. of Florida S.D. Fla. $3.5 million Add to Cart
Failure to report rebates and credits 8/11/06 Y

U.S. v. GlaxoSmithKline D. Mass. $70 mill. Add to Cart
Artificially inflated prices 8/10/06 N

California v. Kaiser Foundation Health Plan, Inc. $5 mill. Add to Cart
Violations of state law 8/9/06 N

U.S. ex rel. Bramble v. Advanced Physical Therapy (APT) procedures S.D. Ind. $188,115.23 Add to Cart
Improper claims to Medicare for therapeutic 7/25/06 Y

U.S. ex rel. Orbeck v. Marion Regional Healthcare Sys. D.S.C. $3.75 mill. Add to Cart
Prohibited financial transactions with Doctors 7/18/06 Y

U.S. v. Medtronic Inc. W.D. Tenn. $40 million Add to Cart
Kickbacks to Doctors 7/18/06 Y

U.S. ex rel. Russell v. Odyssey Health Care E.D. Wisc. $13 mill. Add to Cart
Medicare false claims 7/12/06 Y

U.S. v. Tenet Healthcare Corp. C.D. Cal. $900 mill. Add to Cart
Medicare billing practices 6/28/06 Y

U.S. ex rel. Drescher v. Highmark E.D. Pa. $2 mill. Add to Cart
Underpayment of amounts owed for Medicare secondary payers 6/19/06 N

U.S. v. St. Barnabas Corp. (NJ) E.D. Pa. $265 mill. Add to Cart
Inflation of Medicare billing 6/14/06 Y

Texas ex rel. Ven-a-Care of the Florida Keys Tex. Dist. Ct. $8.5 mill. Add to Cart
False reporting of drug prices to Medicaid 6/12/06 N

U.S. ex rel. Quinelly v. Piedmont Hospital N.D. Ga. $3 mill. Add to Cart
Submitting false claims 6/9/06 Y

U.S. ex rel. Smith v. Lincare Holdings Inc. and Lincare Inc. D. Mass. $526,000 Add to Cart
Overbilling Medicare 6/8/06 N

U.S. v. Mobility Products Unlimited (MPU) - Fla. M.D. Fla. $2.77 million Add to Cart
Medicare Part B fraud 5/26/06 Y

U.S. v. Chiotellis D. Mass. $1.9 million Add to Cart
Medicare billing fraud 5/17/06 Y

U.S. v. Lincare Inc.(ex rel. Martin) $10 mill. Add to Cart
Violation of ant-Kickback and Stark laws 5/15/06 Y

U.S. v. Group II Medical Supports LLC S.D.W. VA. $1.6 mill. Add to Cart
False Medicare and Medicaid billing 5/12/06 N

U.S. v. Stuart Aiken D. MD. $326,570 Add to Cart
Medicare billing 5/5/06 N

U.S. v. UHS of Delaware E.D. Pa. $1.5 mill. Add to Cart
Violation of ant-Kickback and Stark laws 4/10/06 N

U.S. v. Beebe Medical Center and DRs. Caruso and Parasher D. Del. $1 million Add to Cart
Illegal financial relationship between hospital and doctors 3/16/06 Y

U.S. ex rel. Clarke v. Diabetes Self Care W.D. Va. $9 mill. Add to Cart
Unapproved DME claims to Medicare 3/6/06 N

U.S. v. Debbi S.D.N.Y. $335,000 Add to Cart
False Medicare claims for services in nursing homes 3/1/06 N

Florida v. Tenet Healthcare Corp. S.D. Fla. $7 mill. Add to Cart
Inflated reimbursement claims 2/21/06 N

Florida v. Crouse Fla.Cir. Ct. $3 mill. Add to Cart
Sales of unauthorized health plan 2/14/06 N

Connecticut v. Essex Village & Meadowbrook Rest Home $1.2 mill. Add to Cart
False claims 2/13/06 N

U.S. ex rel. King v. Intrepid U.S.A. D. Minn. $8 mill. Add to Cart
Medicare billing 2/9/06 Y


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