DOJ Reports Recovery of Over $5 Billion from Fraud and Abuse Case Settlements and Judgments.

Date posted: December 2, 2014

The Department of Justice (DOJ) announced a $5.69 billion recovery stemming from fraud and false claim actions in fiscal year 2014.

Highlights of the recovery include:

  • More than 700 qui tam suits were filed resulting in a recovery of nearly $3 billion for the government and a government payout of $435 million to whistleblowers.
  • False claims against federal health care programs such as Medicare and Medicaid accounted for $2.3 billion of the total recovery, including the following cases:
    • Johnson & Johnson paid $1.1 billion to resolve False Claims Act violations relating to certain prescription drugs.
    • Amedisys Inc. paid $150 million to resolve allegations of improper billing and violations of the Anti-Kickback Statute (AKS).
    • Omnicare paid $116 million for an impermissible arrangement with a skilled nursing facility in violation of AKS.
    • Community Health Systems Inc. paid $98.15 million to settle allegations of improperly billing outpatient services as inpatient services.
    • Halifax Hospital Medical Center and Halifax Staffing Inc. paid $85 million to resolve alleged Stark Law violations.

The DOJ press release is available at:

http://www.justice.gov/opa/pr/justice-department-recovers-nearly-6-billion-false-claims-act-cases-fiscal-year-2014.

Department of Justice.  “Justice Department Recovers Nearly $6 Billion from False Claims Act Cases in Fiscal Year 2014.”  Justice News.  20 Nov. 2014.

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