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HEALTHCARE FRAUD CASES

Personally Handled:

  • U.S. ex rel. Bilotta v. Novartis Pharmaceuticals Corp., 11 Civ. 0071 (PGG) (SDNY)

United States alleges that Novartis violated the Anti-Kickback Statute by paying bribes to doctors through the vehicle of sham speaker programs to induce the doctors to write scripts for certain Novartis cardiovascular drugs.

  • U.S. ex rel. John Doe v. Westchester County Health Care Corp., 11 Civ. 5329 (CM) (SDNY).

United States alleged that Westchester Medical Center billed Medicaid for millions of dollars of outpatient services at its mental health center for which it lacked core documentation required by Medicaid regulations.

Settled in 2012 for $7 million.

  • U.S. ex rel. Wolfson v. Park Avenue Medical Assocs., 11 Civ. 5107 (CM) (SDNY).

United States alleged that Park Avenue Medical Associates billed for unnecessary services, such as psychotherapy services for patients who lacked the capacity to benefit from psychotherapy, among other claims.

Settled in 2013 for $1 million.

Supervised:

  • U.S. ex rel. Feldman v. City of New York, 09 Civ. 8381 (JSR) (SDNY).

United States alleged that New York City defrauded the Medicaid program by falsely authorizing 24-hour personal care services for beneficiaries without complying with the Medicaid regulations.

Settled in 2011 for $70 million.

  • U.S. v. Beth Israel Medical Ctr., 12 Civ. 1510 (NRB) (SDNY).

United States alleged that Beth Israel obtained excessive outlier payments during the period 1998 through 2003 by “turbocharging,” which involves increasing billed charges for providing medical care in excess of any increase in the costs associated with the care.

Settled in 2012 for over $13 million.

  • U.S. v. Lenox Hill Hospital, 12 Civ. 3451 (NRB) (SDNY).

United States alleged that Lenox Hill obtained excessive outlier payments during the period 2002 through 2003 through “turbocharging.”

Settled in 2012 for nearly $12 million.