Sesolinc Group (S.D. Ga.)
The Savannah-area defense contractor was alleged to have built defective products for the U.S. military and VA. The pre-fabricated equipment systems had potential safety issues that would cause not only system failure, but also fires and electrocution. The settlement included an agreement to make extensive repairs to existing systems.
Lake Country Pharmacy (M.D. Ga.)
The Athens-area compound pharmacy and its owners settled claims brought by a former pharmacist that it was alleged to have submitted false claims to Medicare, Medicaid, and TRICARE by using non-reimbursable bulk powders in its compounds but billing for brand-name tablets.
William Beaumont Hospitals (E.D. Mich.)
This $84.5 million settlement resulted from allegations that a hospital chain engaged in unlawful agreements with its providers in order to ensure that it received their patient referrals, in violation of Anti-Kickback Statute and Stark Laws.
Georgia Pediatric Cardiology (N.D. Ga.)
Our relators—an office manager and a pediatric echocardiographer—alleged that this pediatric cardiologist upcoded his claims to Medicare and Medicaid by, among other allegations, billing for more expensive scans than were actually performed.
Nashville Pharmacy Services, LLC (M.D. Tenn.)
The Nashville-based AIDS specialty pharmacy settled allegations that it defrauded Medicare and TennCare by automatically refilling medications with patient approval, waiving copayments (a violation of the Anti-Kickback Statute), billing for medications that were dispensed after patients had died, and billing for medications without a valid prescription.
Toccoa Clinic Medical Associates, LLC (N.D. Ga.)
The North Georgia dermatology practice settled allegations that it performed and billed for medically unnecessary procedures, billed office (E/M visits) on the same days as procedures, and upcoded certain therapies and office visits, repaying the federal government $1.9 million.
Southern Spine & Pain (N.D. Ga.)
Our relators—a nurse practitioner and front office worker—alleged that the owner of this pain management practice required patients to agree to medically unnecessary and undocumented procedures in exchange for prescription pain medications.
Signal Mountain Pharmacy (E.D. Tenn.)
The Chattanooga-based compound pharmacy was alleged to have submitted false claims to Medicare for non-covered bulk product ingredients, while billing for brand-name pills.
Air Ideal, Inc. (M.D. Fla.)
Businesses in Historically Underutilized Business Zones (HUBZones) receive special certifications to be used in bidding on government contracts, and in some cases, bids are restricted to HUBZone-certified companies. This government contractor settled allegations that it falsely certified being in a HUBZone via a virtual office with no actual employees.