Health Care Fraud

Speak Out Against Fraud

If you have evidence of fraud against the government, we are available to speak with you. Your information is crucial to ensuring companies do not take advantage of the government.

 

The False Claims Act (FCA) encourages citizens to come forward with information that will help the U.S. government combat fraud against it. Utilizing the power of the FCA, the U.S. government has recovered over $59 billion stolen from it. The U.S. government could not have done this alone. Whistleblowers play a vital role in assisting the government fight fraud. Therefore, a health care fraud whistleblower who identifies and reports FCA violations may receive a portion of the government’s recovery and is afforded protection against employer retaliation.

 

Do You Have Information Of Fraudulent Activity in the health care industry That Has Harmed The Government?

Have you seen:

  • Kickbacks to doctors or hospitals when they prescribe certain drugs
  • Bill padding, upcoding, and other fraudulent submissions to Medicare for unnecessary lab tests and nonreimbursable costs
  • Doctors prescribing unnecessary medical treatments to the detriment of their patients
  • Drugs marketed to populations for which the drugs have not been approved
  • Unethical referral schemes that give doctors huge bonuses for their participation

                                                                                    Examples Of Egregious FCA Violations Within The Health Care Field

Pfizer

Pfizer paid more than $2.3 billion in 2009 to the U.S. government to settle False Claims Act liabilities and criminal fines of $1 billion over 12 pharmaceutical products and $1.3 billion for criminal matters.

Johnson & Johnson

Johnson & Johnson settled claims in 2012 over allegations of off-label fraud and kickbacks in connection with prescription medications Risperdal, Natrecor, and Invega, paying out a total of $2.2 billion.

Tenet Healthcare

In 2006, Tenet Healthcare settled claims of fraudulent, unlawful billing practices, paying out $900 million. The organization had been accused of padding bills, falsely upcoding DRG codes, paying kickbacks to health care providers, and manipulating Medicare outlier payments.

Merck & Co.

Merck & Co. paid $650 million to the U.S. government in 2008 following allegations that it paid doctors kickbacks and failed to pay appropriate rebates to Medicaid.

HCA Healthcare Inc.

HCA Healthcare Inc. (formerly Columbia HCA) paid $631 million in 2000 after being accused of paying kickbacks to doctors and putting out fraudulent reports about costs.

TAP Pharmaceutical Products Inc.

In 2001, TAP Pharmaceutical Products Inc. was ordered to pay $559 million because of False Claims Act violations involving the pricing of medications and marketing activities.

Report Fraud Today

Contact us if you would like to discuss examples of health care fraud or any questionable conduct you have seen. Please call 1-800-350-6003 or fill out our online form. You can also email us at whistleblower@robbinsllp.com.

Having information at your fingertips is easier than ever. Enroll in Robbins LLP’s free investment monitoring service, Stock Watch, for notifications of corporate misconduct impacting the value of your investments, advice on how to hold corporate officers and directors accountable for their misconduct, and to receive information about class action settlements.