Successes

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 […]

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

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

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

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