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Whistle-Blower Claims Archives

Whistleblower gets $5.4 million in lawsuit settlement

Surrounded by mountains and forest, Kalispell, Montana, is the gateway to one of the nation’s natural wonders: Glacier National Park. The beautiful scenery is a backdrop to an ugly scandal focused on the 138-bed hospital that takes its name from the town. The medical center has been roiled by charges that physicians there took illegal kickbacks and defrauded the federal government.

Doing the right thing: Judge allows whistleblower suit to continue

On its website, Bayada Home Health Care urges its employees to “do the right thing.” Three former employees believe they’ve done just that by filing a whistleblower lawsuit that accuses Bayada of fraudulent Medicare billing.

Rehab services provider settles whistleblower suit over kickbacks

Creating unfair incentives to bring in business in the health industry may be the basis for a claim under the False Claims Act. Improper contracts may come in a variety of forms. Kickback schemes and similar inducements to increase revenues from Medicare or Medicaid reimbursements are often the focus of health care fraud lawsuits. Private individuals may initiate a lawsuit on behalf of the government to expose fraud in government contracts.

Special Counsel: Interior Dept. whistleblower wrongfully fired

Six years ago, a Department of the Interior employee reported to his supervisors that the federal department had violated the National Environmental Policy Act in order to make it easier for Arctic Ocean oil exploration. When Jeffrey Missal's supervisors showed little interest, he reported the infraction to the department's Inspector General.

Whistleblower to receive more than $17M in overbilling claim

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 and the founder of the healthcare system have agreed to pay $65 million to settle the whistleblower lawsuit. A former Director of Performance Improvement at one of the hospitals in the system brought the original lawsuit on behalf of the government. She is expected to receive $17,225,000 million for bringing forth evidence and filing the initial claim.

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. However, as a successor business, the regional hospital system has agreed to make things right.

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 out wrongdoing.

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 committed against the U.S. governmental agency.

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 noted that the facilities were billing Medicare for rehabilitation therapy services that were over-inflated. An investigation revealed that the company billed Medicare for services that were not reasonable, necessary, and skilled, according to the Department of Justice.

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 overbilling, the federal government may not necessarily be able to detect fraudulent billing practices. For that reason, the federal False Claims Act allows private individuals to bring forth information about unfair and unlawful billing practices to protect taxpayers and the government from fraudulent practices.

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