A hospital system on the West Coast has agreed to settle a False Claims Act lawsuit that alleged the healthcare company drove up its profits by admitting patients without medical necessity. The Department of Justice says the Prime Healthcare, some affiliated entities...
Whistle-blower Claims
Regional hospital settles False Claims Act lawsuit for $84.5M
A regional hospital system based in the upper Midwest has agreed to settle a whistleblower lawsuit for $84.5 million. The allegations arose before the healthcare organization was formed -- new management took over after the merger that created the new organization....
A culture of retribution persists at the VA
Three years ago, a scandal regarding over-prescription of medications erupted at a Wisconsin VA hospital about three hours west of Milwaukee. Substandard care for veterans at the Tomah facility was only exposed when a whistleblower bravely stepped forward and pointed...
HVAC company settles false payroll certification whistleblower claim
We have discussed a range of issues that may provide support for a whistleblower lawsuit under the False Claims Act. Whistleblowers are generally individuals who gain knowledge of fraud related to a federal contract. It is easy to conceptualize overcharging the...
Nurse To Receive $1.4M in Hospice Whistleblower Suit
Healthcare providers and businesses in the industry that put their own bottom lines ahead of the needs of patients can cost taxpayers large amounts of money. Billing policies and quotas to increase company revenues are occasionally suspect practices that may indicate...
VA watchdog v. VA Secretary in battle over whistleblowers
On one side there is the acting Department of Veterans Affairs Secretary Peter O'Rourke and on the other side, the VA's watchdog, Inspector General Michael Missal. In between are the whistleblowers -- those brave enough to step forward and report fraud being...
Nursing Home Settles Therapy Whistleblower Suit For Roughly $30M
A large nursing home operator in the south has settled a whistleblower lawsuit for more than $30 million. Signature HealthCARE, LLC, owns roughly 125 facilities and regularly seeks reimbursement from Medicare. Two former therapy employees for the nursing home company...
Whistleblowers In Defense Contractor Lawsuit To Receive $4.4M
Branches of the United States military often rely on contractors to provide services to benefit the Armed Forces. Defense contractors employ civilians to perform these services. Yet, if a defense industry contractor seeks to pad its own bottom line through...
DOJ Joins Whistleblower Lawsuit Against Construction Contractor
In late April, media outlets around the nation's capital reported that problems were detected with concrete that was poured in a $2.6 billion project to extend rail service to Dulles International Airport. More recently, news reports emerged that allege that a...
Owners Of Methadone Treatment Clinics Settle False Claims Act Lawsuit
Medicare, Medicaid, TRICARE and other government health programs often provide suppliers, clinics and healthcare facilities with reimbursements for a wide range of services. Healthcare fraud may occur anywhere throughout the spectrum of healthcare services,...