article thumbnail

DOJ Settles Civil Cyber Fraud Initiative Case with CHS and Imposes a $930,000 Penalty

HIPAA Journal

This is the first settlement to be reached under the DOJ Civil Cyber Fraud Initiative, which was launched in 2021. The post DOJ Settles Civil Cyber Fraud Initiative Case with CHS and Imposes a $930,000 Penalty appeared first on HIPAA Journal.

Fraud 95
article thumbnail

Protected Activity Under the FCA Requires Both a Subjectively and an Objectively Reasonable Belief of Fraud

Hall Render

Healthsouth of Sarasota Limited Partnership, et al , the Eleventh Circuit held that for a plaintiff to qualify as engaging in “protected activity,” the plaintiff must demonstrate that they had both a subjectively reasonable belief of fraud and an objectively reasonable belief of fraud. Background. Retaliation Under the FCA. 3730(h)(1).

Fraud 40
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

GlaxoSmithKline Agrees to $3 Billion Settlement in Healthcare Fraud Case

The Health Law Firm

GlaxoSmithKline (GSK), a prescription drug manufacturer, has agreed to pay $3 billion in fines to resolve healthcare fraud allegations. The settlement was announced by federal prosecutors on July 1, 2012, and in a press release from the Florida Attorney General on July 2, 2012.

Fraud 40
article thumbnail

Former Tennessee Medical Group Director Sentenced to Federal Prison

Med-Net Compliance

A former Tennessee medical group director, 62, was sentenced to 18 months in federal prison for wire fraud. According to the information presented in court, from 2012 until 2020, she served as the director of risk management at a large medical group and worked at one of its hospitals.

Fraud 59
article thumbnail

Settlement Agreed with Florida Children’s Health Insurance Website Contractor to Resolve False Claims Act Allegations

HIPAA Journal

While Jelly Bean Communications Design acted as a business associate under HIPAA, the action was taken over violations of the False Claims Act under the Department of Justice’s 2021 Civil Cyber-Fraud Initiative. FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18.

article thumbnail

Former Payroll Manager Pleads Guilty to Several Tax Offenses

Healthcare Compliance Blog

In September 2012, the partnership ended, and, by court order, the sister was obligated to make payments to her partner for the purchase of the partner’s interest in the home healthcare company. Between 2012 and 2016, the payroll manager helped his sister by processing payroll that caused checks to be issued to “ghost employees.”

Fraud 45
article thumbnail

Injured Workers Pharmacy Faces Class Action Lawsuit over Email Account Breach

HIPAA Journal

The plaintiffs claim they face an imminent and ongoing risk of identity theft and fraud due to the exposure of their sensitive data to cybercriminals and have had to spend time and money protecting themselves against identity theft and fraud. The case was settled for $11 million.

Fraud 61