Author name: Super Web Pros

Former Owners of  a federal Health Clinic Pay $800,000 to the State of Tennessee Resolve Claims of Billing for more Medicaid Visits than Performed.

Barrett Johnston Martin & Garrison represented the former Chief Operating Officer in blowing the whistle on what was, at the time, the only Federally Qualified Health Clinic Look-Alike in the State of Tennessee. Under this FQHC look-alike program, qualifying clinics may take advantage of certain favorable billing rules in exchange for an agreement not to turn […]

Former Owners of  a federal Health Clinic Pay $800,000 to the State of Tennessee Resolve Claims of Billing for more Medicaid Visits than Performed. Read More »

Dialysis company pays $3,246,000 to resolve claims of paying kickbacks to Memphis-area nephrologists.

A dialysis joint venture, Wellbound of Memphis, LLC, paid $3,246,000 to the United States to resolve allegations that partners in the joint venture made illegal payments to several Memphis-area nephrologists in exchange for patient referrals, a practice that violates the federal Anti-Kickback Statute and federal False Claims Act. These alleged inducements included selling ownership interests

Dialysis company pays $3,246,000 to resolve claims of paying kickbacks to Memphis-area nephrologists. Read More »

Nursing Home Operator pays more than $30 million to resolve allegations of manipulating patient therapy schedules to increase profitability.

We represented an occupational therapist and certified occupational therapy assistant who alleged that their employer, a large regional nursing home chain, defrauded the United States by manipulating patient therapy schedules to increase reimbursement for the company, without regard for what was in the best interests of their patients.   At the time, Medicare reimbursed skilled nursing

Nursing Home Operator pays more than $30 million to resolve allegations of manipulating patient therapy schedules to increase profitability. Read More »

$160 Million FCA recovery against diabetic testing supply giant for engaging in a kickback scheme.

Barrett Johnston Martin & Garrison represented a call center working who alleged that his employer, Arriva Medical, was engaging in a scheme to waive patient co-pays on diabetic testing supplies to induce their business.  For many types of Medicare-covered items and services, the United States requires the beneficiary to pay some portion of the cost

$160 Million FCA recovery against diabetic testing supply giant for engaging in a kickback scheme. Read More »

Hospital system pays $98.15 million to resolve allegations of improperly increasing in-patient admissions.

Community Health Systems, one of the largest for-profit hospital chains in the country, agreed to pay the United States $98.15 million to resolve allegations in multiple lawsuits that the company deliberately billed the United States for inpatient health services that the company knew should have been billed as either outpatient services or observation.  This firm

Hospital system pays $98.15 million to resolve allegations of improperly increasing in-patient admissions. Read More »

Nurse, hands and senior patient in empathy, safety and support of help, trust and healthcare

At the intersection of FCA and consumer fraud

The growing problem of scammers targeting Medicare beneficiaries:  Scammers targeting American seniors is hardly a new phenomenon.  Recent alerts from the Department of Justice and statements during recent Congressional testimony suggest that the problem has dramatically expanded in recent years.  And the primary target now appears to be Medicare, rather than those seniors themselves. Early

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Signing of contract documents. Lawyer concept and law.

Protecting Anonymity: The Pros and Cons of Filing as an LLC

Whistleblowers Seeking Anonymity by Forming an LLC: For individuals seeking to blow the whistle on fraud against the United States, one of the most common concerns is how filing a qui tam may damage their reputations or career prospects going forward.  In the short term, the False Claims Act itself provides protection.  Unlike almost all

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