Davita, Inc., one of the nation’s largest providers of dialysis treatment, will pay $34 million to settle allegations that it paid kickbacks to physicians in exchange for referrals.
The Anti-Kickback Statute and the False Claims Act
The Anti-Kickback Statute (AKS) is the popular name for The Medicare and Medicaid Fraud and Abuse Statute, 42 U.S.C.

The Department of Justice’s Criminal Division launched an exciting new Corporate Whistleblower Awards Pilot Program.  Under this pilot initiative, whistleblowers who provides the government with original information about financial crimes, domestic or foreign corruption, or health care fraud involving private insurance companies may be eligible to for an award.
The Corporate Whistleblower Awards Pilot…

The False Claims Act (FCA) is one, very powerful tool that whistleblowers have available to them. In recognition of National Whistleblower Day, here are 10 fun facts about the FCA.
WLC’s Whistleblower Day “Top Ten” FCA Fact List
From Ancient Rome to Lincoln’s Law: The concept of incentivizing private citizens to report fraud dates back…

According to a recent government Press Release, Guidehouse Inc, headquartered in McLean, Virginia, and Nan McKay & Assoc. (Nan McKay), based in El Cajon, California, have agreed to pay $11.3 million to resolve allegations that they failed to meet cybersecurity requirements while administering New York’s Emergency Rental Assistance Program during the COVID-19 pandemic. This…

Magellan Diagnostics settled criminal charges for billing for faulty lead tests and concealing the malfunction from customers. Magellan, a medical device company based in Billerica, Massachusetts, will pay $42 million to settle the charges.  The defect resulted in inaccurately low lead test results for potentially tens of thousands of children and other patients. Magellan pleaded…

Contractors that do business with the federal government must adhere to specific guidelines for safeguarding sensitive information. The National Institute of Standards and Technology (NIST) issues and revises those guidelines. The guidelines ensure that controlled unclassified information (CUI) is adequately protected. Recently, NIST has updated these guidelines to enhance clarity and usability.
What is Controlled…

According to a recent DOJ Press Release, Cape Cod Hospital (CCH) has reached a $24.3 million False Claims Act settlement.  The settlement relates to the submission of improper claims to Medicare for transcatheter aortic valve replacement (TAVR) procedures.

Cape Cod Hospital Did Not Follow CMS Requirements for TAVR Procedures
According to the government, in…