${site.data.firmName}${SEMFirmNameAlt}
Call Today 262-373-9786

Whistle-Blower Claims Archives

Whistleblower awarded roughly $2.9 million in MRI scan lawsuit

We have discussed a variety of ways that healthcare providers may try to bend the rules to obtain more money from programs such as Medicare and Medicaid. Upcoding is a common issue in healthcare fraud. This occurs when the provider uses the billing code assigned to a more expensive procedure or service than was actually provided. Charging the government for services that were never provided is also common. An interesting twist that seems to fall somewhere between these two common kings of healthcare fraud schemes arose in a recent whistleblower lawsuit on the East Coast.

Whistleblower uncovers 'Pill Mill' scheme in chiropractic clinics

A chiropractic management company operating four pain clinics in Tennessee has agreed to settle a whistleblower lawsuit involving opioid prescriptions. A former office manager for the chiropractic and pain management company noticed medical and billing discrepancies. The worker brought the information forward in a whistleblower lawsuit filed under the federal False Claims Act (FCA).

Whistleblower lawsuit is a warning to wholesalers and retailers

Even if you are not directly responsible for breaking federal law in a scheme to avoid import duties, you might find yourself under the microscope of prosecutors. That is one of the takeaways from the recently announced settlement of a whistleblower lawsuit against a clothing wholesaler.

Pharmacist awarded more than $9 million in whistleblower lawsuit

Kmart Corp. has agreed to settle a health care fraud lawsuit that alleged the big-box retailer overcharged state and federal health care programs for prescription medications. The case came to light after a pharmacist noted discrepancies in what the pharmacy chain charged Medicare, Medicaid, and Tricare for generic drugs. For his involvement in coming forward with the lawsuit, the pharmacist will receive $9.3 million of the settlement. That is 29 percent of the $32.3 million overall, according to NBC News.

Kmart whistleblower to receive $9.3 million in settlement

Kmart's financial struggles over the past few years have been well publicized. The retail outlet has closed hundreds of stores, with 45 more scheduled to lock their doors in early 2018. (According to the retailer’s website, it currently has 8 Wisconsin stores, including one a few miles south of Milwaukee.) So it's understandable that executives looked for ways to increase income for the chain.

ER doctors blow the whistle on health care fraud

The legal journey began when two emergency room doctors became aware of a scheme by a major hospital chain and a pair of physicians groups to defraud taxpayers of millions of dollars. Though it is never easy to buck the system, the two doctors listened to their consciences and filed a whistleblower lawsuit against the physicians groups.

Social Security fraudster captured in Honduras

Social Security Disability is one of the nation's most important safety nets, offering financial assistance and medical care to workers who are prevented from continuing their careers by injury or illness. When someone defrauds the Social Security Disability benefits system, it hurts all of us, but most especially taxpayers and those with disabilities.

Company Faces Whistleblower Suit Over Medical Billing Software

We have reported previously about the enormous drain that health care fraud places on tax dollars and the adverse impact fraud may have on healthcare costs. Whistleblowers are a vital resource in discovering fraud in government contracts. The False Claims Act allows individuals to file a lawsuit in federal court to help recover taxpayer money. For their involvement, whistleblowers are entitled to a percentage of any money recovered through settlement or verdict in court. Whistleblowers often work in mid-level jobs and notice some kind of anomaly that may involve fraud.

DOJ says mom and pop health care company committed Medicare fraud

Companies of all sizes may engage in business connected to government contracts. It is not only large, multi-national corporations that seek reimbursements for providing health care services or goods. The Department of Justice announced earlier this month that it is joining a lawsuit filed against a husband and wife team who allegedly ran a dramatic scheme to overbill Medicare for services through a process commonly referred to as "upcoding," according to the Chicago Tribune.

Alan C. Olson & Associates | 2880 S Moorland Rd | New Berlin, WI 53151
Phone: 262-373-9786 | Toll Free: 1-888-742-9520 | Map & Directions