FCA Settlements - Fried Frank

546kB Size 9 Downloads 16 Views

May 13, 2002 ... Copies of FCA settlement agreements can usually be obtained under a ...... James H. Bowen, Jr.,of The Bowen Family Chiropractic Center, Inc.
FCA Settlements Copies of FCA settlement agreements can usually be obtained under a Freedom of Information Act request to the Department of Justice. For information on how to file a FOIA request, see the DOJ web page at: www.usdoj.gov/04foia/index.html. DATE:

12/14/05

COMPANY:

Williams Brothers Construction Co.

ALLEGATIONS:

Knowing violation of disadvantaged business enterprise contracting requirements in federally funded Texas highway construction projects

AMOUNT:

$3 million

DATE:

11/1/05

COMPANY:

King Pharmaceuticals

ALLEGATIONS:

Underpaid rebates owed under the Medicaid program and overcharged various federal and state government entities for its drug products

AMOUNT:

$124 million

DATE:

10/18/05

COMPANY:

Staples Contract and Commercial

ALLEGATIONS:

Sold office supply products manufactured in countries not permitted by the Trade Agreement Act to US government agencies

AMOUNT:

$7.4 million

RELATORS’ SHARE:

$1.11 million

DATE:

10/17/05

COMPANY:

Serono

ALLEGATIONS:

Off-label marketing of the drug Serostim and paying kickbacks to doctors

AMOUNT:

$567 million

RELATORS’ SHARE:

$51.8 million

We are required under the New York State Code of Professional Responsibility to inform you that the contents of this document are considered Attorney Advertising and that prior results do not guarantee a similar outcome. Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

1

DATE:

9/26/05

COMPANY:

Gambro Healthcare Inc.

ALLEGATIONS:

Improperly billed Medicaid

AMOUNT:

$37.5 million

DATE:

9/20/05

COMPANY:

AdminaStar Federal, Inc.

ALLEGATIONS:

Interfered with Medicare evaluation and overcharged the federal healthcare program

AMOUNT:

$6 million

DATE:

9/19/05

COMPANY:

Office Depot, Inc.

ALLEGATIONS:

Sold office supply products manufactured in countries not permitted by the Trade Agreements Act to US government agencies

AMOUNT:

$4.75 million

RELATOR’S SHARE:

$712,500

DATE:

September 2005

COMPANY:

Caremark Rx Inc. and its predecessor, Advance PCS

ALLEGATIONS:

Receiving kickbacks from drug manufacturers seeking favorable treatment under Advance PCS's contracts with government programs, including the Federal Employees Health Benefit Program and the Medicare+Choice Program

AMOUNT:

$137.5 million

DATE:

September 2005

COMPANY:

GlaxoSmithKline

ALLEGATIONS:

Fraudulent scheme to set and maintain inflated prices for two of its drugs used in oncology and radiation treatments, Zofran and Kytil

AMOUNT:

$150 million

FEDERAL SHARE:

$140 million

STATES' SHARE:

$10 million

RELATORS’ SHARE:

$26 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

2

DATE:

8/8/05

COMPANY:

Anthem Insurance Companies

ALLEGATIONS:

Overcharged the Federal Employee Health Benefits Program (FEHBP)

AMOUNT:

$1.5 million

DATE:

August 2005

COMPANY:

Harvard University

ALLEGATIONS:

Violating a conflict of interest provision in an agreement with the United States Agency for International Development under which Harvard received government funds for assisting in the development of capital markets and foreign investments in Russia.

AMOUNT:

$26.5 million

DATE:

7/11/05

COMPANY:

COMPANY/PERSON: PriceWaterhouseCoopers, LLC

ALLEGATIONS:

Made full claims to federal agencies for reimbursement despite receiving rebates on travel expenses from travel and credit card companies, airlines, hotels, rental car agencies, and travel service providers.

AMOUNT:

$1.9 million

DATE:

6/30/05

COMPANY:

Humanscale Corporation (formerly Softview Computer Products)

ALLEGATIONS:

Failed to disclose current accurate and complete discount and pricing information to the General Services Administration contract negotiators and failed to comply with the pricing reduction clauses for three of its GSA Multiple Award Schedule contracts.

AMOUNT:

$9 million

RELATOR’S SHARE:

$1,575,000

DATE:

6/23/05

COMPANY:

Turner Construction Company

ALLEGATIONS:

Receiving credits for bonds on dozens of federal contracts without passing the credits along to the federal government.

AMOUNT:

$6.6 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

3

DATE:

5/26/05

COMPANY:

The Mayo Foundation

ALLEGATIONS:

Charged the government costs unrelated to research projects sponsored by federal grants.

AMOUNT:

$6.5 million

RELATORS’ SHARE:

$1.3 million

DATE:

5/19/05

COMPANY:

OfficeMax, Inc.

ALLEGATIONS:

Sale of office supply products manufactured in countries not permitted by the Trade Agreement Act, such as China, to U.S. government agencies.

AMOUNT:

$9.8 million

DATE:

5/16/05

COMPANY:

Resurgens Surgery Center

ALLEGATIONS:

False claims to Medicare and Medicaid.

AMOUNT:

$2.5 million

RELATOR'S SHARE:

28 percent

DATE:

5/13/05

COMPANY:

Oracle Corp.

ALLEGATIONS:

Fraudulent billing for training employees from 1997-2003.

AMOUNT:

$8 million

RELATORS’ SHARE:

$1.58 million

DATE:

5/3/05

COMPANY:

Hospital of St. Raphael

ALLEGATIONS:

Unnecessary performance of dialysis-related treatments on an in-patient basis

AMOUNT:

$632,000

DATE:

4/21/05

COMPANY:

Kaiser Foundation Health Plan Inc.

ALLEGATIONS:

Inaccurate claims to Medicare

AMOUNT:

$1 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

4

DATE:

4/05

COMPANY:

Penn’s Institute for Human Gene Therapy (IHGT)/ The Children’s National Medical Center (CNMC)/ University of Pennsylvania

ALLEGATIONS:

Misrepresented the actual clinical findings associated with the study and did not disclose all anticipated toxicities which should have resulted in the termination of the project.

AMOUNT:

IHGT-$517,496; CNMC-$514,622

DATE:

3/18/05

COMPANY:

American Ambulance of Norwich

ALLEGATIONS:

Filing false claims to the Medicare, Medicaid, and TRICARE programs

AMOUNT:

$1.6 million

DATE:

3/18/05

COMPANY:

Seattle Cancer Treatment and Wellness Center

ALLEGATIONS:

Overbilling Medicare and TRICARE for health care services not performed

AMOUNT:

$478,000

RELATORS’ SHARE:

$95,600 plus and additional $180,000 (paid directly by the Center) for wrongful termination claim

DATE:

3/16/05

COMPANY:

University of Medicine and Dentistry of New Jersey

ALLEGATIONS:

“PATH” (“Physicians at Teaching Hospitals”) initiative claims

AMOUNT:

$1.4 million

DATE:

3/15/05

COMPANY:

The University of Colorado Hospital

ALLEGATIONS:

Overbilling of Medicare, Medicaid and TRICARE through improper classification of patients

AMOUNT:

$755,272

DATE:

¾/05

COMPANY:

Mid-West Podiatry and Associates

ALLEGATIONS:

False billing practices involving automatically generated information

AMOUNT:

$574,014

DATE:

3/2/05

COMPANY:

Harlan, Sprague, Dawley Inc.

ALLEGATIONS:

Providing genetically defective rodents to the nation’s top research institution and submitting false

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

5

DATE:

3/2/05 information that hid the problem

AMOUNT:

$7.2 million

DATE:

2/15/05

COMPANY:

Florida International University (FIU)

ALLEGATIONS:

Mischarging of costs and overbilling under several contracts and grants with the Department of Energy

AMOUNT:

$11.5 million

DATE:

February 2005

DEFENDANT:

Timothy C. Spayne

ALLEGATIONS:

Inflating billable hours paid by the U.S. Navy for representing employees of Electric Boat in workers' compensation cases.

AMOUNT:

$1.24 million

DATE:

1/17/05

COMPANY:

Catskill Regional Medical Center

ALLEGATIONS:

Illegal kickbacks for patient referrals

AMOUNT:

AMOUNT: $1.5 million

DATE:

12/30/04

COMPANY:

HealthSouth Corporation

ALLEGATIONS:

Submission of false and improper claims for reimbursement and unallowable costs, reclassification of procedures and improper billing

AMOUNT:

$325 million

DATE:

12/15/04

COMPANY:

Columbia Hospital Corp.

ALLEGATIONS:

Overbilled Massachusetts Medicaid program by exaggerating the disability levels of dozens of its developmentally disabled clients

AMOUNT:

$960,000

RELATOR’S SHARE:

$160,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

6

DATE:

12/14/04

COMPANY:

United Healthcare

ALLEGATIONS:

Submission of false performance reports to Medicare in connection with DME claims processing contract; knowing mishandling of beneficiary telephone inquiries

AMOUNT:

$3.5 million

RELATOR'S SHARE:

$647,500

DATE:

12/13/04

COMPANY:

United Healthcare Insurance Co.

ALLEGATIONS:

Telephone response unit falsely reported its performance when billing Medicare and Medicaid

AMOUNT:

$3.5 million

RELATOR’S SHARE:

$647,500

DATE:

12/2/04

COMPANY:

Polymedica Corporation; Liberty Medical Supply, and Liberty Home Pharmacy

ALLEGATIONS:

Submission of claims to Medicare without proper documentation, including 1) signed physician orders 2) documentary proof of oral orders before shipping products, and 3) written authority from beneficiaries to bill Medicare on the beneficiaries' behalf

AMOUNT:

$35 million

DATE:

12/2/04

COMPANY:

Gambro Healthcare

ALLEGATIONS:

Payment of kickbacks to physicians (in the form of above-market value payments for medical directorships and illegal joint venture payments); false statements to obtain payment for unnecessary services; improper billing of durable medical equipment through shell corporation in order to obtain higher reimbursement rates; overbilling for medically unnecessary services (including nerve conduction tests, bone density tests, and cardiograms) and medications (including vitamin D, iron, and Epogen)

AMOUNT:

$310.5 million to resolve civil FCA claims, plus $25 million criminal fine and approximately $15 million to state Medicaid programs, with criminal plea by Gambro Supply Corp. (which will be permanently excluded from the Medicare program)

RELATOR'S SHARE:

$56 million

DATE:

12/1/04

COMPANY:

20 faculty practice corporations associated with Loma Linda University

ALLEGATIONS:

PATH violations; upcoding

AMOUNT:

$2.2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

7

DATE:

11/2/04

COMPANY:

Hunt Memorial Hospital District in Texas

ALLEGATIONS:

Submission of false claims to Medicare by Presbyterian Hospital of Greenville

AMOUNT:

$406,000

RELATOR’S SHARE:

17%

DATE:

10/28/04

COMPANY:

Adventist Health System Sunbelt Healthcare Corp.; Regional Emergency Services

ALLEGATIONS:

False physician certifications regarding medical necessity of ambulance services

AMOUNT:

$20.3 million (with approximately $1.9 million to be awarded to one relator, and approximately $500,000 to another)

DATE:

10/4/04

COMPANY:

Photon Research Associates; James A. Meyer

ALLEGATIONS:

Inflated bills submitted in connection with Department of Defense contracts

AMOUNT:

$1.9 million

RELATOR'S SHARE:

$361,000

DATE:

9/29/04

COMPANY:

Boeing Corp.

ALLEGATIONS:

Non-compliance with federal law requiring the use of domestically melted titanium in certain military aircraft

AMOUNT:

$6,000,454, plus provision of free aircraft parts worth more than $1.4 million

DATE:

9/22/04

COMPANY:

NYU Downtown Hospital

ALLEGATIONS:

False claims to Medicaid for obstetrical services that were provided by midwives, unattended residents or non-Medicaid providers

AMOUNT:

$2.1 million

DATE:

8/25/04

COMPANY:

Omnicare of Maine

ALLEGATIONS:

False claims for prescriptions switched without proper physician authorization

AMOUNT:

$1.08 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

8

DATE:

8/23/04

COMPANY:

Vortec Corp.

ALLEGATIONS:

False claims for cost reimbursements sought in connection with a Department of Energy contract to recycle hazardous wastes

AMOUNT:

$4.5 million

RELATOR'S SHARE:

$1.08 million

DATE:

8/13/04

COMPANY:

Accordis, Inc. (a subsidiary of HMS Holdings Corp.)

ALLEGATIONS:

False claims to Medicare and Medi-Cal, including Medi-Cal claims for abortion services that did not meet criteria for federal payments; misrepresentation of services performed

AMOUNT:

$1.4 million

DATE:

8/12/04

COMPANY:

Traveler's Insurance Co; United Healthcare Insurance Co.

ALLEGATIONS:

False claims in connection with performance of Medicare Part A fiscal intermediary and Part B carrier services; alleged falsification of costs in order to increase reimbursement and to obtain performance incentive payments

AMOUNT:

$10.9 million (paid by Traveler's Insurance Co.); $9.7 million (paid by United Healthcare Insurance Co.)

DATE:

8/12/04

COMPANY:

Downey Regional Medical Center

ALLEGATIONS:

False claims to Medicare for nonreimbursable expenses, including interest expenses associated with revenue bonds, lobbying, legal and marketing expenses, and consulting and management fees

AMOUNT:

Approximately $2.2 million (reportedly approximately double the damages alleged)

DATE:

8/6/04

COMPANY:

Leonard Ginsburg, Mercy Community Hospital; Brandywine Hospital

ALLEGATIONS:

Alleged Stark and Anti-Kickback Statute violations involving the provision of director fees, space, equipment and other services to physician

AMOUNT:

$1.5 million

RELATOR'S SHARE:

19%

DATE:

7/30/04

COMPANY:

Schering-Plough Corporation; Schering Sales Corp.

ALLEGATIONS:

Anti-Kickback Statute violation (alleged payment of $1.8 million disguised as "data fee" to an HMO customer in exchange for preferred treatment of Claritin on HMO's formulary); failure to accurately

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

9

DATE:

7/30/04 report Claritin best price for purposes of the Medicaid Drug Rebate Statute; provision of health management services at below fair market value prices; provision of prepaid rebates, which were characterized by the government as an "interest free loan"

AMOUNT:

$292,969,482 to resolve civil liabilities; $52.5 million criminal fine associated with AKS guilty plea by Schering Sales Corp.

RELATOR'S SHARE:

$31,662,173 to three relators

DATE:

7/22/04

COMPANY:

Nicholas Dorich; Doctor's Choice Home Medical Equipment of Largo, Inc.

ALLEGATIONS:

False claims to Medicare and Medicaid for DME items

AMOUNT:

Approximately $1.4 million

DATE:

7/04

COMPANY:

Educators Mutual Insurance Association of Utah

ALLEGATIONS:

Medicare Secondary Payer rule violations relating to kidney transplant and dialysis services

AMOUNT:

$2,860,000

RELATOR'S SHARE:

$457,600

DATE:

7/04

COMPANY:

Bankers Insurance Co.

ALLEGATIONS:

Submission of monthly reports that omitted interest due to the government

AMOUNT:

$800,000

DATE:

6/30/04

COMPANY:

Inglis Durable Medical Equipment, a subsidiary of Inglis Foundation

ALLEGATIONS:

Submission of false claims for power wheelchairs

AMOUNT:

$335,849

DATE:

6/30/04

COMPANY:

Majestic Oaks Nursing Home (Warminster, PA)

ALLEGATIONS:

False claims for substandard nursing home care

AMOUNT:

$50,000, plus payment of $25,000 to a fund to improve residents’ quality of life, plus up to $50,000 for consultants to assist with compliance with the settlement agreement

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

10

DATE:

6/28/04

COMPANY:

Banner Health (formerly known as Lutheran Health Systems)

ALLEGATIONS:

False claims to Medicare for home health visits, which were either not reasonable and necessary or for which the amount, frequency and duration of services were not reasonably necessary

AMOUNT:

$6.1 million

RELATOR'S SHARE:

$1 million

DATE:

6/25/04

COMPANY:

Wal-Mart Stores, Inc.

ALLEGATIONS:

False claims for partially filled (or "short") prescriptions

AMOUNT:

$2,866,904

RELATOR'S SHARE:

$95,766.22

DATE:

6/25/04

COMPANY:

Rite Aid Corporation

ALLEGATIONS:

False claims for drugs never delivered to federal program; the drugs were later returned to stock

AMOUNT:

$7 million ($5.6 million to federal government and $1.4 million to participating states)

RELATOR'S SHARE:

$1.065 million to one relator; $55,000 to a second relator

DATE:

6/23/04

COMPANY:

Radiology Regional Center

ALLEGATIONS:

False claims to Medicare for screening mammograms improperly billed as diagnostic procedures; false claims for procedures and imaging services that were not ordered by treating physicians; double billing for arterial or venous studies

AMOUNT:

$2.53 million

RELATOR'S SHARE:

$443,378

DATE:

5/27/04

COMPANY:

Nippon Electric Co. (NEC)

ALLEGATIONS:

False claims for to the Federal Communications Commission E- Rate program; submission of false information relating to goods and services provided to public schools

AMOUNT:

$10.3 million, plus provision of $5.6 million in goods and services to California school districts; a subsidiary (NEC Business Network Solutions, Inc.) also plead guilty to bid-rigging and wire fraud allegations

DATE:

5/13/04

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

11

DATE:

5/13/04

COMPANY:

Warner-Lambert (subsequently purchased by Pfizer, Inc.)

ALLEGATIONS:

Company’s Parke-Davis division fraudulently promoted unapproved uses for its anti-seizure drug Neurontin.

AMOUNT:

$430 million. Component parts of the settlement: $240 million criminal fine (second largest in health care fraud case to date), $83.6 million plus interest for federal Medicaid program damages, $68.4 million plus interest for state Medicaid program damages, $38 million plus interest to states for consumers and remediation program.

RELATOR ’S SHARE:

$24.64 million

DATE:

5/7/04

COMPANY:

Galichia Medical Group

ALLEGATIONS:

Performing medically unnecessary services.

AMOUNT:

$1.5 million over six years

DATE:

5/3/04

COMPANY:

Schering Corp., Schering-Plough Corp., and Warrick Pharmaceuticals Corp.

ALLEGATIONS:

Warrick submitted false pricing information, resulting in inflated reimbursements for drugs.

AMOUNT:

$27 million (paid to the United States and Texas)

DATE:

5/04

COMPANY:

Bondcote Corp.

ALLEGATIONS:

Use of a prohibited cancer-causing chemical compound in material for equipment supplied to U.S. armed forces.

AMOUNT:

Approximately $1.7 million, plus $250,000 in fines, and $60,000 in community service projects (awaiting court approval).

DATE:

5/04

COMPANY:

WorldCom, Inc., now known as MCI

ALLEGATIONS:

Passing on to the government excessive costs and fees for long-distance company use of local telephone company facilities.

AMOUNT:

$27 million plus $670,000 in credits from MCI

DATE:

5/04

COMPANY:

Regency Nursing and Rehabilitation Center (now owned by Millennium Holdings VI LLC

ALLEGATIONS:

Cost report fraud

AMOUNT:

$232,000, plus five year exclusion for the nursing facility and its owner operator (Robert C. Bristol)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

12

DATE:

4/21/04

COMPANY:

Highmark, Inc.

ALLEGATIONS:

Company’s Veritus division tampered with and altered Medicare files and claims information to improve its performance on Medicare evaluations.

AMOUNT:

$1.5 million

DATE:

4/21/04

COMPANY:

Health Line Clinical Labs, Aramais Paronyan, M.D., and Natella Lalabekyan

ALLEGATIONS:

False claims to Medicare and Medicaid for medically unnecessary blood tests

AMOUNT:

$10 million

DATE:

4/5/04

COMPANY:

Eastern Panhandle Mental Health Center, d/b/a/ Eastridge Health Systems

ALLEGATIONS:

Overbilling for mental health services

AMOUNT:

$500,000

DATE:

4/1/04

COMPANY:

CMC Electronics of Montreal

ALLEGATIONS:

Charging inflated costs and delivering used and surplus parts instead of new equipment to the U.S. Army for its Patriot missile program.

AMOUNT:

$9.6 million

RELATOR’S SHARE:

$1.5 million

DATE:

3/24/04

COMPANY:

Tenet Healthcare Corp.

ALLEGATIONS:

FCA violations arising from Stark Law violations; improper hospital cost report claims for services referred by doctors with whom defendant had prohibited financial relationships

AMOUNT:

$22.5 million

RELATOR'S SHARE:

$5.18 million

DATE:

3/22/04

COMPANY:

SunGard Business Systems

ALLEGATIONS:

Overstated labor hours performed under a subcontract

AMOUNT:

$425,000

RELATOR'S SHARE:

$85,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

13

DATE:

3/15/04

COMPANY:

Fisher and Fisher PC

ALLEGATIONS:

False claims to federal agencies, including HUD and the VA, for legal services relating to mortgage foreclosures

AMOUNT:

$676,852

RELATOR'S SHARE:

$169,213

DATE:

3/11/04

COMPANY:

Montefiore Medical Center

ALLEGATIONS:

Improper retention of Medicare overpayments

AMOUNT:

$12 million

DATE:

3/3/04

COMPANY:

Quest Diagnostics, Inc.

ALLEGATIONS:

Charging federal health care programs for medically unnecessary tests

AMOUNT:

$11.35 million

DATE:

2/26/04

COMPANY:

Johns Hopkins University

ALLEGATIONS:

Non-compliance with federal research effort reporting regulations

AMOUNT:

$2.6 million

RELATOR'S SHARE:

$439,000

DATE:

2/6/04

COMPANY:

National Mentor Healthcare Inc.

ALLEGATIONS:

False claims to New Mexico Medicaid for services not provided

AMOUNT:

$1.17 million ($292,500 to state)

RELATOR'S SHARE:

$157,950

DATE:

2/2/04

COMPANY:

Coast Plaza Doctors Hospital and the Estate of Gerald J. Garner

ALLEGATIONS:

False claims to Medicare for expenses not actually incurred

AMOUNT:

$4.1 million (2.5 times single damages)

RELATOR'S SHARE:

17.5 %, or approximately $718,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

14

DATE:

1/20/04

COMPANY:

Kerlan-Jobe Orthopaedic Clinic

ALLEGATIONS:

False claims to Medicare, Medical, and other federal healthcare programs

AMOUNT:

$2.65 million

RELATOR'S SHARE:

$556,500

DATE:

1/15/04

COMPANY:

Shelby Memorial Hospital (Illinois)

ALLEGATIONS:

Improper coding of claims to Medicare

AMOUNT:

$1.75 million

DATE:

1/04

COMPANY:

Cleveland Clinic

ALLEGATIONS:

False cost report claims for non-home-health costs associated with Meridia Health System

AMOUNT:

$2.3 million

DATE:

12/23/03

COMPANY:

Science and Applied Technologies, Inc.

ALLEGATIONS:

False claims regarding advanced anti-radiation guided missile program

AMOUNT:

$3,049,098

DATE:

12/10/03

COMPANY:

Metropolitan Hospital (Grand Rapids, Michigan)

ALLEGATIONS:

FCA violations arising from Stark Law and Medicare Anti- Kickback statute violations; billing federal health care programs for services lacking proper documentation

AMOUNT:

$6.25 million

RELATOR'S SHARE:

$1.125 million

DATE:

12/10/03

COMPANY:

Metropolitan Hospital

ALLEGATIONS:

Stark violations

AMOUNT:

250,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

15

DATE:

12/8/03

COMPANY:

Dr. Raphael Farra

ALLEGATIONS:

Multiple claims for 45-170 patients per day

AMOUNT:

$285,000

DATE:

12/1/03

COMPANY:

Health America Pennsylvania, Inc.

ALLEGATIONS:

Failure to apply market price adjustment

AMOUNT:

$29,006,771

DATE:

11/20/03

COMPANY:

Cathedral Healthcare System, Inc.

ALLEGATIONS:

Billing at inpatient rate for outpatient services

AMOUNT:

$1.5 Million

DATE:

11/20/03

COMPANY:

Cooper Health System

ALLEGATIONS:

Services not provided by faculty members as represented (PATH allegations)

AMOUNT:

$476,544

DATE:

11/17/03

COMPANY:

University of Illinois

ALLEGATIONS:

False claims relating to patient eligibility for transplant services

AMOUNT:

2.3 million ($751,000 to state of Illinois)

RELATOR'S SHARE:

$250,000

DATE:

11/12/03

COMPANY:

Western Maryland Health System, Inc.

ALLEGATIONS:

Upcoding; billing for unauthorized high-risk procedures

AMOUNT:

$1.6 million

DATE:

10/30/03

COMPANY:

Intrepid of North Carolina Inc.

ALLEGATIONS:

False claims to the North Carolina Medicaid program for services not provided, for medically

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

16

DATE:

10/30/03 unnecessary services, and for services that were provided by beneficiary family members and billed as private duty nursing.

AMOUNT:

$865,000 ($198,256 to relator)

DATE:

10/28/03

COMPANY:

Vantage Group, Inc.

ALLEGATIONS:

Misuse of non-profit mail rate

AMOUNT:

$4.5 million

DATE:

10/10/03

COMPANY:

Bank of China

ALLEGATIONS:

Institution allegedly financed scheme to falsify origin of mushrooms to avoid anti-dumping duties

AMOUNT:

$5.25 million

DATE:

10/8/03

COMPANY:

Howmet Casings

ALLEGATIONS:

False claims for products that did not meet contract specifications

AMOUNT:

$4 million (damages alleged by government: $2.2 million

DATE:

10/2/03

COMPANY:

General Living Centers, Inc.

ALLEGATIONS:

Failure of Care

AMOUNT:

$750,000

DATE:

10/1/03

COMPANY:

St. Louis University

ALLEGATIONS:

Services provided by interns/residents

AMOUNT:

$1.8 million

DATE:

10/1/03

COMPANY:

Columbia University

ALLEGATIONS:

Billing for ineligible services; upcoding

AMOUNT:

$480,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

17

DATE:

9/25/03

COMPANY:

Amedisys Specialized Medical Services, Inc.

ALLEGATIONS:

Billing for services not rendered; false cost report

AMOUNT:

$1,156,000

DATE:

9/24/03

COMPANY:

Dr. Raymond Weitzman

ALLEGATIONS:

Billing for services not rendered

AMOUNT:

$571,451

DATE:

9/24/03

COMPANY:

Dr. Thomas Herbert

ALLEGATIONS:

Improper billing for services performed by physician’s assistant

AMOUNT:

$295,596

DATE:

9/22/03

COMPANY:

State of North Carolina

ALLEGATIONS:

The State Division of Mental Health, Developmental Disabilities and Substance Abuse was accused of improperly billing the federal government for foster care training costs, and of failing to document actual costs spent on day care services.

AMOUNT:

Cash payments totaling $20 million; disallowance of $3.8 million in federal funding. The State also agreed to implement a new system for keeping records on child care expenditures.

DATE:

9/18/03

COMPANY:

Federal Property Management Corporation

ALLEGATIONS:

False statements in connection with Section 8 housing

AMOUNT:

$400,000

DATE:

9/16/03

COMPANY:

Orthofix, Inc.

ALLEGATIONS:

Medical device sold for unapproved use

AMOUNT:

$1,575,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

18

DATE:

9/9/03

COMPANY:

Missouri Bone and Joint Center, Inc.

ALLEGATIONS:

Miscoding of diagnostic charges for physical therapy

AMOUNT:

$145,208

DATE:

9/8/03

COMPANY:

Griffin Health Services Corporation

ALLEGATIONS:

Failure to maintain records regarding narcotics

AMOUNT:

$180,000

DATE:

9/03

COMPANY:

Angel Medical Center

ALLEGATIONS:

pcoding

AMOUNT:

$1,100,000

DATE:

9/03

COMPANY:

Eye Care Center of Baton Rouge

ALLEGATIONS:

Services performed by physician’s assistant

AMOUNT:

$295,596

DATE:

8/28/03

COMPANY:

Mary J. Drexel Home

ALLEGATIONS:

Failure to provide adequate nursing home care

AMOUNT:

$875,000

DATE:

8/27/03

COMPANY:

Lockheed Martin Corporation

ALLEGATIONS:

Improperly inflated cost of performing several Air Force contracts

AMOUNT:

$37,900,000

DATE:

8/22/03

COMPANY:

Williams International Co. LLC

ALLEGATIONS:

Defective engines for target drone aircraft

AMOUNT:

$2.1 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

19

DATE:

8/18/03

COMPANY:

Regional Development Behavioral Health Centers, Inc.

ALLEGATIONS:

Seeking payments for ineligible patients, unjustified services, etc.

AMOUNT:

$1,299,000

DATE:

8/14/03

COMPANY:

Corrections Pharmacies LLC

ALLEGATIONS:

Failure to refund overpayments

AMOUNT:

$850,000

DATE:

8/06/03

COMPANY:

Tenet Healthcare Corporation

ALLEGATIONS:

Performance of allegedly unnecessary cardiac procedures

AMOUNT:

$54 million ($51.35 million to the federal government and $2.65 million to the State of California)

DATE:

8/5/03

COMPANY:

Shell Oil Company

ALLEGATIONS:

Unauthorized venting and flaring of gas in the Gulf of Mexico; the energy company also allegedly failed to properly report, or pay royalties on the vented and flared gas

AMOUNT:

$49 million

DATE:

8/1/03

COMPANY:

Dr. George Kalousek

ALLEGATIONS:

Upcoding

AMOUNT:

$250,000

DATE:

8/1/03

COMPANY:

Elias C. Dow

ALLEGATIONS:

Upcoding

AMOUNT:

$185,000

DATE:

7/28/03

COMPANY:

BiState Rehab, Inc.

ALLEGATIONS:

Therapy services not provided

AMOUNT:

$580,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

20

DATE:

7/23/03

COMPANY:

Abbott Laboratories, Inc.

ALLEGATIONS:

Misleading Medicare regarding discounts and per product cost of enteral products

AMOUNT:

$400 million

DATE:

7/16/03

COMPANY:

Pennock Hospital

ALLEGATIONS:

Upcoding

AMOUNT:

$850,000

DATE:

7/2003

COMPANY:

Northwestern Memorial Hospital

ALLEGATIONS:

Unnecessary medical services

AMOUNT:

$23,587

DATE:

7/2003

COMPANY:

University of Chicago Hospitals

ALLEGATIONS:

False claims relating to transplant services

AMOUNT:

$115,000

DATE:

7/2003

COMPANY:

Lamoille Ambulance Service

ALLEGATIONS:

Billing federal programs for unnecessary ambulance services

AMOUNT:

$225,000

DATE:

6/26/03

COMPANY:

HCA, Inc. (formerly Columbia/HCA)

ALLEGATIONS:

A variety of health care fraud allegations, including cost report fraud and the payment of kickbacks to physicians

AMOUNT:

$631 million in civil penalties and damages to resolve alleged false claims to Medicare and other federal health care programs, plus a $250 million administrative settlement with the Centers for Medicare and Medicaid Services ("CMS"); additional $17.5 million to be paid to resolve state Medicaid claims

RELATORS' SHARE:

$151,591,500 (to be paid to multiple relators)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

21

DATE:

6/21/03

COMPANY:

AstraZeneca

ALLEGATIONS:

Conspiring to encourage doctors to bill for a prostate cancer drug that the company provided for free; kickbacks; improperly inflating Average Wholesale Prices; misreporting and underpaying Medicaid rebates

AMOUNT:

$266,127,844 to settle civil allegations relating to overbilling of federal health care programs excluding Medicare; $24,900,000 to resolve state and federal Medicaid fraud allegations; $63,872,156 criminal fine.

RELATOR'S SHARE:

$47.5 million

DATE:

6/20/03

COMPANY:

American Management Systems (AMS)

ALLEGATIONS:

Contract performance issues arising from AMS's 1997 contract to deliver an automated recordkeeping system to the Federal Retirement Thrift Investment Board. AMS allegedly misrepresented anticipated costs, its ability to deliver software products, and the personnel who would be assigned to the software project

AMOUNT:

$15 million, with $10 million offset credited to AMS for services previously delivered

DATE:

6/19/03

COMPANY:

Sprint Corporation

ALLEGATIONS:

Improperly passing through to the government costs and fees for Presubscribed Interexchange Carrier Charges

AMOUNT:

$5.6 million

DATE:

6/18/03

COMPANY:

Public Health Trust of Miami-Dade County

ALLEGATIONS:

Double billing

AMOUNT:

$16,814,302

DATE:

6/18/03

COMPANY:

Massachusetts General Hospital

ALLEGATIONS:

PATH allegations

AMOUNT:

$75,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

22

DATE:

6/11/03

COMPANY:

Dey, Inc., a wholly owned subsidiary of Merck KGaA

ALLEGATIONS:

Submission of false pricing information; causing providers to submit fraudulently inflated reimbursement claims to the state and federally funded Texas Medicaid program.

AMOUNT:

$18.5 million to US and Texas (suit filed by the Civil Medicaid Fraud Section of the Texas Attorney General's Office)

DATE:

6/10/03

COMPANY:

Lockheed Martin Corp.

ALLEGATIONS:

Inclusion of undisclosed debt-related costs in lease costs charged under NASA contract

AMOUNT:

$7.1 million

DATE:

6/9/03

COMPANY:

Pacific Precision Metals.

ALLEGATIONS:

PPM violated the act in connection with its contract to provide the Postal Service with mailprocessing equipment

AMOUNT:

$2 million

DATE:

6/5/03

COMPANY:

Centura Health Corporation

ALLEGATIONS:

Upcoding; splitting claims; inadequate documentation

AMOUNT:

$2,342,396

DATE:

5/27/03

COMPANY:

Albert Einstein Healthcare Network

ALLEGATIONS:

Medicare claims for physician services without record of physician involvement; upcoded Medicare claims

AMOUNT:

$1,982,017

DATE:

5/17/03

COMPANY:

The Boeing Co.

ALLEGATIONS:

Billing the government for the installation of defective "fuzz suppressors" in Apache helicopters made by Boeing and sold to the US ArmyAMOUNT: $2.5 million

AMOUNT:

$575,000, plus $825,000 for former employee's employment claims, legal fees and costs

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

23

DATE:

5/14/03

COMPANY:

Jackson Memorial Hospital

ALLEGATIONS:

Double billing Medicaid claims under both a clinic and hospital provider number

AMOUNT:

$16,814,302 to the US and Florida

RELATOR'S SHARE:

$1,420,880 plus $50,903.16 for legal fees and costs. Relator was former State of Florida Medicaid employee

DATE:

5/12/03

COMPANY:

New York Consortium

ALLEGATIONS:

Misuse of a federal grant; diversion of federal grant funds to a for-profit corporation in violation of federal grant conditions

AMOUNT:

$1.4 million

DATE:

5/9/03

COMPANY:

Dr. Chui Lun Lui

ALLEGATIONS:

False claims for dental work

AMOUNT:

$100,000

DATE:

5/7/03

COMPANY:

Christus Health of Houston --Primary CareNet of Texas and Health Texas Medical Group

ALLEGATIONS:

Improperly charging Medicare and Medicaid for physicians' evaluation and management services.

AMOUNT:

$1.36 million

DATE:

5/1/03

COMPANY:

Boeing Co.

ALLEGATIONS:

Using uncertified welders for work on military contracts; Boeing submitted false claims for payment to the government while working on contracts for the US Army at a facility in Ridley Park, PA, between April 7, 1988 and December 31, 2000

AMOUNT:

$492,163

DATE:

5/2003

COMPANY:

Primary CareNet

ALLEGATIONS:

Improperly charging for physician evaluation and management services

AMOUNT:

$1,360,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

24

DATE:

5/2003

COMPANY:

Dr. Luis Fernando

ALLEGATIONS:

Services unnecessary

AMOUNT:

$900,000

DATE:

5/2003

COMPANY:

Dr. Herman Eric Wetsman

ALLEGATIONS:

Services upcoded or not performed

AMOUNT:

$126,285

DATE:

4/23/03

COMPANY:

MVM, Inc.

ALLEGATIONS:

Security service billed for supervisors who were not trained

AMOUNT:

$67,500

DATE:

4/23/03

COMPANY:

United Airlines

ALLEGATIONS:

Substandard maintenance work on military transport planes for the Air Force

AMOUNT:

$3.2 million

DATE:

4/22/03

COMPANY:

Fort Collins Hospital

ALLEGATIONS:

Home health-care cost report fraud; double billing for physical therapy

AMOUNT:

$2.9 million

DATE:

4/17/03

COMPANY:

Bayer AG and GlaxoSmithKline PLC

ALLEGATIONS:

Improper re-labeling of drugs in order to avoid reporting and payment of Medicaid rebates; overbilling

AMOUNT:

$345 million ($257 million paid by Bayer, and $88 million by Glaxo)

RELATOR'S SHARE:

$34 million share of Bayer settlement

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

25

DATE:

4/7/03

COMPANY:

James H. Bowen, Jr.,of The Bowen Family Chiropractic Center, Inc.

ALLEGATIONS:

Billing Medicare for treatment of conditions falsely claimed to be new or acute exacerbations of prior conditions.

AMOUNT:

$90,000

DATE:

4/4/03

COMPANY:

Gateway Homecare

ALLEGATIONS:

Misclassified expenses relating to private duty nursing

AMOUNT:

$112,500

DATE:

4/3/03

COMPANY:

Baptist Health System of East Tennessee

ALLEGATIONS:

Billing for treatment before tests completed

AMOUNT:

$810,000

DATE:

4/2003

COMPANY:

Dr. Hiroshi Mashimo

ALLEGATIONS:

VA doctor used government-issued credit cards to make personal purchases

AMOUNT:

$20,000

DATE:

4/2003

COMPANY:

Dr. Richard Rothman

ALLEGATIONS:

Billing for services when not physically present

AMOUNT:

$838,453

DATE:

4/2003

COMPANY:

First Health Services Corp.

ALLEGATIONS:

Failure to correct computer error that caused individuals to be improperly identified as Medicaid beneficiaries

AMOUNT:

$13 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

26

DATE:

3/31/03

COMPANY:

South County Rehabilitation, Inc.

ALLEGATIONS:

Billing for therapy services not conducted by certified therapists

AMOUNT:

$2.8 million

DATE:

3/17/03

COMPANY:

Leesburg Regional Medical Center (Florida)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$1,476,104

RELATOR'S SHARE:

$206,655

DATE:

3/6/03

COMPANY:

San Diego Hospital and Sharp Memorial Hospital

ALLEGATIONS:

Sharp Memorial Hospital submitted false claims by fraudulently misstating organ acquisition costs on the hospital's Medicare reports for 1991 through 1999, including employee salaries, medical director fees, laboratory costs, and square footage that were not incurred or used for organ acquisition activities and thus did not qualify for reimbursement.

AMOUNT:

$6.2 million

DATE:

3/6/03

COMPANY:

Dentsply International Inc.

ALLEGATIONS:

Failure to advise FDA of complaints regarding dental cement

AMOUNT:

A$600,000

DATE:

3/5/03

COMPANY:

Greater Philadelphia Health Services Corp.

ALLEGATIONS:

Failure to provide adequate care

AMOUNT:

$500,000

DATE:

3/2003

COMPANY:

Michael Persons

ALLEGATIONS:

Misrepresentation of qualifications; claimed to be of Native American descent in order to obtain 8(a) contract

AMOUNT:

$500,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

27

DATE:

3/2003

COMPANY:

Central Vermont Urology of Berkin

ALLEGATIONS:

Billing for Lupron samples that were free

AMOUNT:

$75,000

DATE:

3/2003

COMPANY:

Temple Continuing Care Center

ALLEGATIONS:

Failure to provide proper care

AMOUNT:

$500,000

DATE:

2/25/03

COMPANY:

Boeing Company

ALLEGATIONS:

Use of non-certified workers

AMOUNT:

$509,163

DATE:

2/21/03

COMPANY:

Methodist Hospital, Houston, TX

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$2.75 million

DATE:

2/21/03

COMPANY:

St. Luke's Episcopal Hospital in Houston, TX

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$575,000

DATE:

2/21/03

COMPANY:

Deaconess Medical Center - Spokane, WA

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$775,000

DATE:

2/21/03

COMPANY:

Legacy Good Samaritan Hospital and Medical Center, Portland, OR

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$410,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

28

DATE:

2/21/03

COMPANY:

Orlando Regional Medical Center (FL)

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$390,000

DATE:

2/14/03

COMPANY:

Johns Hopkins University

ALLEGATIONS:

PATH allegations

AMOUNT:

$800,000

DATE:

2/10/03

COMPANY:

Tenet HealthCare

ALLEGATIONS:

Pneumonia and septicemia upcoding

AMOUNT:

$4,300,000 ($309,303 to relator)

DATE:

2/07/03

COMPANY:

Dominion Exploration and Production Co., formerly CNG Producing Company

ALLEGATIONS:

Underpayment of royalties owed on natural gas produced on federal leases from January 1, 1995 through December 31, 1999.

AMOUNT:

$2,000,000

DATE:

2/7/03

COMPANY:

Chevron USA Corp.

ALLEGATIONS:

Underpayment of gas royalties

AMOUNT:

$2 million

DATE:

2/7/03

COMPANY:

Durango Construction Co.

ALLEGATIONS:

False certifications regarding minority-owned status

AMOUNT:

$500,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

29

DATE:

2/6/03

COMPANY:

Verizon Federal, Inc.

ALLEGATIONS:

Mischarging (false overtime claims); government property used for bribes

AMOUNT:

$2 million

DATE:

2/06/03

COMPANY:

Northwestern University

ALLEGATIONS:

Medical research grants fraud; alleged failure to comply with federal government requirements that a specified percentage of the researchers' effort be devoted to the grant.

AMOUNT:

$5,500,000 ($907,500 to relator)

DATE:

2/2003

COMPANY:

Nural Huda

ALLEGATIONS:

False records and claims for ophthalmology procedures

AMOUNT:

$525,000

DATE:

2/2003

COMPANY:

Midwestern Medical Supply Company

ALLEGATIONS:

False claims for unauthorized products

AMOUNT:

$150,000

DATE:

1/28/03

COMPANY:

Quincy Medical Group

ALLEGATIONS:

Using diagnostic codes not supported by medical records; double billing to public and private carriers; failure to refund credits

AMOUNT:

$200,000

DATE:

1/28/03

COMPANY:

Robert F. Kennedy Medical Center

ALLEGATIONS:

Upcoding

AMOUNT:

$2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

30

DATE:

1/15/03

COMPANY:

Maury Regional Hospital

ALLEGATIONS:

Upcoding

AMOUNT:

$2,000,000 ($350,000 to relator)

DATE:

1/13/03

COMPANY:

Lockheed Martin Corp.

ALLEGATIONS:

Defective pricing

AMOUNT:

$1,407,834

DATE:

1/13/03

COMPANY:

Caremark Rx, Inc.

ALLEGATIONS:

Health care fraud

AMOUNT:

$7.5 million

DATE:

1/10/03

COMPANY:

Cooper Health System, Inc.

ALLEGATIONS:

Inpatient claims for outpatient services

AMOUNT:

$400,000

DATE:

1/9/03

COMPANY:

State University of New York Health Science Center at Brooklyn

ALLEGATIONS:

PATH allegations

AMOUNT:

$655,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

31

DATE:

1/07/03

COMPANY:

North American Construction Corporation and its two subcontractors, CH&A, Inc. and EVI Cherrington Environmental, Inc.

ALLEGATIONS:

The companies conspired to file a false request for money with the Army Corps of Engineers claiming that the government was responsible for defendants' increased costs for performing contract work at Tinker Air Force Base in Oklahoma City. The companies filed false claims for progress payments and that all of the defendants were liable for the costs of the government's investigation of the matters.

AMOUNT:

$765,000

DATE:

1/3/03

COMPANY:

ARV Assisted Living, Inc.

ALLEGATIONS:

Cost report fraud

AMOUNT:

$1.6 million

DATE:

1/2003

COMPANY:

Jeff Baum

ALLEGATIONS:

Medically unnecessary incontinence supplies

AMOUNT:

$126,217

DATE:

1/2003

COMPANY:

Cleveland Clinic Foundation

ALLEGATIONS:

PATH allegations

AMOUNT:

$4 million

DATE:

1/2003

COMPANY:

Integris Baptist Regional Health Center

ALLEGATIONS:

Upcoding

AMOUNT:

$520,000

DATE:

1/2003

COMPANY:

David Knapp

ALLEGATIONS:

Misrepresenting person who performed service

AMOUNT:

$500,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

32

DATE:

12/20/02

COMPANY:

Rapid City Regional Hospital

ALLEGATIONS:

Alleged Stark law violations ($6,000,000); alleged overbilling of Medicare ($525,000)

AMOUNT:

6,525,000

DATE:

12/02/02

COMPANY:

Outreach Programs, Inc., and several related entities

ALLEGATIONS:

Between 1995 and 2001 Outreach allegedly falsely billed Medicare for therapy services in excess of those for which the patients were entitled, provided services outside the state in which the facilities were certified to operate, manipulated a sample of records provided to government auditors, and falsified information in patient and other internal administrative records.

AMOUNT:

$600,000

DATE:

11/01/02

COMPANY:

McLeod Regional Center of the Pee Dee, Inc.

ALLEGATIONS:

Alleged Stark and AKA violations

AMOUNT:

$15,909,470

DATE:

10/28/02

COMPANY:

Pfizer Corporation and its subsidiaries, Warner-Lambert and Parke-Davis

ALLEGATIONS:

Avoided paying fully the rebates owed to the state and federal governments under national drug Medicaid Rebate program for the cholesterol-lowering drug Lipitor

AMOUNT:

$49,000,000. The United States will receive $27,915,300 plus accrued interest. The remainder of the settlement amount, $21,084,700 plus accrued interest, will be shared among 40 states. (21.3% of the federal government's portion of the recovery, or $5,945,958.90, to relator)

DATE:

10/17/02

COMPANY:

Beth Israel Deaconess Medical Center

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$3.2 million

DATE:

10/17/02

COMPANY:

LDS Hospital, Salt Lake City, Utah

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$850,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

33

DATE:

10/17/02

COMPANY:

The General Hospital Center at Passaic, NJ

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$760,000

DATE:

10/17/02

COMPANY:

Hackensack University Medical Center, Hackensack, NJ

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

314,000

DATE:

10/17/02

COMPANY:

Daniel Freeman Hospital, Los Angeles, CA

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$250,000

DATE:

10/17/02

COMPANY:

Good Samaritan Hospital of Santa Clara, CA

ALLEGATIONS:

Improperly billing Medicare for procedures using experimental cardiac devices

AMOUNT:

$115,000

DATE:

10/17/02

COMPANY:

Roger Williams Medical Center

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$400,000 ($57,540 to relator)

DATE:

9/18/02

COMPANY:

Lockheed Martin & BAE Systems Controls

ALLEGATIONS:

Providing the government with non-compliant products under Navy contract for F/A-18 Hornet aircraft parts

AMOUNT:

$6.2 million ($1.2 million to relator)

DATE:

9/6/02

COMPANY:

Christus Health Gulf Coast

ALLEGATIONS:

Knowing claims to Medicare for non-recoverable evaluation and management costs

AMOUNT:

$220,000 ($33,000 to relators)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

34

DATE:

8/1/02

COMPANY:

Lockheed Martin Corporation, Tactical Systems Division

ALLEGATIONS:

Improper charges for costs associated with the Trident Missile Programevaluation and management costs

AMOUNT:

$2,122,603 ($281,000 to relator)

DATE:

7/30/02

COMPANY:

Hewlett-Packard Co.

ALLEGATIONS:

Knowing sale of defective medical monitoring devices to the Department of Defense, Department of Veterans Affairs, and other federal agencies

AMOUNT:

$7 million

DATE:

7/29/02

COMPANY:

Blue Cross of California and its parent company, WellPoint Health Networks

ALLEGATIONS:

Knowing falsification of data regarding performance of cost report audits for Medicare

AMOUNT:

$9,250,000

DATE:

7/29/02

COMPANY:

IBC Advanced Technologiesparent company, WellPoint Health Networks

ALLEGATIONS:

Improper charges to the government for work performed on commercial contracts

AMOUNT:

Between $700,000 and $1.2 million over the next five years

DATE:

7/17/02

COMPANY:

Lifemark Hospitals of Florida (a subsidiary of Tenet Healthcare Corporation)

ALLEGATIONS:

:False claims for home health services; improper charges on cost reports

AMOUNT:

$29 million (approximately $4 million to relator)

DATE:

6/25/02

COMPANY:

General American Life Insurance Co.

ALLEGATIONS:

Failure to process Medicare claims; providing false information to CMS regarding performance

AMOUNT:

$76 million ($14.4 million to relators)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

35

DATE:

6/20/02

COMPANY:

State of California & Los Angeles County

ALLEGATIONS:

Billing Medicaid for services without making proper eligibility determinations

AMOUNT:

$73.3 million ($1.3 million to relator)

DATE:

6/18/02

COMPANY:

139 Hospitals currently or formerly operated by Tenet Healthcare Corporation

ALLEGATIONS:

Overbilling federal health care programs for laboratory services

AMOUNT:

$17 million ($16.18 million to federal government and $820,000 to an account benefiting 22 states)

DATE:

6/18/02

COMPANY:

Brotman Medical Center (a subsidiary of Tenet Healthcare Corporation)

ALLEGATIONS:

Overbilling Medicare for rehabilitation services

AMOUNT:

$9.75 million ($1.93 million to relator)

DATE:

6/11/02

COMPANY:

Florida Medical Quality Assurance, Inc.; Alabama Quality Assurance Foundation

ALLEGATIONS:

Improper charging for time spent on Medicaid peer review contract (voluntary self disclosure; qui tam complaint also was filed)

AMOUNT:

$830,000

DATE:

6/7/02

COMPANY:

Catholic Healthcare West

ALLEGATIONS:

Unallowable charges on cost reports

AMOUNT:

$8.5 million ($2.48 million to relator)

DATE:

6/6/02

COMPANY:

American Medical Response, Inc.

ALLEGATIONS:

Improper billing for non-emergency ambulance transports

AMOUNT:

$20 million ($3.775 million to two relators)

DATE:

6/4/02

COMPANY:

Scripps Health

ALLEGATIONS:

Improperly billing federal health care programs for cardiac surgical procedures involving

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

36

DATE:

6/4/02 experimental devices

AMOUNT:

$3.8 million

DATE:

6/4/02

COMPANY:

St. Joseph's Regional Medical Center (South Bend, IN)

ALLEGATIONS:

Improperly billing federal health care programs for cardiac surgical procedures involving experimental devices

AMOUNT:

$107,000

DATE:

6/4/02

COMPANY:

UPMC Health System

ALLEGATIONS:

Improperly billing federal health care programs for cardiac surgical procedures involving experimental devices

AMOUNT:

$629,000

DATE:

6/4/02

COMPANY:

INTEGRIS Baptist Medical Center

ALLEGATIONS:

Improperly billing federal health care programs for cardiac surgical procedures involving experimental devices

AMOUNT:

$629,000

DATE:

6/4/02

COMPANY:

Hoag Hospital (Newport Beach, CA)

ALLEGATIONS:

Improperly billing federal health care programs for cardiac surgical procedures involving experimental devices

AMOUNT:

$305,000

DATE:

6/3/02

COMPANY:

Eckerd Corporation

ALLEGATIONS:

Dispensing partially-filled prescriptions while billing federal health care programs for the full prescription

AMOUNT:

$5.8 million ($880,000 to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

37

DATE:

5/29/02

COMPANY:

Northwestern Human Services, Inc.

ALLEGATIONS:

False claims for mental health services

AMOUNT:

$7.8 million ($737,000 to relator)

DATE:

5/13/02

COMPANY:

Geriatrics Service Complex Foundation

ALLEGATIONS:

Billing Medicare for non-reimbursable costs

AMOUNT:

$937,000

DATE:

5/13/02

COMPANY:

Medical Center Emergency Services, P.C.

ALLEGATIONS:

Upcoding emergency room claims

AMOUNT:

$1.6 million to resolve federal and state claims ($279,943 to relator)

DATE:

5/2/02

COMPANY:

Marycrest Health System

ALLEGATIONS:

Anti-Kickback Act and Stark Law violations

AMOUNT:

$3.75 million ($1 million to relator; defendant also paid $500,000 to settle whistleblower retaliation claims and $750,000 in attorneys' fees)

DATE:

5/1/02

COMPANY:

Alpine Express, Inc.

ALLEGATIONS:

Overcharging government program subsidizing air travel to small communities (For about 25 percent of its flights, Alpine allegedly used different aircraft than called for in the contract.)

AMOUNT:

$112,800

DATE:

5/1/02

COMPANY:

University Medical Center of Southern Nevada

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$1.16 million ($162,888 to relator)

DATE:

4/12/02

COMPANY:

Pacificare Health Systems

ALLEGATIONS:

False claims to the Office of Personnel Management; failure to provide Federal Health Benefits

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

38

DATE:

4/12/02 Program most favorable rates; Medicare secondary payor violations; improper rating of contracts

AMOUNT:

$87 million ($3.5 million to relator)

DATE:

3/25/02

COMPANY:

Bekins

ALLEGATIONS:

Double-billing for military moves

AMOUNT:

$2 million

DATE:

3/8/02

COMPANY:

Esicorp Inc.

ALLEGATIONS:

Improper claims for employee travel and living expenses

AMOUNT:

$2.2 million

DATE:

3/1/02

COMPANY:

Superior Home Health Care of Chattanooga Inc., (now d/b/a/ Charitable Health Care Foundation Inc.)

ALLEGATIONS:

Submission of improper claims to Medicare for management services provided by a related entity

AMOUNT:

$15 million; waiver of claims to $1 million worth of reimbursement from Medicare

DATE:

2/25/02

COMPANY:

Christus St. Joseph Hospital of Houston

ALLEGATIONS:

Failure to disclose overpayment made by Medicare

AMOUNT:

$1.5 million

DATE:

2/22/02

COMPANY:

Westinghouse Savannah River Co.

ALLEGATIONS:

False statements relating to bid for government training contract

AMOUNT:

Jury verdict imposing 26 penalties at $7,500 per violation, or $195,000

DATE:

2/18/02

COMPANY:

Kellogg Brown & Root Inc.

ALLEGATIONS:

Submission of false claims for maintenance and repair projects at the Presidio and Fort Ord.

AMOUNT:

$2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

39

DATE:

2/14/02

COMPANY:

Rotech Medical Corporation

ALLEGATIONS:

Overbilling federal health care programs for medical supplies, drugs, services and equipment

AMOUNT:

$17 million (approximately $500,000 to be paid to Montana Medicaid)

DATE:

2/13/02

COMPANY:

LaserGenics

ALLEGATIONS:

Submission of duplicate grant proposals and identical research findings to multiple government agencies

AMOUNT:

$25,000

DATE:

2/4/02

COMPANY:

Ogilvy & Mather North America

ALLEGATIONS:

Allegedly inflated timesheets submitted under a cost plus fixed fee contract to provide advertising services to the "Drug Czar's Office" (the Office of National Drug Control Policy)

AMOUNT:

Approximately $1.8 million ($690,000 in cash, plus amended administrative claims to be submitted reflecting a nearly $1.2 million reduction in incurred costs.)

DATE:

1/25/02

COMPANY:

Quorum Health Group; Triad Hospitals of Dallas; and Gadsden, Alabama Regional Medical Center

ALLEGATIONS:

Improper charges for certain salaries on hospital cost reports

AMOUNT:

$400,000

DATE:

1/17/02

COMPANY:

St. Mary's Hospital and Medical Center (St. Mary's Hospital), Grand Junction, Colorado

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$1,250,261.

DATE:

1/15/02

COMPANY:

Allina Health System

ALLEGATIONS:

False claims to federal health care programs; upcoding; duplicate billing; allegedly knowing retention of overpayments

AMOUNT:

$16 million.

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

40

DATE:

1/4/02

COMPANY:

Curative Health Services, Inc.

ALLEGATIONS:

Inclusion of unallowable expenses (including advertising and marketing costs) in Medicare cost report; alleged cost report fraud.

AMOUNT:

$16.5 million.

DATE:

12/17/01

COMPANY:

Lincare, Inc.

ALLEGATIONS:

Overbilling Medicare for home-oxygen equipment, therapeutic ventilators and respiratory drugs

AMOUNT:

$3,150,000.

DATE:

12/13/01

COMPANY:

NHC Healthcare Corp.

ALLEGATIONS:

Nursing home quality of care issues

AMOUNT:

$250,000.

DATE:

12/4/01

COMPANY:

Union Oil Company of California (Unocal)

ALLEGATIONS:

Underpayment of royalties for oil produced on federal and Indian leases

AMOUNT:

$21.5 million.

DATE:

12/10/01

COMPANY:

Consolidated Rail Corporation (Conrail)

ALLEGATIONS:

Underreporting and underpaying for use of tracks owned by Amtrak

AMOUNT:

$3.5 million.

DATE:

12/3/01

COMPANY:

Unocal

ALLEGATIONS:

Underreporting and underpaying royalties for oil removed on federal and Indian leases

AMOUNT:

$21.5 million.

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

41

DATE:

11/26/01

COMPANY:

Corning, Inc.; Corning Life Sciences, Inc.; Corning Clinical Laboratories, Inc.; MetPath Corning Clinical Labs; MetPath, Inc.

ALLEGATIONS:

Overbilling federal health care programs for prostate-cancer blood tests.

AMOUNT:

$1 million

DATE:

11/26/01

COMPANY:

Quest Diagnostics Inc.

ALLEGATIONS:

Knowing filing of Medicare claims with improper carrier in order to obtain higher reimbursement

AMOUNT:

$352,926 (earlier payments made in 1998 and 1999 for same allegations brought total recovery to $475,000). Relator's share: $71,110

DATE:

11/21/01

COMPANY:

Quest Diagnostics Inc.

ALLEGATIONS:

Improper submission of Medicare claims to a Colorado Medicare carrier in order to obtain higher reimbursement

AMOUNT:

$352,926 ($71,110 to relator). $122,144 was also previously re-paid to Medicare for similar claims, under voluntary disclosures to the government made in 1998 and 1999.

DATE:

11/14/01

COMPANY:

Lifescan, Inc.

ALLEGATIONS:

Failure to notify VA of price reductions in commercial contracts to prices below those paid by the Government (voluntary disclosure under the VA's Voluntary Disclosure Program). (Disclosure made by Lifescan's parent corporation, Johnson & Johnson)

AMOUNT:

$15 million.

DATE:

11/13/01

COMPANY:

Covenant Care, Inc.

ALLEGATIONS:

False claims to Medicare for non-Medicare beneficiaries; claims for hours of care that were not supported by documentation.

AMOUNT:

$3.2 million.

DATE:

11/4/01

COMPANY:

Lifeline Health Care of Southwest Florida, Inc.

ALLEGATIONS:

False claims to federal health care programs for patients who did not qualify for home health care and for medically unnecessary services

AMOUNT:

$3 million.

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

42

DATE:

10/26/01

COMPANY:

Lifeline Health Care of Southwest Florida, Inc.

ALLEGATIONS:

False claims to federal health care programs for patients who did not qualify for home health care and for medically unnecessary services

AMOUNT:

$3 million.

DATE:

10/25/01

COMPANY:

Christian Hospital N.E.- N.W.

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$196,000

DATE:

10/23/01

COMPANY:

KPMG Peat Marwick, LLP

ALLEGATIONS:

Allegedly false pricing of Average Wholesale prices; illegal marketing and sales practices

AMOUNT:

$9 million

DATE:

10/3/01

COMPANY:

Takeda Abbott Pharmaceuticals/ TAP Pharmaceutical Products Inc.

ALLEGATIONS:

Allegedly false pricing of Average Wholesale prices; illegal marketing and sales practices

AMOUNT:

$559,483,560 in civil FCA damages and penalties. Total award to relators (divided among two individuals and Tuft's Associated HMO): 17%, or approximately $95 million. TAP also paid a $290 million criminal fine and paid more than $25 million to settle claims with the 50 states and the District of Columbia relating to allegedly false Medicaid claims.

DATE:

10/3/01

COMPANY:

Presidio Corporation

ALLEGATIONS:

Failure to pass on price discounts and rebates to the government for data processing and software equipment purchased by the GSA

AMOUNT:

$273,000

DATE:

9/21/01

COMPANY:

Johnson & Johnson Medical, Inc.

ALLEGATIONS:

Failure to provide Department of Veterans Affairs with accurate information regarding commercial pricing practices for medical supplies sold to the VA.

AMOUNT:

$3.9 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

43

DATE:

9/5/01

COMPANY:

Twining Laboratories of Southern California, Inc.

ALLEGATIONS:

Use of unqualified staff to perform welding tests on the Los Angeles Red Line Subway (claims filed under both the Federal and California FCA)

AMOUNT:

$500,000

DATE:

8/30/01

COMPANY:

Dr. Robert E. Booth and Healthgrades, Inc. (successor-in-interest to Reconstructive Orthopaedic Associates)

ALLEGATIONS:

False claims to Medicare for surgery performed by residents when Dr. Booth was not present

AMOUNT:

$1,888,837.90 paid by Dr. Booth; $200,000 paid by Healthgrades, Inc.

DATE:

8/28/01

COMPANY:

CVS Corporation

ALLEGATIONS:

Submission of false prescription claims to federal health insurance programs for prescriptions that were only partially filled

AMOUNT:

$4 million

DATE:

8/27/01

COMPANY:

ElectroMechanical Systems, Inc.; COMSAT Corporation; CRSI, Inc. and Lockheed Martin Global Telecommunications, LLC

ALLEGATIONS:

Time card fraud; providing false information to the government when negotiating contracts

AMOUNT:

$1 million in civil fines, plus $7.5 million in criminal fines ($1.7 million to relator)

DATE:

8/23/01

COMPANY:

University of Colorado Hospital Authority

ALLEGATIONS:

Overbilling federal health care programs

AMOUNT:

$1.2 million

DATE:

8/9/01

COMPANY:

Catholic Healthcare West

ALLEGATIONS:

Improper charges to federal health care programs for surgical procedures using experimental cardiac devices

AMOUNT:

$10.75 million ($2,150,000 to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

44

DATE:

8/2/01

COMPANY:

Good Samaritan Hospital, Inc. (West Palm Beach, FL)

ALLEGATIONS:

Failure to disclose information regarding plans to subcontract work during contract negotiations

AMOUNT:

$1.4 million

DATE:

7/13/01

COMPANY:

Unisys Corporation

ALLEGATIONS:

Failure to disclose information regarding plans to subcontract work during contract negotiations )

AMOUNT:

$10.75 million ($2,150,000 to relator

DATE:

7/9/01

COMPANY:

American HomePatient, Inc.; American HomePatient Delaware

ALLEGATIONS:

False claims to federal health care programs for medically unnecessary medical supplies and claims "tainted" by improper kickbacks; filing claims to federal health care programs without proper supporting documentations

AMOUNT:

$2.9 million ($580,000 to relator)

DATE:

7/9/01

COMPANY:

Mercy Health Care Systems

ALLEGATIONS:

Knowing retention of payments made inadvertently by Medicare

AMOUNT:

$2.9 million ($580,000 to relator)

DATE:

6/29/01

COMPANY:

Urocor, Inc.

ALLEGATIONS:

Billing Medicare for medically unnecessary and investigational tests

AMOUNT:

$9 million ($1.35 million to relators)

DATE:

6/28/01

COMPANY:

South Carolina State University

ALLEGATIONS:

Diversion of Department of Agriculture funds to construction projects; violations of Section 1444 of the Food and Agricultural Act of 1977

AMOUNT:

$140,000 ($21,000 to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

45

DATE:

6/14/01

COMPANY:

Richard T. Archuleta, M.D.

ALLEGATIONS:

False claims to Medicare and Medicaid for unsupervised services provided by physician assistants

AMOUNT:

$80,000

DATE:

6/1/01

COMPANY:

Holy Cross Hospital (Ft. Lauderdale, FL)

ALLEGATIONS:

Filing improper claims to federal health care programs for surgical procedures using experimental cardiac devices

AMOUNT:

$2,830,208

DATE:

6/1/01

COMPANY:

HCA - The Healthcare Company

ALLEGATIONS:

Filing improper claims to federal health care programs for surgical procedures using experimental cardiac devices

AMOUNT:

$1,929,255

DATE:

6/1/01

COMPANY:

HCA - The Healthcare Company

ALLEGATIONS:

Filing improper claims to federal health care programs for surgical procedures using experimental cardiac devices

AMOUNT:

$1,929,255

DATE:

6/1/01

COMPANY:

South Miami Hospital

ALLEGATIONS:

Filing improper claims to federal health care programs for surgical procedures using experimental cardiac devices

AMOUNT:

$450,000

DATE:

6/1/01

COMPANY:

Mt. Sinai Hospital (Miami, FL)

ALLEGATIONS:

Filing improper claims to federal health care programs for surgical procedures using experimental cardiac devices

AMOUNT:

$267,174

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

46

DATE:

6/1/01

COMPANY:

Holy Cross Hospital (Ft. Lauderdale, FL); HCA-The Healthcare Company; Healthwest Regional Medical Center (Phoenix, AZ); West Florida Regional Medical Center (Pensacola, FL); Miami Heart Institute (Miami, FL)

ALLEGATIONS:

Billing federal health care programs for procedures using experimental devices

AMOUNT:

More than $5.4 million, total (approximately $1.1 million to relator)

DATE:

6/01

COMPANY:

EDS, for allegations against a subsidiary, National Heritage Insurance Co.

ALLEGATIONS:

Overstating expenses to Medicaid

AMOUNT:

$3.8 million

DATE:

5/31/01

COMPANY:

Strandflex (a division of Maryland Specialty Wire Inc.)

ALLEGATIONS:

False statements regarding compliance with product testing requirements and strength specifications

AMOUNT:

$1 million ($210,000 to relator), plus $500,000 fine and $100,000 restitution

DATE:

5/22/01

COMPANY:

HealthSouth Corporation

ALLEGATIONS:

Overbilling Medicare and TRICARE for equipment and supplies

AMOUNT:

$7.9 million ($1.48 million to relator)

DATE:

5/22/01

COMPANY:

Paracelsus Healthcare Corp.

ALLEGATIONS:

False claims to Medicare arising from alleged kickback and self-referral violations; knowing filing of false claims for non-covered services

AMOUNT:

$2 - $3 million, pending final re-organization in bankruptcy

DATE:

5/16/01

COMPANY:

Catholic Healthcare West

ALLEGATIONS:

False claims to Medicare for non-covered services; upcoding; billing for undocumented services

AMOUNT:

$10.25 million (more than $1.85 million to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

47

DATE:

5/3/01

COMPANY:

Northeast Georgia Health System

ALLEGATIONS:

&Billing Medicare and Medicaid for home health services that were ineligible for reimbursement

AMOUNT:

$6.4 million

DATE:

5/01

COMPANY:

Christus Schumpert Medical Center

ALLEGATIONS:

PPS Patient Transfer Project allegations

AMOUNT:

$125,000

DATE:

5/01

COMPANY:

Pekin Hospital (Illinois)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$1.07 million

DATE:

5/01

COMPANY:

Highline Community Hospital (Washington)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$321,389

DATE:

5/01

COMPANY:

St. Francis Hospital (Kansas)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$303,000

DATE:

4/26/01

COMPANY:

Mehdi Marvasti, Joel Rosenberg, Ahmad Nazem, and St. Joseph's Cardiac Surgery Associates, P.C.

ALLEGATIONS:

False claims to Medicare; conspiracy

AMOUNT:

Under this global settlement of civil and criminal claims, each individual defendant will pay $100,000 and $1,000 restitution. The professional corporation will pay $750,000, plus a $200,000 criminal fine.

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

48

DATE:

4/26/01

COMPANY:

Quorum Health Group

ALLEGATIONS:

Medicare cost report fraud

AMOUNT:

82.5 million

DATE:

4/23/01

COMPANY:

Quorum Health Group

ALLEGATIONS:

Alleged hospital cost report fraud

AMOUNT:

$85 million

DATE:

4/17/01

COMPANY:

Bradley Hertz

ALLEGATIONS:

False claims to Medicare for unreimbursable items and services

AMOUNT:

$1.6 million

DATE:

4/17/01

COMPANY:

James D. Hearnly

ALLEGATIONS:

False claims to Medicaid for dental services

AMOUNT:

$1.8 million

DATE:

4/12/01

COMPANY:

Interim Healthcare of Hollywood, Inc.

ALLEGATIONS:

Home health care agency cost report fraud

AMOUNT:

$1.6 million

DATE:

4/10/01

COMPANY:

Trend Area Mental Health, Developmental, and Substance Abuse Services

ALLEGATIONS:

False claims to Medicare for services not performed

AMOUNT:

$485,000

DATE:

4/3/01

COMPANY:

Thomas W. Dowty

ALLEGATIONS:

False claims to the Naval Medical Command

AMOUNT:

$50,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

49

DATE:

3/30/01

COMPANY:

Bruce Rozet et al.

ALLEGATIONS:

Kickbacks in exchange for securing property management contracts involving HUD-assisted or financed properties; illegal distributions of HUD funds

AMOUNT:

$8.125 million. Defendants PL Acquisition, Inc. and Management Assistance Group, Inc. also pled guilty to violations of the Anti-Kickback Act and 18 U.S.C. § 666 and paid $1 million each in criminal fines

DATE:

3/20/01

COMPANY:

Hall-Brooke Foundation Inc. (Westport, CT)

ALLEGATIONS:

Falsified bills to Medicare and Medicaid for therapy that was not provided

AMOUNT:

$260,000 (double damages)

DATE:

3/20/01

COMPANY:

Transitional Hospitals Corp. (acquired by Vencor Inc.)

ALLEGATIONS:

Overbilling Medicare for medically unnecessary tests on terminally ill dialysis patients

AMOUNT:

$1.5 million

DATE:

3/16/01

COMPANY:

Vencor Inc. and Ventas Inc.

ALLEGATIONS:

“Failure of care” (billing for allegedly substandard nursing home care); improper cost report claims; overbilling for respiratory care services and supplies

AMOUNT:

$104.5 million ($20 million for “failure of care allegations,” $54 million for improper cost report claims, and $24 million for respiratory care services and supplies)

DATE:

3/16/01

COMPANY:

Sze Ming Suen

ALLEGATIONS:

Billing Medicare for improper pharmacy services and office visits

AMOUNT:

$2.1 million

DATE:

3/14/01

COMPANY:

Atlantic City Medical Center

ALLEGATIONS:

Billing Medicare for improper pharmacy services and office visits

AMOUNT:

$1.9 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

50

DATE:

3/01

COMPANY:

Gerald Kin, Homed Scan, Metrolab, Inc., Pulmonary Systems, Inc.

ALLEGATIONS:

Upcoding pulse oximetry tests as pulmonary stress tests

AMOUNT:

$267,065 plus ten year exclusion from Medicare and Medicaid

DATE:

3/01

COMPANY:

West Virginia University Medical Center

ALLEGATIONS:

Inflated claims for surgical anesthesia and pain management services

AMOUNT:

$307,950 ($51,500 to relator)

DATE:

2/21/01

COMPANY:

Regents of the University of California

ALLEGATIONS:

“PATH” allegations; billing federal health care programs for services provided by medical residents, when physicians were not personally involved in providing the care; billing for services lacking appropriate documentation; coding irregularities

AMOUNT:

AMOUNT: $2.3 million

DATE:

2/12/01

COMPANY:

Texas Tech University Health Sciences Center

ALLEGATIONS:

“PATH” allegations; billing federal health care programs for services provided by medical residents, when physicians were not personally involved in providing the care; upcoding

AMOUNT:

$2.3 million

DATE:

2/9/01

COMPANY:

Phillips Petroleum Company

ALLEGATIONS:

Underpayment of royalties for oil removed from federal lands

AMOUNT:

$8 million

DATE:

2/9/01

COMPANY:

Moore Medical Corp.

ALLEGATIONS:

Failure to submit complete, accurate and current pricing information to the Department of Veterans Affairs; failure to notify VA of price reductions

AMOUNT:

$5.2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

51

DATE:

2/7/01

COMPANY:

Marathon Oil

ALLEGATIONS:

Underpayment of royalties for oil removed from federal lands

AMOUNT:

$7.7 million

DATE:

2/2/01

COMPANY:

University of California (UC Davis, UC San Francisco, UC Los Angeles, UC Irvine, and UC San Diego

ALLEGATIONS:

Physicians at Teaching Hospital ("PATH") Initiative allegations

AMOUNT:

$22.5 million

DATE:

2/1/01

COMPANY:

Center for Health and Human Services, Inc.

ALLEGATIONS:

False claims to Medicare and Medicaid for methadone and counseling services; dispensing methadone to patients who were not properly evaluated

AMOUNT:

$500,000

DATE:

1/23/01

COMPANY:

Shell Oil Company

ALLEGATIONS:

Underpayment of royalties for oil removed from federal lands

AMOUNT:

$110 million

DATE:

1/23/01

COMPANY:

Bayer Corporation

ALLEGATIONS:

Bayer allegedly caused health care providers to submit inflated claims for reimbursement for pharmaceutical products, by inflating its average wholesale price and marketing the drugs to physicians at deep discounts. Bayer also allegedly underpaid rebates to 45 state Medicaid programs by failing to accurately report the best price offered to commercial, for-profit customers

AMOUNT:

$14 million (Relator’s share: 20% of recovery to federal government)

DATE:

1/8/01

COMPANY:

Exxon Mobil

ALLEGATIONS:

Underpayment of royalties for oil removed from federal lands

AMOUNT:

$7 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

52

DATE:

1/4/01

COMPANY:

Manor Care Inc.

ALLEGATIONS:

Nursing home quality of care issues

AMOUNT:

$90,000

DATE:

1/3/01

COMPANY:

Quest Diagnostics Incorporated (allegations involved conduct by the Nichols Institute, which was acquired by Quest

ALLEGATIONS:

LABSCAM; billing for medically unnecessary lab tests

AMOUNT:

$13.1 million

DATE:

1/01

COMPANY:

United Healthcare of Illinois Inc.

ALLEGATIONS:

False claims regarding the status of patients purportedly institutionalized in long-term care facilities

AMOUNT:

$2.9 million

DATE:

12/27/00

COMPANY:

Donald S. Dreyfuss

ALLEGATIONS:

False claims to Medicare and Medicaid for nursing home hospice care

AMOUNT:

2 million. Additionally, Dreyfuss paid $200,000 in related criminal fines, and $533,000 in restitution under a plea agreement relating to mail fraud and kickback charges.

DATE:

12/20/00

COMPANY:

Rain and Hail Insurance Services, Inc.

ALLEGATIONS:

False claims relating to the quality of weather-damaged raisins, which led to payments by a third party, the Federal Crop Insurance Corp.

AMOUNT:

10 million

DATE:

12/20/00

COMPANY:

James H. Desnick

ALLEGATIONS:

Falsified documentation for Medicare and Medicaid claims; kickbacks

AMOUNT:

14 million ($7 million to federal government, and $7 million to Illinois Whistleblower Reward and Protection Fund)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

53

DATE:

12/15/00

COMPANY:

HCA - The Healthcare Co. (formerly Columbia/HCA)

ALLEGATIONS:

Outpatient laboratory billing fraud; upcoding; false claims for non-reimbursable marketing costs; false claims for non- reimbursable costs associated with home health care agencies; false claims for improper home health charges

AMOUNT:

745 million for civil claims, plus an additional $95 million in criminal fines. Additionally, two subsidiaries pled guilty to criminal charges relating to cost report fraud, improper billing, and the payment of illegal kickbacks. Relators' share to be determined. This settlement resolves only seven of twenty-seven pending qui tam suits against the chain

DATE:

12/15/00

COMPANY:

National Healthcare

ALLEGATIONS:

False claims to Medicare for nursing home care

AMOUNT:

:$27 million

DATE:

12/12/00

COMPANY:

Toshiba Corporation

ALLEGATIONS:

Violations of California FCA; knowing sale of defective computers to California public agencies

AMOUNT:

30.13 million

DATE:

12/8/00

COMPANY:

Adventist Health System; Sunbelt Healthcare Corp; Florida Hospital Waterman

ALLEGATIONS:

Filing of false Medicare cost reports containing inflated management fees for hospital ambulance services

AMOUNT:

$8.7 million

RELATOR AMOUNT

$1.5 million to relator

DATE:

11/21/00

COMPANY:

O'Gara-Hess & Eisenhardt Armoring Company

ALLEGATIONS:

Failure to comply with contract quality control terms

AMOUNT:

$1.1 million

DATE:

11/9/00

COMPANY:

The Boeing Company

ALLEGATIONS:

False claims relating to NASA Space Shuttle and Space Station Freedom programs.

AMOUNT:

$825,000. Additionally, Boeing relinquished rights to $1.2 million in unpaid invoices

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

54

DATE:

11/6/00

COMPANY:

Research and Development Laboratories, Inc.

ALLEGATIONS:

Inflated billings to U.S. Air Force for university research Services

AMOUNT:

$4.5 million. Additionally, a subsidiary (RDL Space Corporation) will relinquish a National Oceanic and Atmospheric Administration license to operate a remote-sensing satellite system

DATE:

10/31/00

COMPANY:

Gateway, Inc.

ALLEGATIONS:

Failure to comply with contractual requirement to give certain price reductions to the federal government

AMOUNT:

$9 million

DATE:

10/27/00

COMPANY:

Quorum Health Group, Inc., and QHG of Alabama, Inc., d/b/a Flowers Hospital of Dothan, AL

ALLEGATIONS:

Improper cost shifting to home health agency; allegedly false cost reports

AMOUNT:

$18 million. No share to whistleblower (relator plead guilty to one felony count arising from income tax violations relating to the receipt of illegal kickbacks)

DATE:

10/26/00

COMPANY:

Southern Chester County Medical Center

ALLEGATIONS:

Improper claims for anesthesia services (voluntary disclosure)

AMOUNT:

$385,000. No CIA required because of voluntary disclosure.

DATE:

10/26/00

COMPANY:

Anesthesia Associates of Southern Chester County

ALLEGATIONS:

Improper claims for anesthesia services (voluntary disclosure)

AMOUNT:

315,000. No CIA required because of voluntary disclosure.

DATE:

10/24/00

COMPANY:

Kerr-McGee

ALLEGATIONS:

Underpayment of royalties for oil removed from federal and Indian land

AMOUNT:

$13 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

55

DATE:

10/19/00

COMPANY:

Lafayette General Medical Center, Inc.

ALLEGATIONS:

PPS National Initiative

AMOUNT:

365,000 (Double damages); 29 allegedly false claims.

DATE:

10/16/00

COMPANY:

CSC Accounts Management Inc.

ALLEGATIONS:

False claims relating to student loan consolidations

AMOUNT:

$6 million RELATOR'S SHARE:($900,000)

DATE:

10/13/00

COMPANY:

Toshiba Corporation

ALLEGATIONS:

Sale of defective laptop computers to the federal government. This settlement was part of a settlement reached in connection with a related class action suit that the federal government joined. The government also agreed to release any claims it had under the FCA

AMOUNT:

$23 million plus $10.5 million in product coupons

DATE:

10/6/00

COMPANY:

APL Healthcare Group Inc

ALLEGATIONS:

False billings for tests not ordered by physicians

AMOUNT:

1.5 million

DATE:

10/6/00

COMPANY:

Northrop Grumman Corporation

ALLEGATIONS:

TINA violations

AMOUNT:

$1.4 million (approximately double damages)

RELATOR'S SHARE:

266,000 (19%)

DATE:

10/2/00

COMPANY:

United Services Automobile Association

ALLEGATIONS:

Payment of improper claims for flood losses

AMOUNT:

$150,367.60

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

56

DATE:

10/00

COMPANY:

Quorum Health Group, Inc.

ALLEGATIONS:

False cost reports

AMOUNT:

$77.5 million (this settlement was reported in the press on October 9, 2000, as a "tentative" agreement)

DATE:

9/28/00

COMPANY:

Shell Oil

ALLEGATIONS:

Underpayment of royalties owed on natural gas produced from federal leases

AMOUNT:

$56 million

DATE:

9/27/00

COMPANY:

Texaco Inc.

ALLEGATIONS:

Underpayment of royalties for oil removed from federal and Indian land

AMOUNT:

AMOUNT:$43 million

DATE:

9/26/00

COMPANY:

Kenneth H. Williams, M.D.

ALLEGATIONS:

False claims for care rendered by medical residents

AMOUNT:

$40,000

DATE:

9/19/00

COMPANY:

California Emergency Physicians

ALLEGATIONS:

Upcoding

AMOUNT:

$1.2 million (approximately double damages)

DATE:

9/15/00

COMPANY:

Bayer AG

ALLEGATIONS:

Alleged overcharges to Medicaid relating to prescription drug average wholesale prices

AMOUNT:

$14 million (tentative agreement announced 9/15)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

57

DATE:

9/15/00

COMPANY:

Emergency Physicians Medical Group (EPMG), MBLS Emergency Physicians, Western Emergency Physicians; Sierra Emergency Physicians Inc.

ALLEGATIONS:

Upcoding

AMOUNT:

Total: $2.6 million (EPMG: $2.4 million; MBLS: $87,000; Western Emergency Physicians of Utah: $87,000; Sierra Emergency Physicians Inc.: $79,000)

DATE:

9/12/00

COMPANY:

New England Health Associates

ALLEGATIONS:

Upcoding

AMOUNT:

$493,465 (voluntary disclosure)

DATE:

9/8/00

COMPANY:

Approximately seventy oncology radiation centers and billing companies owned, directed, or controlled by Douglas Colkitt

ALLEGATIONS:

False claims to Medicare and TRICARE for services that were upcoded, not provided, or medically unnecessary.

AMOUNT:

$10 million RELATOR'S SHARE:17.5% of any settlement amounts recovered by the federal government

DATE:

9/5/00

COMPANY:

Tender Loving Care (TLC); Home Health Care, Inc.; Staff Builders, Inc.

ALLEGATIONS:

Cost report fraud; billing for physician kickbacks, unallowable mileage, inflated and false costs

AMOUNT:

$1.4 million RELATOR'S SHARE:$252,000 (18%)

DATE:

9/5/00

COMPANY:

Emergency Physicians Medical Group, P.C.; MBLS Emergency Physicians, P.A.; Western Emergency Physicians; Sierra Emergency Physicians

ALLEGATIONS:

False claims to Medicare, Medicaid, TRICARE, and FEHBP; upcoding; overbilling.

AMOUNT:

$2.6 million (Emergency Physicians Medical Group: $2.35 million; MBLS Emergency Physicians: $87,000; Western Emergency Physicians: $87,000; Sierra Emergency Physicians, Inc.: $79,158

RELATOR'S SHARE:

443,502 (approximately 17%)

DATE:

8/31/00

COMPANY:

University of Pennsylvania Health System/Presbyterian Medical Center

ALLEGATIONS:

False claims to Medicare for psychiatric therapy sessions for nursing home residents

AMOUNT:

$3 million voluntarily refunded to government; $9.03 million to settle qui tam FCA claims

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

58

DATE:

8/31/00 RELATOR'S SHARE:$2.2 million

DATE:

8/24/00

COMPANY:

GAMBRO Transworld Healthcare Inc.

ALLEGATIONS:

Health care fraud; Anti-Kickback Act violations

AMOUNT:

:$10 million RELATOR'S SHARE:$1.35 million (13.5%)

DATE:

8/23/00

COMPANY:

Allegheny General Hospital

ALLEGATIONS:

False claims to Medicare for care involving investigational or experimental devices

AMOUNT:

$3.2 million RELATOR'S SHARE:$128,000 (20%)

DATE:

8/21/00

COMPANY:

Marc A. Fisher

ALLEGATIONS:

False Medicare claims for unnecessary, unreasonable, or undocumented podiatry services

AMOUNT:

$250,000

DATE:

8/18/00

COMPANY:

Newton-Wellesley Hospital

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

$231,440

DATE:

8/18/00

COMPANY:

Boston University Hospital

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

$220,803

DATE:

8/18/00

COMPANY:

Mount Auburn Hospital

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

:$193,898

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

59

DATE:

8/18/00

COMPANY:

Morton Hospital (Taunton, MA)

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

$164,000

DATE:

8/18/00

COMPANY:

Salem Hospital

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

$78,049

DATE:

8/18/00

COMPANY:

Mercy Hospital (Springfield, MA)

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

:$76,036

DATE:

8/18/00

COMPANY:

Deaconess-Waltham Hospital

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

$71,571

DATE:

8/18/00

COMPANY:

Boston City Hospital

ALLEGATIONS:

Laboratory overbilling and unbundling

AMOUNT:

$64,940

DATE:

8/16/00

COMPANY:

Dynamics Corporation of America, CTS Corp.

ALLEGATIONS:

False certification of compliance with contractual requirements

AMOUNT:

$1 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

60

DATE:

8/16/00

COMPANY:

Henry J. Wisdom

ALLEGATIONS:

False claims to Medicare and Medicaid for nursing services

AMOUNT:

300,000

DATE:

8/14/00

COMPANY:

Anwar Eye Center, Inc.

ALLEGATIONS:

False claims for anesthesia administered by unqualified personnel

AMOUNT:

$240,000 CIA:3 years

DATE:

8/7/00

COMPANY:

Abbott Ambulance, Inc.

ALLEGATIONS:

Billing federal health care programs for Medically unnecessary transports and other non-covered trips

AMOUNT:

$5.4 million

DATE:

8/4/00

COMPANY:

Scott & Stringfellow Inc.

ALLEGATIONS:

Yield burning

AMOUNT:

$392,000

DATE:

8/4/00

COMPANY:

BankOne

ALLEGATIONS:

Yield burning

AMOUNT:

:$4.4 million

DATE:

8/4/00

COMPANY:

ohn Nuveen & Co.

ALLEGATIONS:

ield burning

AMOUNT:

$6.6 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

61

DATE:

8/4/00

COMPANY:

Peacock, Hislop, Staley & Given Inc.

ALLEGATIONS:

Yield burning

AMOUNT:

:$500,000

DATE:

8/4/00

COMPANY:

:Omega Private Management

ALLEGATIONS:

Yield burning

AMOUNT:

AMOUNT:$212,000

DATE:

8/4/00

COMPANY:

Butler Wick Corp.

ALLEGATIONS:

Yield burning

AMOUNT:

AMOUNT:$119,000

DATE:

8/3/00

COMPANY:

Telephonics Corporation

ALLEGATIONS:

False claims for foreign military financing funds (false certifications regarding sales commissions paid to foreign agents)

AMOUNT:

$600,000

DATE:

8/3/00

COMPANY:

:Boeing

ALLEGATIONS:

Sale of helicopters with defective gears to the U.S. Army

AMOUNT:

$54 million RELATOR'S SHARE: $10.5 million (approximately 20%) plus $7.5 million for relator's attorneys' fees

DATE:

8/2/00

COMPANY:

W.R. Grace & Co.; Baker and Taylor, Inc.

ALLEGATIONS:

Overcharging schools, libraries and government agencies for books; misclassification of books in order to avoid providing discounts

AMOUNT:

AMOUNT:$15.5 million ($3 million to federal government and $12.5 million to 18 state co-plaintiffs)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

62

DATE:

8/1/00

COMPANY:

Iberia General Hospital and Medical Center (New Iberia, LA)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$303,000

DATE:

8/1/00

COMPANY:

Greene County Memorial Hospital (Waynesburg, PA)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$300,000 (approximately)

DATE:

8/00

COMPANY:

Napa County, California

ALLEGATIONS:

False claims to Medicare for mental health services

AMOUNT:

$975,000

DATE:

8/00

COMPANY:

KALEIDA Health

ALLEGATIONS:

False claims for outpatient laboratory services

AMOUNT:

$750,000 CIA: 3 years

DATE:

7/26/00

COMPANY:

Mercy Health System of Southeastern Pennsylvania

ALLEGATIONS:

PATH allegations; improper billing for services provided by residents (voluntary audit and selfdisclosure)

AMOUNT:

$1,162,336

DATE:

7/26/00

COMPANY:

Compaq Computer

ALLEGATIONS:

Voluntary disclosure of inflated labor costs

AMOUNT:

AMOUNT:$4.5 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

63

DATE:

7/21/00

COMPANY:

Union Pacific Resources

ALLEGATIONS:

Underpayment of natural resource royalties for oil produced on federal and Indian leases

AMOUNT:

$2.7 million

DATE:

7/21/00

COMPANY:

William Harold Mack

ALLEGATIONS:

Billing Medicaid and CHAMPUS for unperformed tests and services

AMOUNT:

$1,498,847

DATE:

7/21/00

COMPANY:

Porter Adventist Hospital, Glen Conley, Judy Conley

ALLEGATIONS:

False claims to Medicare for respiratory care services

AMOUNT:

$1,540,000 RELATOR'S SHARE: $277,200 (18%)

DATE:

7/17/00

COMPANY:

Joann P. Corn

ALLEGATIONS:

False claims to Medicare for personal expenses (home health agency)

AMOUNT:

$350,000

DATE:

7/17/00

COMPANY:

Guardian Moving & Storage Co. Inc.

ALLEGATIONS:

False claims to National Security Agency for wage increases that were never paid to employees working on NSA contract

AMOUNT:

$575,000

DATE:

7/13/00

COMPANY:

GAMBRO Healthcare, Inc., GAMBRO Healthcare Laboratory Services, Inc., and Dialysis Holdings Laboratory Services, Inc.

ALLEGATIONS:

Submission of false claims for laboratory services to Medicare, Medicaid, and TRICARE

AMOUNT:

$40 million to be paid by GAMBRO Healthcare, Inc. and GAMBRO Healthcare Laboratory Services, Inc.; $13.1 million to be paid by Dialysis Holdings Laboratory Services, Inc. Five year Corporate Integrity Agreement

DATE:

7/12/00

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

64

DATE:

7/12/00

COMPANY:

University of Kansas Medical Center, Kansas University Physicians, Inc. and various University foundations

ALLEGATIONS:

PATH allegations; false Medicare claims for services performed by residents without physician supervision

AMOUNT:

$1.5 million ($700,000 for Medicare reimbursement; $500,000 for assessed penalties; $300,000 for costs of investigation) CIA: 5 Years

DATE:

6/19/00

COMPANY:

Capital Health System

ALLEGATIONS:

Medicare upcoding

AMOUNT:

$449,601

DATE:

6/16/00

COMPANY:

Lance Quan Jue

ALLEGATIONS:

False Medicaid claims

AMOUNT:

AMOUNT:$17,500

DATE:

6/15/00

COMPANY:

North American Pipe Corporation

ALLEGATIONS:

Sale of untested pvc pipe to DOD and the Bureau of Prisons

AMOUNT:

$500,000 plus 30 year warranty RELATOR'S SHARE: $100,000 (20 percent of government's cash recovery) plus $300,000 (20 percent of cash value of the 30 year warranty provided to the government)

DATE:

6/11/00

COMPANY:

Devon Energy Production Company (formerly Pennzoil Company)

ALLEGATIONS:

Underpayment of oil royalties

AMOUNT:

$11.9 million

DATE:

6/11/00

COMPANY:

Sunoco, Inc.

ALLEGATIONS:

Underpayment of oil royalties

AMOUNT:

$200,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

65

DATE:

6/11/00

COMPANY:

The Hospital of St. Raphael, St. Vincent's Medical Center, Bridgeport Hospital, and Griffin Hospital

ALLEGATIONS:

Medicare overpayments

AMOUNT:

$11 million

DATE:

6/6/00

COMPANY:

Humana, Inc.

ALLEGATIONS:

False statements relating to eligibility for both Medicare and Medicaid capitation payments under the Medicare managed care program

AMOUNT:

$14.5 million plus 5 year corporate integrity agreement

DATE:

5/18/00

COMPANY:

Columbia/HCA Healthcare Corp.

ALLEGATIONS:

False claims relating to DRG coding, outpatient lab billing, home health

AMOUNT:

$745 million (This agreement was described as tentative by both the defendant and the Justice Department)

DATE:

5/18/00

COMPANY:

Hamilton Medical Center, Dalton, Georgia

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

:$1.2 million

DATE:

5/9/00

COMPANY:

Cabaco, Inc.

ALLEGATIONS:

Submission of claims for painting services that did not meet contractual requirements

AMOUNT:

$180,000

DATE:

5/1/00

COMPANY:

Columbia/HCA (Wilmington, NC)

ALLEGATIONS:

Billing Medicare and Medicaid for charity care

AMOUNT:

$650,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

66

DATE:

4/28/00

COMPANY:

Shawnee Hills Inc.

ALLEGATIONS:

False Medicare claims; overbilling

AMOUNT:

$2.5 million CIA: 10 years, with potential reduction to 5 years

DATE:

4/25/00

COMPANY:

Newark Cardiovascular and Thoracic Surgery Group

ALLEGATIONS:

False claims for services of surgical assistants

AMOUNT:

:$2.5 million CIA: $500,000

DATE:

4/13/00

COMPANY:

A.B. Jones

ALLEGATIONS:

Charging Medicare for unallowable services and expenses; Medicare overbilling

AMOUNT:

$1 million

DATE:

4/12/00

COMPANY:

C. Louise Mayberry

ALLEGATIONS:

harging Medicare for unallowable services and expenses; Medicare overbilling

AMOUNT:

$1 million

DATE:

4/11/00

COMPANY:

Corus Bankshares, Inc.

ALLEGATIONS:

Filing of false insurance claims on defaulted student loans (this case also involved voluntary selfdisclosure as to some of the allegations)

AMOUNT:

$11 million

DATE:

4/7/00

COMPANY:

Global settlement involving 17 firms, including Salomon Smith Barney Inc., Paine Webber Inc. and Dain Rauscher Inc.

ALLEGATIONS:

Municipal bond yield burning

AMOUNT:

$138.3 million

DATE:

4/7/00

COMPANY:

Global settlement involving 17 firms, including Salomon Smith Barney Inc., Paine Webber Inc. and Dain Rauscher Inc.

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

67

DATE:

4/7/00

ALLEGATIONS:

Municipal bond yield burning

AMOUNT:

$138.3 million

DATE:

4/5/00

COMPANY:

Medical University of South Carolina

ALLEGATIONS:

Improper billings to Medicare, Medicaid, and CHAMPUS

AMOUNT:

$5.2 million ($1.2 million to relators)

DATE:

3/31/00

COMPANY:

BP Amoco

ALLEGATIONS:

Underpayment of Oil Royalties

AMOUNT:

$32 million ($5.4 million to relators)

DATE:

3/27/00

COMPANY:

Conoco

ALLEGATIONS:

nderpayment of Oil Royalties

AMOUNT:

$26 million ($4.2 million to relators)

DATE:

3/21/00

COMPANY:

Eisenhower Medical Center (Rancho Mirage, CA)

ALLEGATIONS:

False Medicare billing for neurology and radiology services

AMOUNT:

$1.3 million CIA: 5 years

DATE:

3/17/00

COMPANY:

Jacobs Engineering Group, Inc.

ALLEGATIONS:

False Claims for unallowable overhead costs

AMOUNT:

$35 million

DATE:

3/15/00

COMPANY:

Community Health Systems, Inc.

ALLEGATIONS:

Voluntary disclosure of Medicare overpayments

AMOUNT:

$31 million

DATE:

3/13/00

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

68

DATE:

3/13/00

COMPANY:

Northrop Grumman Corporation

ALLEGATIONS:

Non-compliance with contractual terms regarding the calibration and maintenance of manufacturing equipment

AMOUNT:

$750,000 ($180,000 to relators)

DATE:

3/7/00

COMPANY:

Maxwell-Sierra, a division of Maxwell Technologies

ALLEGATIONS:

Improper testing of parts sold to the government)

AMOUNT:

$320,000 ($48,000 to relator

DATE:

2/23/00

COMPANY:

University Medical Center (Tucson, AZ)

ALLEGATIONS:

Double billing and laboratory unbundling

AMOUNT:

$329,000 CIA: 3 years

DATE:

2/23/00

COMPANY:

Homecall, Inc.

ALLEGATIONS:

False billing to Medicare for services provided by physical therapist "imposter"

AMOUNT:

$173,540

DATE:

2/23/00

COMPANY:

Interim HealthCare, Inc.

ALLEGATIONS:

False billing to Medicare for services provided by physical therapist "imposter"

AMOUNT:

$45,330

DATE:

2/23/00

COMPANY:

Bon Secours Home Health/Hospice

ALLEGATIONS:

False billing to Medicare for services provided by physical therapist "imposter"

AMOUNT:

$20,250

DATE:

2/23/00

COMPANY:

MGH Community Health, Inc.

ALLEGATIONS:

False billing to Medicare for services provided by physical therapist "imposter"

AMOUNT:

$14,520

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

69

DATE:

2/7/00

COMPANY:

The Medical Center at Princeton, Princeton, NJ

ALLEGATIONS:

Upcoding (billing outpatient treatment as inpatient hospitalizations)

AMOUNT:

$2,088,749 (5 year Corporate Integrity Agreement)

DATE:

1/20/00

COMPANY:

Columbia Regional Hospital

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$359,000

DATE:

1/19/00

COMPANY:

National Medical Care Inc./Fresenius Medical Care AG (parent corporation)

ALLEGATIONS:

Billing for unnecessary laboratory tests; kickbacks

AMOUNT:

$486 million ($65 million to relators)

DATE:

1/13/00

COMPANY:

Chevron Corporation

ALLEGATIONS:

Underpayment of oil royalties

AMOUNT:

$95 million ($14.5 million to relators)

DATE:

1/00

COMPANY:

Freitag Ambulance Corp.

ALLEGATIONS:

Medically unnecessary and/or undocumented tripsAMOUN:$1.013 million

AMOUNT:

$1.013 million

DATE:

1/00

COMPANY:

Gai-Fu Yang

ALLEGATIONS:

False invoices for ultrasound and electric stimulation therapy

AMOUNT:

$700,000

DATE:

1/00

COMPANY:

Grandview Hospital

ALLEGATIONS:

Lab unbundling

AMOUNT:

$695,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

70

DATE:

1/00

COMPANY:

Truman Medical Center

ALLEGATIONS:

Health care fraud

AMOUNT:

$330,000

DATE:

1/00

COMPANY:

Zale Lipshy University Hospital

ALLEGATIONS:

False cost reports

AMOUNT:

$236,276 RELATOR'S SHARE:$57,000

DATE:

1/00

COMPANY:

Anzhela Grigoryants

ALLEGATIONS:

DME Fraud

AMOUNT:

$200,000

DATE:

1/00

COMPANY:

Lakes Region General Hospital

ALLEGATIONS:

Laboratory unbundling

AMOUNT:

$150,000

DATE:

1/00

COMPANY:

Landefeld & Marion Ohio Internal Medicine

ALLEGATIONS:

False claims for psychiatric services

AMOUNT:

$100,000

DATE:

1/00

COMPANY:

St. Elizabeth Medical Center

ALLEGATIONS:

Lab unbundling

AMOUNT:

$71,607

DATE:

1/00

COMPANY:

Columbia Alaska Regional Hospital

ALLEGATIONS:

72 Hour Window

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

71

DATE:

1/00

AMOUNT:

$66,004

DATE:

1/00

COMPANY:

Presbyterian Hospital (Albuquerque)

ALLEGATIONS:

72 Hour Window

AMOUNT:

$48,465

DATE:

1/00

COMPANY:

David Falk

ALLEGATIONS:

Filing claims with false diagnostic information

AMOUNT:

$48,465

DATE:

1/00

COMPANY:

Interim HealthCare Inc.

ALLEGATIONS:

False claims for physical therapy provided by unlicensed person

AMOUNT:

$43,330

DATE:

1/00

COMPANY:

Brackenridge Hospital (Texas)

ALLEGATIONS:

72 Hour window

AMOUNT:

25,410

DATE:

1/00

COMPANY:

Plains Regional Medical Center (Albuquerque)

ALLEGATIONS:

72 Hour window

AMOUNT:

$12,702

DATE:

1/00

COMPANY:

Kaseman Presbyterian Hospital (Albuquerque)

ALLEGATIONS:

72 Hour window

AMOUNT:

$9,868

DATE:

1/00

COMPANY:

Espanola Hospital (Espanola, NM)ALLEGATIONS: 72 Hour window

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

72

DATE:

1/00

ALLEGATIONS:

72 Hour window

AMOUNT:

$5,311

DATE:

1/00

COMPANY:

Lincoln County Medical Center (NM)

ALLEGATIONS:

72 Hour window

AMOUNT:

$1,379

DATE:

1/00

COMPANY:

Trigg Memorial Hospital

ALLEGATIONS:

72 Hour window

AMOUNT:

$1,028

DATE:

12/17/99

COMPANY:

University of Chicago

ALLEGATIONS:

Medicare and Medicaid overbilling and upcoding

AMOUNT:

$10.9 million ($1.85 million to relator)

DATE:

12/9/99

COMPANY:

Ezra Medical Transportation

ALLEGATIONS:

False claims to Medicaid for transportation services

AMOUNT:

$351,000

DATE:

12/7/99

COMPANY:

Page Avjet Corporation

ALLEGATIONS:

Filing of false invoices for work provided by an Israeli contractor ineligible for federal financing

AMOUNT:

$1.4 million

DATE:

12/99

COMPANY:

Methodist Hospital (Philadelphia area)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$103,400

DATE:

12/99

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

73

DATE:

12/99

COMPANY:

Lankenau Hospital (Philadelphia area)

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$304,000

DATE:

11/22/99

COMPANY:

Sharp Healthcare

ALLEGATIONS:

Upcoding and "PATH" allegations

AMOUNT:

$825,000 (relator's share to be determined)

DATE:

11/19/99

COMPANY:

County

ALLEGATIONS:

Failure to prescribe Treatment Plans for outpatient psychiatric services (and thus demonstrate medical necessity); False Medicare Claims

AMOUNT:

15.3 million

DATE:

11/17/99

COMPANY:

Presbyterian Medical Center, Philadelphia

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$535,500

DATE:

11/17/99

COMPANY:

Easton Hospital, Easton, PA

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$1.12 million

DATE:

11/4/99

COMPANY:

Coral Gables Hospital, Inc.

ALLEGATIONS:

Inflated cost reports filed with Medicaid

AMOUNT:

$3.6 million ($2 million for federal portion of Medicaid; $1.6 million for state portion)

DATE:

11/1/99

COMPANY:

Beiersdorf-Jobst, Inc.

ALLEGATIONS:

Medicare fraud; upcoding charges for lymphedema pumps

AMOUNT:

$535,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

74

DATE:

11/99

COMPANY:

Alex. Brown Incorporated

ALLEGATIONS:

Municipal bond "yield burning"

AMOUNT:

$15,177,572

DATE:

11/99

COMPANY:

Edgewater Medical Center

ALLEGATIONS:

Voluntary self-disclosure (no FCA suit) of pneumonia upcoding

AMOUNT:

AMOUNT: $1,069,894

DATE:

10/21/99

COMPANY:

Boston University

ALLEGATIONS:

Misappropriation of federal grant funds

AMOUNT:

$300,000

DATE:

10/18/99

COMPANY:

Peabody Holding Company, Inc.

ALLEGATIONS:

Underpayment of coal royalties for coal produced on federal leases

AMOUNT:

$11 million

DATE:

10/13/99

COMPANY:

J.D. McKean, Jr., M.D. and Emergency Physicians Billing Service

ALLEGATIONS:

Upcoding claims to Medicare, Medicaid, and other federal health care programs

AMOUNT:

$15 million ($12.9 to federal government, $2 million to states) Relator's Share: $3.2 million

DATE:

10/8/99

COMPANY:

East Jefferson General Hospital, Metairie, LA

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$725,000

DATE:

10/5/99

COMPANY:

Mount Sinai School of Medicine

ALLEGATIONS:

Medicare/Medicaid billings for services that lacked documentation that they were provided by physicians (PATH issues)

AMOUNT:

Approximately $2.3 million (approximately $340,000 to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

75

DATE:

10/99

COMPANY:

PennMed Consultants

ALLEGATIONS:

False Medicare and Medicaid cost reports (with inflated claims for owners' compensation, ghost employees, personal auto expenses)

AMOUNT:

$2.1 million (approximately $314,500 to relator; $250,000 for Medicaid claims)

DATE:

9/15/99

COMPANY:

University of California San Diego Medical Center

ALLEGATIONS:

Improperly seeking reimbursement from federal health care programs for surgical procedures using medical devices considered to be "investigational" (not approved for marketing by the FDA).

AMOUNT:

$4.7 million

DATE:

9/15/99

COMPANY:

University of Washington

ALLEGATIONS:

Same as University of California, San Diego, above

AMOUNT:

$3.6 million (amount to relator to be determined). This settlement and the settlement with UCSD began as whistleblower suit, and the same issues are being litigated against 127 other medical centers.

DATE:

9/15/99

COMPANY:

Walgreen Co.

ALLEGATIONS:

Submission of claims for partially filled prescriptions

AMOUNT:

$7.6 million ($678,584 to relator) 25 states also participated in this settlement

DATE:

9/99

COMPANY:

Fletcher Allen Health Care, Anesthesia Associates of Burlington

ALLEGATIONS:

alse Medicare claims for work performed by medical residents and other staff, upcoding.

AMOUNT:

$3.2 million

DATE:

8/31/99

COMPANY:

Oxy USA Inc.

ALLEGATIONS:

Underpayment of royalties for oil produced on federal and Indian land leases

AMOUNT:

$7.3 million

DATE:

8/30/99

COMPANY:

Chinese Hospital, California

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

76

DATE:

8/30/99

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$1.9 million

DATE:

8/25/99

COMPANY:

R.R. Donnelley & Sons Company

ALLEGATIONS:

Under reporting and under paying postage on catalogue and periodical mailings

AMOUNT:

$22 million

DATE:

8/20/99

COMPANY:

Beverly Enterprises Inc.

ALLEGATIONS:

Inappropriate allocation of nursing labor costs

AMOUNT:

$175 million to settle civil charges ($5 million in criminal fines, $28.9 million to relator) Ten nursing homes to be excluded from Medicare and Medicaid This settlement agreement was described as "tentative" by the defendant in its press releases

DATE:

8/18/99

COMPANY:

Kapi'olani Health Services and Kapi'olani Extended Care

ALLEGATIONS:

Medicare fraud

AMOUNT:

$3.4 million for $700,000 alleged overbillings ($630,000 to relator)

DATE:

8/12/99

COMPANY:

Sharp Memorial Hospital

ALLEGATIONS:

Pneumonia Upcoding

AMOUNT:

$863,711

DATE:

8/99

COMPANY:

George Capaldo, M.D.

ALLEGATIONS:

Medicare upcoding for pulse oximetry tests

AMOUNT:

$145,500 to settle civil FCA claims. (Settlement was a global settlement that also resolved criminal, administrative and licensing issues.)

DATE:

7/29/99

COMPANY:

Columbia/HCA Healthcare

ALLEGATIONS:

Overbilling for adolescent psychiatric services; billing for services rendered by unqualified employees

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

77

DATE:

7/29/99

AMOUNT:

$1.25 million ($812,500 to federal government, $437,500 to State of North Carolina for Medicaid portion of payments, $138,125 of federal recovery to relator)

DATE:

7/28/99 Rocky Mountain Hospital and Medical Service, doing business as Blue Cross and Blue Shield of Colorado, and New Mexico Blue Cross and Blue Shield, Inc.

COMPANY:

Altering documents provided by HCFA regarding claims processing performance. Defendants also pled guilty to two felony counts of obstruction of a federal audit and conspiracy to obstruct a federal audit.

ALLEGATIONS:

$12 million to settle civil FCA allegations,

AMOUNT:

$1.5 million in criminal fines

DATE:

7/19/99

COMPANY:

Dr. Donald Berman

ALLEGATIONS:

Lab test unbundling

AMOUNT:

$1.3 million ($205,000 to relator)

DATE:

7/19/99

COMPANY:

COMPANY/PERSON: Olsten Corporation and Kimberly Home Health Care, Inc.

ALLEGATIONS:

ALLEGATIONS: Civil Anti-Kickback Act violations; defendant Kimberly Home Health Care, Inc. also pled guilty to felony conspiracy, mail fraud, and kickback violations.

AMOUNT:

$50.92 million to settle civil claims, $40.92 million of which was allocated to settle a qui tam suit filed in the Northern District of Georgia, with relator receiving $9.8 million. The remaining $10 million civil settlement was allocated to settle matters in the Eastern District of New York relating to allegedly fraudulent cost reports. $10.08 million in criminal fines.

DATE:

7/12/99

COMPANY:

Gottlieb's Financial Services, Inc. and Medaphis Physician Services

ALLEGATIONS:

Upcoding of emergency room billings

AMOUNT:

$15 million ($2,422,500 to relator)

DATE:

7/2/99

COMPANY:

R. Slayen, Inc. and Ronald Slayen

ALLEGATIONS:

Defense contract overbilling

AMOUNT:

$1 million

DATE:

6/28/99

COMPANY:

Baker & Taylor, Inc.

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

78

DATE:

6/28/99

ALLEGATIONS:

Overcharging of federal and state governments by failing to provide agreed-upon discounts

AMOUNT:

AMOUNT: $3 million

DATE:

6/23/99

COMPANY:

Allied Signal Technical Services Corporation

ALLEGATIONS:

Misallocation of labor charges

AMOUNT:

$200,000

DATE:

6/23/99

COMPANY:

Greenbelt Nursing & Rehabilitation Center

ALLEGATIONS:

Billing for substandard nursing home care and false certifications of compliance with regulatory participation requirements

AMOUNT:

$100,000

DATE:

6/15/99

COMPANY:

A.W. Stevens and Sons Waste Disposal Systems, Inc.; St. Mary's Disposal Systems, Inc.; Albert W. Stevens; Michael W. Stevens; Susan Goolsby Stevens; Patrick T. Stevens

ALLEGATIONS:

False claims arising out of solid waste disposal contracts with the U.S. Navy, relating to the operation of illegal solid waste transfer stations

AMOUNT:

$2 million to settle civil FCA allegations; other criminal fines totaling $1.5 million

DATE:

6/15/99

COMPANY:

Dillon Companies, Inc.

ALLEGATIONS:

False Claims to Medicaid for undelivered prescriptions

AMOUNT:

$4 million ($790,000 to relators)

DATE:

5/17/99

COMPANY:

Fresenius Medical Care Holdings, Inc.

ALLEGATIONS:

Filing of false Medicare claims by companies acquired by Fresenius

AMOUNT:

$16,500,000

DATE:

5/99

COMPANY:

Doctors Hospital of Hyde Park

ALLEGATIONS:

Misuse of Pneumonia Diagnosis Code

AMOUNT:

$4.5 million ($519,391 to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

79

DATE:

5/99

COMPANY:

Georgetown University Faculty Practice Group

ALLEGATIONS:

Alleged insufficient documentation of physician services (PATH issues) and alleged noncompliance with Medicare coding rules

AMOUNT:

$5,263,000

DATE:

4/30/99

COMPANY:

Anne Arundel Medical Center

ALLEGATIONS:

False claims for intravenous infusions billed as if performed in an outpatient setting, which were actually self-administered at home

AMOUNT:

$2,117,500

DATE:

4/22/99

COMPANY:

Lazard Freres

ALLEGATIONS:

Yield Burning; Overcharging Municipalities for Federal Government Bond Securities

AMOUNT:

$11 million

DATE:

4/14/99

COMPANY:

Beth Israel Deaconess Medical Center (Boston)

ALLEGATIONS:

Misuse of NIH research grant funds

AMOUNT:

$920,000 (Amount to relator not known)

DATE:

4/14/99

COMPANY:

Forest Hospital System

ALLEGATIONS:

Filing unnecessary Medicare claims (involving the admission of patients with Alzheimer's Disease to a psychiatric program)

AMOUNT:

$4 million ($790,000 to relators)

DATE:

3/11/99

COMPANY:

Novartis Pharmaceuticals Inc.

ALLEGATIONS:

Failure to provide accurate pricing information for pharmaceuticals sold to the Department of Veterans Affairs

AMOUNT:

$2.5 million CIA: $8 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

80

DATE:

3/99

COMPANY:

Santos Flores

ALLEGATIONS:

Stark Law violations

AMOUNT:

$1.7 million, plus interest

DATE:

2/1/99

COMPANY:

The Cancer Center, Inc., and the Cancer Center of Boston at Plymouth

ALLEGATIONS:

Medicare fraud relating to home infusion of chemotherapy

AMOUNT:

$283,000

DATE:

1/21/99

COMPANY:

Allegheny Teledyne Incorporated

ALLEGATIONS:

Withholding of data in FCA settlement negotiations

AMOUNT:

$2.79 million

DATE:

1/21/99

COMPANY:

Clark Equipment Company (a subsidiary of Ingersoll-Rand Corporation)

ALLEGATIONS:

Failure to provide accurate pricing information; overcharging federal agencies

AMOUNT:

$3 million ($510,000 to relator)

DATE:

1/9/99

COMPANY:

Case Corporation

ALLEGATIONS:

Failure to pass on price reductions to government customers

AMOUNT:

$1.9 million

DATE:

1/8/99

COMPANY:

Raytheon Aerospace Company

ALLEGATIONS:

Double-billing DOD for aircraft parts

AMOUNT:

$400,000

DATE:

12/3/98

COMPANY:

Unisys Corporation

ALLEGATIONS:

Refurbished computers supplied to government; contract required that computers be new.

AMOUNT:

$2.25 million (Voluntary Self Disclosure to DOD OIG)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

81

DATE:

11/25/98

COMPANY:

Whitney National Bank of New Orleans

ALLEGATIONS:

Self-reported failure to complete and document collection efforts before filing default claims on federally guaranteed student loans

AMOUNT:

$6.1 million

DATE:

11/20/98

COMPANY:

Ingalls Shipbuilding

ALLEGATIONS:

Defense Contractor Mischarging

AMOUNT:

$2.25 million ($405,000 to relator)

DATE:

11/25/98

COMPANY:

Textron Aerostructures/The Aerostructures Corporation

ALLEGATIONS:

Inflated costs in proposals for production of B-1B Bomber wings

AMOUNT:

$9.8 million ($1,764,000 to relator)

DATE:

11/18/98

COMPANY:

University of Minnesota

ALLEGATIONS:

NIH Grant Fraud and Sale of Unlicensed Drugs

AMOUNT:

$32 million ($4.7 million to settle FCA claims) ($1.5 million to relator)

DATE:

11/13/98

COMPANY:

BankAmerica

ALLEGATIONS:

Municipal Bond Fraud (California False Claims Act)

AMOUNT:

$187.5 million ($26 million to relator)

DATE:

11/11/98

COMPANY:

City of New York and State of New York

ALLEGATIONS:

Fraudulent Collection of Federal Foster Care Funds

AMOUNT:

$49 million ($4.9 million to relator)

DATE:

10/21/98

COMPANY:

Deborah Heart and Lung Center

ALLEGATIONS:

Medicare overbilling (voluntary self-disclosure)

AMOUNT:

$840,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

82

DATE:

10/13/98

COMPANY:

New York City Bureau of Emergency Medical Services; NYC Health and Hospitals Corporation

ALLEGATIONS:

Billing for medically unnecessary ambulance services

AMOUNT:

$9.5 million ($1.4 million to relator)

DATE:

10/9/98

COMPANY:

Genwal Coal Company, Inc. and Castle Valley Resources, Inc.

ALLEGATIONS:

Underpayment of royalties for coal removed from federal land

AMOUNT:

$205,000 ($36,900 to relator)

DATE:

10/6/98

COMPANY:

Invacare Corp.

ALLEGATIONS:

Failure to disclose accurate pricing data to Department of Veterans Affairs. Settlement also covered alleged violations of the Buy America Act

AMOUNT:

$2.6 million

DATE:

10/98

COMPANY:

Weiss Memorial Hospital

ALLEGATIONS:

Pneumonia upcoding

AMOUNT:

$3.35 million ($434,000 to relator)

DATE:

9/29/98

COMPANY:

Spectrum Emergency Care, Inc.; Coordinated Health Services, Inc.; and Synergon

ALLEGATIONS:

Health Care Fraud/Upcoding

AMOUNT:

$3,145,494 ($381,584 to eleven states; $552,8781 to relator)

DATE:

9/25/98

COMPANY:

OrNda Healthcorp

ALLEGATIONS:

Overbilling CHAMPUS, FEHBP and TRICARE

AMOUNT:

$850,000

DATE:

9/22/98

COMPANY:

Paraclesus Healthcare Corp.

ALLEGATIONS:

Medicare billing fraud; kickbacks

AMOUNT:

$7.3 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

83

DATE:

9/3/98

COMPANY:

Highmark, Inc.

ALLEGATIONS:

Failure to process Medicare claims; failure to recover Medicare overpayments; lying to federal regulators; obstruction of justice

AMOUNT:

$38.5 million ($5,976,000 to relators)

DATE:

8/19/98

COMPANY:

Charter Behavioral Health Systems; Charter Hospital of St. Louis

ALLEGATIONS:

Health Care Fraud/Billing for Inappropriate Treatment

AMOUNT:

$4.75 million ($903,899 to relators)

DATE:

7/16/98

COMPANY:

(Blue Cross Blue Shield of Illinois)

ALLEGATIONS:

Falsified Reports Regarding Performance Processing Medicare Claims; Conspiracy to Obstruct and Obstruction of Federal Audit

AMOUNT:

$140 million to settle False Claims Allegations ($29.2 million to relator), $4 million in criminal fines

DATE:

7/10/98

COMPANY:

Grady Memorial Hospital

ALLEGATIONS:

False Medicaid Prescription Claims

AMOUNT:

$4.3 million ($779,000 to relator)

DATE:

6/18/98

COMPANY:

North Louisiana Rehabiliation Hospital (owned by Horizon CMS & Continental Medical Systems, Inc.) Dr. Joseph Mitchell Smith

ALLEGATIONS:

Medicare Fraud

AMOUNT:

:$4,212,920 paid by Horizon, ($250,000 paid by Dr. Smith)

DATE:

6/12/98

COMPANY:

University of Texas Health Science Center at San Antonio

ALLEGATIONS:

HEALTH CARE FRAUD (Charging for Physician services without sufficient documentary evidence to support the claims)

AMOUNT:

$17.2 million ($2.58 million to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

84

DATE:

4/23/98

COMPANY:

M/A-COM Inc. (Division of AMP, Inc.)

ALLEGATIONS:

Failure to Test - Navy & Air Force Contracts

AMOUNT:

$3 million ($600,000 to relator)

DATE:

4/9/98

COMPANY:

St. Anthony's Hospital of Effingham, Illinois

ALLEGATIONS:

Healthcare Fraud (Failure to refund overpayments)

AMOUNT:

$228,500 ($45,700 to relator)

DATE:

4/8/98

COMPANY:

COMPANY/PERSON: Home Americair of California

ALLEGATIONS:

Healthcare Fraud

AMOUNT:

$5 million ($1.1 million to relators)

DATE:

3/30/98

COMPANY:

COMPANY/PERSON: Alliant Techsystems, Inc. and Hercules, Inc.

ALLEGATIONS:

ALLEGATIONS: Procurement Fraud (overcharging Navy labor costs)

AMOUNT:

AMOUNT: $4.5 million ($900,000 to relator)

DATE:

3/26/98

COMPANY:

COMPANY/PERSON: Unisys Corp. and Lockheed Martin Corp.

ALLEGATIONS:

ALLEGATIONS: Procurement Fraud - overcharging

AMOUNT:

AMOUNT: $3.15 million

DATE:

3/26/98

COMPANY:

COMPANY/PERSON: University of Texas Medical School at San Antonio

ALLEGATIONS:

ALLEGATIONS: Healthcare Fraud

AMOUNT:

AMOUNT: $20 million

DATE:

3/12/98

COMPANY:

Pall Aeropower Corp. of New Port Richey, Florida

ALLEGATIONS:

Procurement Fraud: failing to disclose cost reductions

AMOUNT:

$2.2 million ($374,000 to relator)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

85

DATE:

3/10/98

COMPANY:

Washington Consulting Group

ALLEGATIONS:

False labor costs and unallowable costs

AMOUNT:

$425,000 ($93,500 to relator)

DATE:

1/28/98

COMPANY:

National Environmental Testing, Inc., NET Midwest, Inc., and Ocean Group plc

ALLEGATIONS:

Failing to conduct proper soil and water testing

AMOUNT:

$320,000 ($62,700 to relator)

DATE:

1/16/98

COMPANY:

Paracelsus Healthcare Corp. of Houston Texas

ALLEGATIONS:

Medicaid/Medicare Fraud: Inadequate physician involvement

AMOUNT:

$3 million ($600,00 to relator)

DATE:

11/19/97

COMPANY:

McDonnell Douglas

ALLEGATIONS:

Military overcharging on aircraft equipment repair

AMOUNT:

$2 million (additional $1.1 million to qui tam relator)

DATE:

11/13/97

COMPANY:

Andrew and Williamson Sales Co.

ALLEGATIONS:

Fraudulent sale of foreign produce to USDA

AMOUNT:

$1.3 million (additional $200,000 criminal fine and potential 15 year prison term for A & W president)

DATE:

11/5/97

COMPANY:

Vendell Healthcare, Inc.

ALLEGATIONS:

Overcharging federal health insurance programs

AMOUNT:

$4.2 million

DATE:

10/10/97

COMPANY:

Government Technology Services Inc.

ALLEGATIONS:

Overcharging on GSA contracts for computers

AMOUNT:

$400,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

86

DATE:

10/10/97

COMPANY:

Trendway Corp. of Holland, Minnesota

ALLEGATIONS:

Overcharging on GSA contracts for system furniture

AMOUNT:

$1.25 million

DATE:

9/18/97

COMPANY:

Baptist Medical Center of Kansas City, Missouri

ALLEGATIONS:

Kickbacks for referral of Medicare patients

AMOUNT:

$17.5 million

DATE:

9/3/97

COMPANY:

Olympus America Inc. of Melville, N.Y. ALLEGATIONS: Overcharging

ALLEGATIONS:

Veterans Affairs for medical equipment

AMOUNT:

$22.8 million

DATE:

8/1/97

COMPANY:

Vendell Healthcare, Inc. of Nashville, Tenn. (United States and the State of Nebraska v. Vendell Healthcare, Inc.)

ALLEGATIONS:

Improper Medicare billing for advertisements, building depreciation and interest costs, and legal fees

AMOUNT:

$1.3 million

DATE:

7/8/97

COMPANY:

First Tennessee Bank, National Association (US v. FTB, No. 3:94 CV 323 (E.D.Tn.))

ALLEGATIONS:

Submitted false claims for federal insurance on defaulted student loans

AMOUNT:

$2.75 million

DATE:

6/12/97

COMPANY:

Laboratory Corp. of America (US ex rel. Holden and Bunora v. Laboratory Corp. of America, et al., No. 96-6272-CIV-ZLOCH (M.D. Fla.)).

ALLEGATIONS:

Overcharging Medicare for mileage expenses for in-home care

AMOUNT:

$700,000 ($112,000 to relators)

DATE:

6/12/97

COMPANY:

Hughes Aircraft Company and Hughes Aircraft Mississippi, Inc. (US ex rel. Willis v. Hughes Aircraft Co., et al., No. 3:93-cv-693BN (S.D.Miss.) and US ex rel. McDonald v. Hughes Aircraft

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

87

DATE:

6/12/97 Co., et al., No. 3:94-cv-4455LN (S.D.Miss.)).

ALLEGATIONS:

Failure to properly test and use of non-conforming parts under military contracts

AMOUNT:

$500,000 ($100,000 to relators)

DATE:

6/4/97

COMPANY:

Coastal Emergency Physicians Group of Texas, P.A. (U.S. ex rel. Semtner v. Emergency Physicians Billing Services (W.D. Okla.))

ALLEGATIONS:

Medicare, Medicaid, CHAMPUS overbilling

AMOUNT:

$268,460 ($47,394 to relator's estate)

DATE:

5/23/97

COMPANY:

Mediserv Inc. (U.S. ex rel. Wells v. Huntleigh Tech (D. N.J.))

ALLEGATIONS:

Medicare overbilling

AMOUNT:

$1.3 million

DATE:

5/21/97

COMPANY:

EmCare Inc. (U.S. ex rel. Semtner v. Emergency Physicians Billing Services (W.D. Okla.))

ALLEGATIONS:

Medicare, Medicaid, CHAMPUS, FEHBP overbilling

AMOUNT:

$7.75 million

DATE:

5/20/97

COMPANY:

Pratt & Whitney Group of United Technologies Corp.,Inc. (United States v. United Technologies Corp., No. 95-8521-CIV (S.D. Fla.)

ALLEGATIONS:

Conspiracy to divert military funds through false billings

AMOUNT:

$14.8 million

DATE:

5/2/97

COMPANY:

ue Shield of California

ALLEGATIONS:

Falsification of processing error rates

AMOUNT:

AMOUNT: $12 million

DATE:

4/24/97

COMPANY:

William Robert McKenzie

ALLEGATIONS:

HUD - Mortgage loan fraud

AMOUNT:

$130,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

88

DATE:

4/21/97

COMPANY:

Chemical Waste Management, Inc. (ChemWaste)

ALLEGATIONS:

Air Quality Contract Violations

AMOUNT:

$92,685

DATE:

3/19/97

COMPANY:

Vitro Corporation of Rockville, MD

ALLEGATIONS:

Mischarging labor on Navy contracts

AMOUNT:

$139,000 - DoD Voluntary Disclosure Program

DATE:

3/11/97

COMPANY:

Krueger International

ALLEGATIONS:

Failure to offer the government price reductions offered to commercial customers

AMOUNT:

$5,107,321 (GSA Voluntary Disclosure Program)

DATE:

3/7/97

COMPANY:

SPECO Corporation

ALLEGATIONS:

Military fraud - defective parts

AMOUNT:

$7.2 million

DATE:

2/24/97

COMPANY:

Smith-Kline Beecham Clinical Laboratories

ALLEGATIONS:

Medicare/Medicaid fraud - overbilling

AMOUNT:

$325 million

DATE:

2/12/97

COMPANY:

Meris Laboratories

ALLEGATIONS:

HHS Fraud, medically unnecessary testing

AMOUNT:

$5.2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

89

DATE:

2/11/97

COMPANY:

United States ex rel. Aranda v. Community Psychiatric Ctrs. of Oklahoma

ALLEGATIONS:

Medicare/Medicaid fraud - quality of care

AMOUNT:

$750,000

DATE:

2/5/97

COMPANY:

Gayston Corporation of Springboro, Ohio.

ALLEGATIONS:

Bid-rigging conspiracy

AMOUNT:

$500,000

DATE:

2/4/97

COMPANY:

Apria Healthcare Group, Inc.

ALLEGATIONS:

Medicare/Medicaid fraud - kickbacks

AMOUNT:

$1.65 million

DATE:

2/4/97

COMPANY:

Georgia Lung Associates

ALLEGATIONS:

Medicare/Medicaid fraud - kickbacks

AMOUNT:

$346,000

DATE:

2/4/97

COMPANY:

Paso del Norte Health Foundation of El Paso, Texas

ALLEGATIONS:

Medicare/Medicaid fraud - kickbacks

AMOUNT:

$24,000

DATE:

2/4/97

COMPANY:

Physicians Pharmacy Inc. of Georgia

ALLEGATIONS:

Medicare/Medicaid fraud - kickbacks

AMOUNT:

$24,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

90

DATE:

2/4/97

COMPANY:

Samuel Magee Milton, Jr.

ALLEGATIONS:

HUD fraud

AMOUNT:

$650,000

DATE:

2/3/97

COMPANY:

Dillingham Construction Pacific Ltd, Findlay Labs.

ALLEGATIONS:

Failure to test

AMOUNT:

$1 million

DATE:

1/10/97

COMPANY:

General Electric Co.

ALLEGATIONS:

Failure to test circuit boards for aircraft engine controls

AMOUNT:

$950,000

DATE:

12/23/96

COMPANY:

Teledyne Industries, Inc.

ALLEGATIONS:

Military contract fraud

AMOUNT:

$4.75 million

DATE:

12/23/96

COMPANY:

Teledyne Industries, Inc.

ALLEGATIONS:

Military contract - testing fraud

AMOUNT:

$6.75 million

DATE:

12/20/96

COMPANY:

ITT Industries Inc.

ALLEGATIONS:

Military contract - testing fraud

AMOUNT:

$262,500

DATE:

12/18/96

COMPANY:

Professional Ambulance Service, Inc., L&M Ambulance Corp., Trinity Ambulance Corp.

ALLEGATIONS:

Medicare Fraud

AMOUNT:

$700,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

91

DATE:

12/12/96

COMPANY:

Snap-on Incorporated

ALLEGATIONS:

Procurement Fraud

AMOUNT:

$891,000

DATE:

11/96

COMPANY:

Laboratory Corporation of America Holdings (LabCorp)

ALLEGATIONS:

Medicare/Medicaid Fraud

AMOUNT:

$182 million

DATE:

11/25/96

COMPANY:

Continental Grain Co. and foreign affiliate

ALLEGATIONS:

USDA Fraud

AMOUNT:

$35 million

DATE:

10/10/96

COMPANY:

Corning, Inc. (Damon Clinical Laboratories Inc.)

ALLEGATIONS:

Medicare Fraud

AMOUNT:

$119 million

DATE:

10/18/96

COMPANY:

First American Health Care of Georgia, Inc.

ALLEGATIONS:

Medicare fraud

AMOUNT:

$255 million

DATE:

10/18/96

COMPANY:

Randtron Systems, Inc. of Menlo Park, California

ALLEGATIONS:

Procurement Fraud

AMOUNT:

$500,000

DATE:

10/8/96

COMPANY:

FMC Corporation of Chicago

ALLEGATIONS:

Procurement Fraud

AMOUNT:

$13 Million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

92

DATE:

9/10/96

COMPANY:

Hughes Aircraft Company

ALLEGATIONS:

Military Fraud

AMOUNT:

$4.05 million

DATE:

8/26/96

COMPANY:

The Austin Company of Cleveland, Ohio

ALLEGATIONS:

Procurement Fraud

AMOUNT:

$4 million

DATE:

8/22/96

COMPANY:

Thomas Jefferson University, Jefferson Faculty Foundation

ALLEGATIONS:

"PATH" allegations

AMOUNT:

$11,986,716

DATE:

7/18/96

COMPANY:

Varo, Inc. and Optic Electronic Corp. of Garland, Texas

ALLEGATIONS:

Testing Fraud

AMOUNT:

$2 million

DATE:

6/27/96

COMPANY:

First Union Mortgage Corp.

ALLEGATIONS:

HUD Fraud

AMOUNT:

$7 million

DATE:

6/19/96

COMPANY:

Advanced Care Assoc., Inc. of Pennsylvania

ALLEGATIONS:

Medicare Fraud Advanced Care, a Pennsylvania medical equipment supplier, and its former owners paid $4 million to settle a False Claims Act case alleging that they filed false claims for reimbursement from Medicare. The government claimed that Advanced Care submitted false documents regarding the medical condition of Medicare beneficiaries to get reimbursement for hundreds of lympheda and sleeve pumps used to treat excessive accumulation of lymph fluid. The government also alleged that Advanced Care supplied used equipment to beneficiaries while representing to the government that the equipment was new. Additional claims related to the defendants' alleged attempts to destroy evidence and misrepresentations

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

93

DATE:

6/19/96 to Medicare beneficiaries. The settlement also included a three year compliance program which requires Advanced Care and its parent company, The Care Group, to promote compliance with Medicare and Medicaid regulations. The agreement bars the former owners from ever doing business involving Medicare and state health care programs.

AMOUNT:

AMOUNT: $4 million

DATE:

6/11/96

COMPANY:

Precision Manufacturing Co. of Montreal, Quebec

ALLEGATIONS: AMOUNT:

$642,000

DATE:

6/3/96

COMPANY:

Batelle Memorial Institute

ALLEGATIONS:

DOE Fraud

AMOUNT:

$330,000

DATE:

5/31/96

COMPANY:

Dana Corporation

ALLEGATIONS:

Procurement Fraud

AMOUNT:

$10.175 million

DATE:

4/29/96

COMPANY:

James Jaramillo, M.D. and Medical Institute for Mental Health

ALLEGATIONS:

Healthcare Fraud

AMOUNT:

$600,000

DATE:

4/26/96

COMPANY:

ITT Defense and Electonics, Inc.

ALLEGATIONS:

Procurement Fraud

AMOUNT:

$643,633 (Voluntary Disclosure)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

94

DATE:

4/10/96

COMPANY:

Ethyl Petroleum Additives Inc. and Ethyl Corp

ALLEGATIONS:

Sale of products that failed to meet military specifications

AMOUNT:

$4,750,000

DATE:

2/22/96

COMPANY:

American President Lines, Ltd.

ALLEGATIONS:

Grant fraud

AMOUNT:

$600,000

DATE:

2/14/96

COMPANY:

KCI Holdings, Inc

ALLEGATIONS:

Overbilling the fedreal government for computer aided design and drafting work

AMOUNT:

$305,000 ($45,750 to relator)

DATE:

2/2/96

COMPANY:

Phillips Electronics

ALLEGATIONS:

Procurement fraud

AMOUNT:

$65.3 million (Voluntary Disclosure)

DATE:

1/18/96

COMPANY:

Stewart Title Guaranty Company of Houston, Texas

ALLEGATIONS:

HUD fraud

AMOUNT:

$499,000

DATE:

1/2/96

COMPANY:

Peter Kiewit Sons', Inc.; Kiewit Construction Group, Inc.; Kiewit Construction Co., Inc.; and Kiewit Pacific Co.

ALLEGATIONS:

False claims relating to the use of minority and other disadvantaged contractors in federally funded construction projects

AMOUNT:

$715,000

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

95

DATE:

12/12/95

COMPANY:

University of Pennsylvania, University of Pennsylvania Health System

ALLEGATIONS:

"PATH" allegations

AMOUNT:

$30,013,490

DATE:

12/7/95

COMPANY:

United States Surgical Corp.

ALLEGATIONS:

Failure to disclose accurate, current & complete pricing information to the government for items purchased by the Department of Veterans Affairs

AMOUNT:

$10 million

DATE:

12/6/95

COMPANY:

BEI Sensors and Systems Inc.

ALLEGATIONS:

Failure to test

AMOUNT:

$1 million

DATE:

12/1/95

COMPANY:

Health Care Capital; Central Park Lodges; Health Resources Northwest

ALLEGATIONS:

False claims to Medicare for medical supplies

AMOUNT:

$2.2 million

DATE:

11/20/95

COMPANY:

SL Auburn Inc., SL Industires Inc.

ALLEGATIONS:

False claims for defective parts

AMOUNT:

$600,000 ($144,000 to relator)

DATE:

12/1/95

COMPANY:

Health Care Capital; Central Park Lodges; Health Resources Northwest

ALLEGATIONS:

False claims to Medicare for medical supplies

AMOUNT:

$2.2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

96

DATE:

11/20/95

COMPANY:

SL Auburn Inc., SL Industires Inc.

ALLEGATIONS:

False claims for defective parts

AMOUNT:

$600,000 ($144,000 to relator)

DATE:

11/6/95

COMPANY:

FD Services

ALLEGATIONS:

Fraudulent claims associated with repairs to military housing damaged by Hurricane Hugo

AMOUNT:

$2.2 million ($1.3 million to relator) after appeal of 5/94 jury verdict awarding $6.1 million)

DATE:

11/2/95

COMPANY:

Teledyne Industries Inc.

ALLEGATIONS:

Performance of improper tests; failure to calibrate test equipment

AMOUNT:

$2 million ($300,000 to relator)

DATE:

11/2/95

COMPANY:

Metro Construction Company of San Juan

ALLEGATIONS:

HUD fraudAMOUNT: $1.4 million

AMOUNT:

$1.4 million

DATE:

11/2/95

COMPANY:

Teledyne Industries Inc.

ALLEGATIONS:

Performance of improper tests; failure to calibrate test equipment

AMOUNT:

$2 million ($300,000 to relator)

DATE:

10/31/95

COMPANY:

Modern Wholesale Drug Midwest Inc.; Rugby Laboratories; Eileen Doran

ALLEGATIONS:

Failure to provide government information about lowest discounts offered to commercial customers

AMOUNT:

$7.5 million ($1,050,000 to relator)

DATE:

10/26/95

COMPANY:

Life Centers, Ltd., Howard Wurtzel, Ester Wurtzel

ALLEGATIONS:

ALLEGATIONS: Billing Medicaid and Medicare for outpatient psychiatric/mental health services that were not provided or that were ineligible for reimbursement; 3730(h) whistleblower retaliation

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

97

DATE:

10/26/95 claim

AMOUNT:

$500,000

DATE:

10/11/95

COMPANY:

Overbilling labor charges on Air Force contra

ALLEGATIONS:

Failure to provide government information about lowest discounts offered to commercial customers

AMOUNT:

$7.5 million ($1,050,000 to relator)

DATE:

10/2/95

COMPANY:

Project III of Central Florida, Inc.

ALLEGATIONS:

Grant fraud

AMOUNT:

$500,000

DATE:

10/2/95

COMPANY:

Failure to test; knowing shipment of defective parts

ALLEGATIONS:

Failure to test; knowing shipment of defective part

AMOUNT:

$88 million ($19,360,000 to relator); $18.5 million criminal fine

DATE:

9/29/95

COMPANY:

CSX Transportation Inc.

ALLEGATIONS:

Overcharging the government for railroad crossing signals

AMOUNT:

$5.9 million ($1,180,000 to relator)

DATE:

9/29/95

COMPANY:

Travelers Insurance Company

ALLEGATIONS:

Medicare Fraud Travelers paid $10 million to settle a lawsuit in which the government contended that Medicare made primary payments for health care services that Travelers allegedly should have paid, according to a September 29, 1995 Department of Justice press release. The lawsuit was filed on behalf of the Health Care Financing Administration (HCFA), a HHS agency, to enforce Medicare Secondary Payer (MSP) laws. The MSP laws require private insurers to pay primary benefits when a person is insured by both Medicare and a private insurance policy. The HCFA matches Internal Revenue Service and Social Security data to determine when private insurers have responsibility for paying claims. In the Travelers case, the government sued to recover "mistaken" primary payments where

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

98

DATE:

9/29/95 Travelers and Medicare provided coverage. In addition to the monetary settlement, Travelers agreed to share data with the government.

AMOUNT:

$10 million

DATE:

9/22/95

COMPANY:

Dana Corporation

ALLEGATIONS:

Procurement fraud

AMOUNT:

$19.5 million

DATE:

8/10/95

COMPANY:

General Electric Co.

ALLEGATIONS:

Sale of jet engines to the government that did not comply with government testing and bonding requirements

AMOUNT:

$7.1 million ($1.7 million to relator)

DATE:

7/31/95

COMPANY:

Rockwell International

ALLEGATIONS:

Knowing failure to provide accurate, complete and current cost information relating to construction of B1-B Bombers

AMOUNT:

$27 million

DATE:

7/31/95

COMPANY:

Rockwell International

ALLEGATIONS:

Knowing failure to provide accurate, complete and current cost information relating to construction of B1-B Bombers

AMOUNT:

$27 million

DATE:

7/17/95

COMPANY:

Israel Aircraft Industries Ltd

ALLEGATIONS:

Knowing submission of false cost data

AMOUNT:

$8.5 million plus interest

DATE:

7/7/95

COMPANY:

GTE Government Systems Corp.; Canadian Marconi Corp.

ALLEGATIONS:

Sale of defective radios to the Army

AMOUNT:

$3.2 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

99

DATE:

6/23/95

COMPANY:

Florida Club Care Cancer Center Limited

ALLEGATIONS:

False claims to Medicare for nursing home supplies

AMOUNT: DATE:

6/21/95

COMPANY:

Harris Corporation

ALLEGATIONS:

Bid rigging

AMOUNT:

Up to $1.6 million

DATE:

6/19/95

COMPANY:

Becton Dickinson and Co., Inc.

ALLEGATIONS:

Overcharging federal government for lab supplies

AMOUNT:

$3.3 million ($561,000 to relator)

DATE:

6/14/95

COMPANY:

Rockwell International Corp.

ALLEGATIONS:

Failure to provide accurate cost information

AMOUNT:

$260,000

DATE:

6/1/95

COMPANY:

Richardson Electronics Ltd

ALLEGATIONS:

False claims regarding ability to meet government contract specifications; submission of defective military n ight vision equipment

AMOUNT:

$4.7 million

DATE:

5/30/95

COMPANY:

SMTEK Inc.

ALLEGATIONS:

False claims regarding ability to perform government contract

AMOUNT:

$200,000 ($35,000 to relator)

DATE:

5/12/95

COMPANY:

Textron Inc.

ALLEGATIONS:

Failure to test

AMOUNT:

$100,000 (DOD voluntary disclosure)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

100

DATE:

5/10/95

COMPANY:

SAIC; Allied Signal Technical Services Corp; Lloyd Electric Co.

ALLEGATIONS:

Improper testing of power cables

AMOUNT:

$230,000

DATE:

5/4/95

COMPANY:

American Seating Company

ALLEGATIONS:

Failure to provide full information to the government regarding discounts given to commercial customers

AMOUNT:

$800,000

DATE:

4/17/95

COMPANY:

Universal Propulsion Co.

ALLEGATIONS:

Labor overcharges

AMOUNT:

$1 million

DATE:

3/27/95

COMPANY:

CHR Associates, Inc., d/b/a/ Claridge House

ALLEGATIONS:

False claims for nursing home supplies

AMOUNT:

$414,911

DATE:

3/20/95

COMPANY:

Allied Clinical Labs

ALLEGATIONS:

False claims to Medicare for lab tests with false diagnosis codes

AMOUNT:

$4.9 million

DATE:

1/27/95

COMPANY:

Federal Express Corporation

ALLEGATIONS:

Failure to pay $239,000 in duties on 1,300 shipments of foreign merchandise

AMOUNT:

$1.1 million

DATE:

1/18/95

COMPANY:

Blue Cross Blue Shield of Michigan

ALLEGATIONS:

Improper Medicare billing for private insurance claims

AMOUNT:

$24 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

101

DATE:

1/10/95

COMPANY:

Blue Cross Blue Shield of Michigan

ALLEGATIONS:

Falsified documents to support audits

AMOUNT:

$27.6 million

DATE:

1/6/95

COMPANY:

Rubbermaid Commercial Products, Inc.

ALLEGATIONS:

Overcharging the government for products sold to federal agencies; failure to disclose discounts given to commericial customers

AMOUNT:

$1 million ($185,000 to relator)

DATE:

12/27/94

COMPANY:

State of New York; New York Department of Social Services; and a number of other state agencies

ALLEGATIONS:

Submission of false claims to the federal government for training of social service workers

AMOUNT:

$26.97 million ($4.05 million to relator)

DATE:

12/15/94

COMPANY:

Equipment & Supply Inc.; Andrew A. Adams

ALLEGATIONS:

False claims for aircraft parts and service equipment that did not meet contract specifications

AMOUNT:

Total value, including cash payment and withdrawal of pending claim in separate contract dispute up to $1.4 million

DATE:

12/15/94

COMPANY:

DynCorp

ALLEGATIONS:

Failure to perform required number of hours of preventative maintenance on electrical substations

AMOUNT:

$250,000

DATE:

12/12/94

COMPANY:

Westinghouse Electric Corp.

ALLEGATIONS:

Failure to disclose certain European sales to Air Force negotiators, which resulted in avoiding lower prices under a contractual combined production provision

AMOUNT:

$1,883,030 (DOD voluntary disclosure)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

102

DATE:

12/6/94

COMPANY:

Teledyne Industries, Inc.

ALLEGATIONS:

Failure to test; impropoer substitution of non- conforming parts under Navy contract

AMOUNT:

$500,000 (DOD voluntary disclosure)

DATE:

11/29/94

COMPANY:

Carsonite International

ALLEGATIONS:

Failure to disclose accurate pricing and discount information in negotiating contracts with GSA

AMOUNT:

$550,000

DATE:

11/10/94

COMPANY:

Teledyne Industries Inc.

ALLEGATIONS:

Failure to disclose accurate pricing information in negotiating contracts with the Army, Navy, and Air Force

AMOUNT:

$850,000 ($170,000 to relator plus $100,000 paid for relator's attorneys' fees)

DATE:

10/20/94

COMPANY:

Teledyne Industries Inc.

ALLEGATIONS:

Failure to properly test electronic identification systems; false labor charges

AMOUNT:

$5.56 million ($869,000 to relator)

DATE:

10/20/94

COMPANY:

UltraMed Inc.

ALLEGATIONS:

False claims for lymphedema pumps; upcoding

AMOUNT:

$2.1 million

DATE:

10/3/94

COMPANY:

Tandem Computers Inc.

ALLEGATIONS:

Failure to disclose discounts offered to commercial customers

AMOUNT:

$1.9 million

DATE:

9/29/94

COMPANY:

Respro Home Care

ALLEGATIONS:

False claims to Medicare for medical equipment and oxygen supplies that were the result of improper referrals

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

103

DATE:

9/29/94

AMOUNT:

$90,000

DATE:

9/28/94

COMPANY:

Blue Cross and Blue Shield of Massachusetts Inc.

ALLEGATIONS:

Submission of false Medicare reports inflating the number of claims and reviews that were processed for the government

AMOUNT:

$2.75 million

DATE:

9/26/94

COMPANY:

T2 Medical Inc.

ALLEGATIONS:

Submission of false claims to Medicare for care "tainted" by improper kickback arrangements

AMOUNT:

$500,000

DATE:

9/15/94

COMPANY:

Parker Hannifin Corporation

ALLEGATIONS:

Inflated indirect costs and pricing data provided to the government

AMOUNT:

$7.8 million (DOD voluntary disclosure)

DATE:

9/94

COMPANY:

Troy & Nichols Inc. (Monroe, LA)

ALLEGATIONS:

Troy & Nichols Inc. (Monroe, LA)

AMOUNT:

$735,000

DATE:

8/15/94

COMPANY:

Engineered Air Systems

ALLEGATIONS:

Overcharges in military contracts for inflated broker's fees and kickbacks

AMOUNT:

$165,898

DATE:

8/5/94

COMPANY:

exas Instruments, Inc.

ALLEGATIONS:

Improper allocation of labor charges

AMOUNT:

$5.2 million (DOD Voluntary Disclosure)

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

104

DATE:

8/3/94

COMPANY:

Novell Computer

ALLEGATIONS:

Failure to disclose pricing policies and rebates to the government

AMOUNT:

$1.7 million ($310,500 to relator)

DATE:

8/4/93

COMPANY:

COMPANY/PERSON: Blue Cross and Blue Shield of Florida

ALLEGATIONS:

ALLEGATIONS: Falsified physician orders

AMOUNT:

AMOUNT: $10 million

Fried, Frank, Harris, Shriver & Jacobson LLP A Delaware Limited Liability Partnership

105

Comments