prescription or physical examination by a licensed physician from any of
his customers. He retrieved the money sent by the customers at a Western
Union location in Mexico, but shipped the drugs from Southern California
to customers throughout the United States, including the Philadelphia
Recovering Payments through Civil Enforcement:
Also in FY 2007, the Department continued its civil enforcement efforts
under the False Claims Act to combat fraud involving a wide spectrum of
health care providers and suppliers including doctors, dentists, hospitals,
pharmacies, durable medical equipment providers, home health providers, and
pharmaceutical and device manufacturers.
-- During FY 2007, the Department opened 776 new civil health care fraud
investigations, and had 743 civil health care fraud investigations
pending at the end of the fiscal year.
-- During FY 2007, the federal government won or negotiated approximately
$1.8 billion in judgments and settlements, and it attained additional
administrative impositions in health care fraud cases and proceedings.
-- The Medicare Trust Fund received transfers of approximately $797 million
during this period as a result of these efforts, as well as those of
preceding years, in addition to $266 million in federal Medicaid money
separately transferred to the Treasury as a result of these efforts.
Some recent civil enforcement actions include:
-- Baptist Health South Florida Inc.: In May 2008, Baptist Health South,
headquartered in Miami, paid $7,775,000 to settle claims that it
violated the False Claims Act and the Stark Statute between 2003 and
2005, by paying excessive compensation to an oncology group that was a
source of patient referrals to two o
|SOURCE U.S. Department of Justice|
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