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heathcare fraud 2 articles

Whistleblower Awarded $17 Million for Exposing Medicare Fraud

A whistleblower who filed a False Claims Act lawsuit against Prime Healthcare Services, one of the nation’s largest hospital chains, and its founder and chief executive officer, has received an award of $17,225,000 for helping the U.S. recover $65 million in Medicare funds. The U.S. Department of Justice said that Karin Berntsen, the former Director of Performance Improvement at Alvarado Hospital Medical Center in San Diego, brought the suit under the whistleblower provisions of the False Claims Act. Ms. Berntsen alleged that Prime Healthcare Services, Prime Healthcare Foundation, Prime Healthcare Management, and CEO Dr. Prem Reddy routinely admitted Medicare patients ... Read More

Paradigm Spine Settles Whistleblower Allegations of Pushing Medical Device For Unapproved Purposes

Paradigm Spine, a New York City-based medical device manufacturer, will pay the United States government $585,000 to resolve allegations contained in a whistleblower lawsuit filed by a former Paradigm sales representative under the False Claims Act. The settlement brings to rest claims made by Chris Coyle, who sued his former employer on behalf of the federal government, accusing Paradigm of marketing a spinal implant called the coflex-F for unapproved surgical uses. Mr. Coyle’s complaint, which the U.S. government supported, alleged Paradigm unlawfully marketed the coflex-F device from 2012 to 2015. The U.S. Food and Drug Administration (FDA) approves class II ... Read More