November 16, 2018 - Posts

Whistleblower Roundup – November 16, 2018

A look back at the week’s news and developments affecting whistleblowers.


Shaw University Agree to Pay $316, 900 to Settle False Claims Act Allegations

Shaw University agreed to pay $316,900 to settle claims that a former Shaw University official and a local building contractor made false statements to obtain Department of Education grant funds in violation of the False Claims Act, the Department of Justice announced this week. The government’s investigation began with a whistleblower complaint filed under the qui tam provisions of the False Claims Act.


Ohio Woman Indicted for Stealing $377,000 from Healthcare Plans

A 26-count indictment was filed accusing Pamela S. Priddy of stealing more than $375,000 from health care plans she administered and using the money to pay for personal expenses. In 2010, Priddy started Health Plan Administrators LLC (“HPA”), a company that was a third-party administrator of healthcare plan benefits. HPA’s primary clients were companies that sponsored self-funded health care benefit plans for their employees.  These companies hired HPA and paid it a fee to administer their benefit plans.  Priddy diverted approximately $377,091.74 of HPA clients’ money and used it for her personal benefit. To read more click here.


Montana Hospital settles False Claims Act Case over Radiology Services

A Montana hospital, Bozeman Health, has settled a federal lawsuit that alleged the hospital made millions of dollars worth of fraudulent claims to government health care programs as part of an illegal kickback scheme to keep a monopoly on radiology services. According to the suit, Bozeman Health entered into a “sham” joint venture with a radiology group, and set up a system of patient referrals that violated the federal Anti-Kickback Statute. To read more from the Bozeman Daily Chronicle, click here.



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