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Columbia University

Columbia University Pays More Than $5 Million To U.S.; Whistleblower Case Alleged Medical School Obstetricians Defrauded Medicaid Over Midwife-Handled Deliveries

UPDATE May 2008: The U.S. District Court for the Southern District of New York has ruled against New York Presbyterian Hospital’s second Motion for Summary Judgment, setting an August 4th trial date for the Romano case.

At that time a jury will determine if the hospital is liable for thousands of False Claims Act violations over a five-year period, each of which carries a maximum fine of up to $11,000.

In his April 2, 2008 ruling The Hon. Louis I. Stanton found that no “presentment” requirement was needed in this qui tam case, even though invoices were first given to the New York State Medicaid program (which is funded with federal dollars). In an earlier ruling, in April 2006 Judge Stanton dismissed a hospital motion for Summary Judgment on other grounds.

Columbia University UPDATE: The U.S. District Court for the Southern District of New York has, in effect, ordered a trial to determine if the remaining defendant in the Romano case, New York Presbyterian Hospital, is also liable for False Claims Act violations. In April 2006, The Hon. Louis L. Stanton dismissed the hospital’s motion for Summary Judgment which clears the way for a trial to determine if the hospital is liable for as many as 2,000 False Claims Act violations per year over a more-than-five-year period. Under federal law a fine of up to $11,000 per count, along with up to three times actual damages could be assessed.

Columbia University Pays More Than $5 Million To U.S.; Whistleblower Case Alleged That Medical School Obstetricians Defrauded Medicaid Over Midwife-Handled Deliveries
NEW YORK CITY – Columbia University obstetricians defrauded Medicaid for more than a decade by falsely taking credit for deliveries routinely handled by certified nurse midwives at The New York and Presbyterian Hospital’s Allen Pavilion, according to court documents unsealed today after the university agreed to pay more than $5 million to the U.S. to settle the allegations.

United States Ex Rel John F. Reilly v Catskill Regional Medical Center f/k/a Community General Hospital of Sullivan County, et al

Catskill Regional Medical Center For Treating Thousands of Alcohol And Substance Abuse Patients A New York Hospital Received Millions, Paying $52,000 Monthly In Illegal Kickbacks To Unnamed “Entity” Under Sham Administrative Agreement, According To Federal Complaint And Qui Tam Whistleblower Suit Settlement; Catskill Regional Medical Center (“Catskill”) Agrees To Pay $1.5 Million For Illegal Referral Scheme And Cooperate In Government’s Continuing Investigation

NEW YORK CITY — From 1997 to 2000, an upstate New York hospital received millions of dollars for treating thousands of illegally referred alcohol and substance abuse inpatients, kicking back $52,000 monthly to an undisclosed referring “entity” under a sham “administrative services agreement”, according to attorneys Timothy J. McInnis and David A. Koenigsberg, who represent the whistleblower who brought the case to the Government. A federal civil Complaint was unsealed today by the U.S. Attorney’s Office, along with a Settlement Agreement.
Related filed court documents:

Catskill Qui Tam Whistleblower News Release (PDF) 
Catskill Complaint (PDF)
Catskill Settlement Agreement (PDF) 

United States Of America Ex Rel. Ellen Zweifach V.Comprehensive Counseling Center, Arthur Laifer And Barry Butner, Ph.D. Cv. 03-02003

Psychotherapy Center With 85 Employees At Five Queens and Nassau County Locations Allowed Unlicensed Psychologist To Treat Woman And Son, Then Falsely Billed Medicaid, Federal Whistleblower Suit Alleges

Director Of Three Comprehensive Counseling Center Locations, Who Is New York State-Licensed But Never Saw Either Patient, Signed Medicare Billing Forms, Since Treating Psychologist Was Ineligible To Bill, According to Whistleblower Attorney Timothy J. McInnis, Esq.

M.L. Energia, Inc. and Moshe Lavid, Ph.d.

M.L. Energia, Inc. and Moshe Lavid, Ph.d. Eight-Year Scheme of Duplicated Research, False Billing and False Statements Involving Air Force, Navy, EPA and National Science Foundation “SBIR” Contracts Alleged in Whistleblower Complaint; Research/ Consulting Lab, Owner Will Repay Approximately $1.1 Million To Settle Allegations

NEWARK, NJ — The owner of a Plainsboro, New Jersey-based research and consulting firm today settled whistleblower allegations brought under the Qui Tam provisions of the federal False Claims Act (“FCA”), agreeing to pay more than $1.1 million to the Government for his alleged role in an eight-year scheme to defraud several federal agencies under Small Business Innovation Research Program (“SBIR”) grants, Manhattan-based attorney Timothy J. McInnis announced.

Applied Consulting, Inc. Applied CaseManagement, Inc.

Applied Consulting and Applied Case Management Two New York City Consulting Companies Settle Whistleblower Case With Federal Government; Latest Milestone In False Claims Case; Two New York Hospitals Earlier Settled Related Medicaid Fraud Allegations

NEW YORK CITY — Two alcohol and substance abuse treatment consulting firms in New York City, Applied Consulting, Inc., and Applied CaseManagement, Inc., have settled civil Medicaid fraud charges with the Federal Government. It’s the latest milestone in a qui tam whistleblower case brought under the federal False Claims Act (“FCA”) that two New York state hospitals, Catskill Regional Medical Center and Mount Vernon Hospital, settled earlier this year, Manhattan-based attorneys Timothy J. McInnis and David A. Koenigsberg announced.
Related filed court documents: