Author: Qui Tam

Ambulance Provider Accused of Fraudulent Medicare/Medicaid Billing

The Justice Department has intervened in a qui tam lawsuit originally filed in September of 2009 against ambulance company Rural/Metro Corp., alleging the company fraudulently billed Medicare and Medicaid for services provided to dialysis patients which were either not necessary or not rendered. The suit, brought by a former employee of Rural/Metro subsidiary Rural/Metro of Central Alabama,

Proposed Major Overhaul to Whistleblower Protection Act

Senator Chuck Grassley, a champion of qui tam whistleblower protection is co-sponsoring legislation to update the 1989 Whistleblower Protection Act originally co-authored by Senator Grassley. The law currently provides protection from retaliation to federal employees who expose possible waste, fraud and abuse in federal agencies. Grassley’s proposed updates would restore federal employee whistleblower protections,

Verizon Settles for $93.5 Million Amid Fraudulent Billing Claims

Telecommunications giant Verizon Communications, Inc. paid the United States $93,525,410.96 amid allegations that subsidiary MCI Communications Services, Inc. fraudulently overcharged the General Services Administration (GSA) for voice and data telecommunications services contracts. The government alleges that MCI billed the GSA for various federal, state and local taxes and surcharges, violating the terms of their contract and regulations in connection with FTS2001 and FTS 2001 Bridge contracts.

Ohio Could Soon be Open for FCA Business

Ohio Attorney General Mike DeWine has voiced his support for a state False Claims Act (FCA) in Ohio. The FCA legislation was introduced by Republican Senators Jim Hughes of Columbus and Scott Oelslager of North Canton. Like most state False Claims Act and the federal FCA, the Ohio FCA would allow whistleblowers to provide information about alleged fraud in state spending and potentially share in any amount recovered should the case be successfully prosecuted.

BMS Lakers Dream Camps and Diabetes at Disneyland

In a qui tam lawsuit brought by three former employees, Bristol-Myers Squibb (BMS) is accused of fostering a culture that encouraged kickbacks. In a document titled “Bristol-Myers Squibb Cultural Expectations” published for the companies’ sales reps, employees are encouraged to commit company funds and personnel to regions that can produce gains.

Government Falls Short for Guidant Whistleblower

In 2005, Guidant (now a division of Boston Scientific) admitted to knowing for three years that their Ventak Prizm heart defibrilator could short circuit, leading to both unnecessary shocks to the heart as well failures to shock when necessary, but the medical device giant did nothing to alert physicians or the public.

Whistleblower Secrecy Remains Safe…For Now

In a split 2-1 decision March 28th, the 4th Circuit U.S. Court of Appeals upheld the automatic 60 day sealing provision of the False Claims Act. The suit, brought by the American Civil Liberties Union, the Government Accountability Project and OMB Watch, alleges the secrecy unlawfully blocks the public’s access to judicial proceedings and violates the whistleblower’s right to freedom of speech by forbidding them to discuss the misconduct.

Whistleblower Sparks Federal Suit Against NYC

In January 2011, the U.S. Attorney’s office in Manhattan filed a lawsuit against the City of New York, accusing the city’s Human Resources Administration of overbilling Medicaid millions of dollars by abusing the federally funded 24-hour home care program.  The suit followed a complaint filed by a whistleblower.  The suit alleges that,

Health Care Fraud Prevention Summit Takes On Detroit

On June 8, 2010, President Obama announced the onset of regional fraud prevention summits; a nationally comprehensive effort to fight health care fraud.  Since inception, five summits have been held across the nation in the cities of Miami, FL, Los Angeles, CA, Brooklyn, NY, Boston, MA, and most recently, Detroit,

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