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Whistleblower lawyers based in Washington DC handling False Claims Act qui tam lawsuits nationwide

Whistleblower Settlements

VSG’s qui tam lawyers, while in private practice and previously with the Department of Justice, have successfully represented whistleblowers and the government, winning many significant False Claims Act recoveries and qui tam settlements. Our whistleblower lawsuits have received national coverage in the media, including The New York Times, Wall Street Journal, Washington Post, Los Angeles Times, Boston Globe, and 60 Minutes.

The following are summaries of some of our cases.

Medical Billing Fraud Whistleblower Case - Medicare Fraud

Radiology Billing Fraud

Drew Medical Center, Inc., a Florida diagnostic radiology company, agreed to pay approximately $1.5 million to resolve qui tam whistleblower claims in a qui tam suit that it systemically charged Medicare for venograms although the company was not performing those procedures.

Medicare Qui Tam Lawsuit - Medically Unnecessary Services

Medically Unnecessary Radiology Services

Florida radiologist Fred Steinberg paid $7 million to settle qui tam whistleblower claims in a qui tam lawsuit that he billed Medicare for medical imaging tests that were not ordered and were medically unnecessary. The settlement was among the largest recoveries ever for Medicare fraud against a single physician and his practice.

Medicare Fraud Qui Tam Cases - Healthcare False Claims Act Lawsuit

Overcharging Medicare for Emergency Physician Services

Emergency Physicians Billing Service paid over $28.8 million to resolve whistleblower claims in a qui tam lawsuit that it systematically overcharged Medicare for emergency physician services. The settlement followed a trial conducted by qui tam attorney Mr. Vogel, co-counsel, and government counsel that established the defendant’s liability under the False Claims Act.

Medicare Ambulance Fraud - Medicare Qui Tam Case

Ambulance Transport Fraud

Adventist Health System Sunbelt Healthcare Corporation, a hospital system, paid $8.7 million to resolve whistleblower claims in a qui tam case that it overcharged Medicare for costs of ambulance services.

Medicare Whistleblower Lawsuit - Nursing Home Medically Unnecessary Services

Medically Unnecessary Services (Nursing Home)

Extendicare Health Services, Inc., a nationwide nursing home chain, paid $10 million to settle qui tam whistleblower claims that the company’s skilled nursing facilities were providing patients with unnecessary rehabilitation therapy services for the sole purpose of obtaining higher reimbursements from Medicare. Extendicare paid VSG client Tracy Lovvorn an additional $990,000 in settlement of her claims for unlawful retaliation and attorney’s fees.

Stark Violations - Hospital Kickbacks Qui Tam Case

Hospital Kickbacks for Patient Referrals

HCA, Inc., the nation’s largest hospital chain at the time, paid $225.5 million to resolve claims by multiple qui tam whistleblowers that HCA unlawfully paid kickbacks to physicians, and violated the federal “Stark” law, to induce physicians to refer patients whose care would be billed to federal health programs.

hospital fraud - medicare fraud

Hospital Cost Report Fraud

Tenet Healthcare, Inc., operator of the nation’s second largest health care chain at the time, paid more than $900 million to settle claims in multiple qui tam whistleblower lawsuits that it had over-billed Medicare through use of an overstated “cost-to-charge” ratio that inflated “outlier” and other cost-based payments sought by this hospital chain.

Medicare Fraud Whistleblower Case Qui Tam Settlement - Medically Unnecessary Services

Kickbacks to Induce Medically Unnecessary Services

Fresenius Medical Care North America, a health care company, paid $385 million to settle civil claims in multiple qui tam whistleblower lawsuits that a predecessor company, National Medical Care, Inc., paid unlawful kickbacks to induce physicians and nurses to provide unnecessary intravenous nutrition to dialysis patients covered by Medicare.

Qui Tam Settlements in Drug Marketing Fraud

Pharmacy Kickbacks to Nursing Homes

Omnicare, Inc. paid $98 million to settle allegations that drug manufacturers paid kickbacks to Omnicare so that the pharmacy chain would prefer their products over competing products when recommending products to nursing home patients, and that Omnicare paid kickbacks to nursing homes to secure their business. The settlements were based on allegations by four qui tam whistleblowers, including a firm client.

Qui Tam Lawsuits - Pharmacy Usual and Customary Fraud Cases

Violating Usual & Customary Charge Requirments

Omnicare, Inc. paid more than $20 million to resolve allegations made by a firm qui tam whistleblower client that the pharmacy chain knowingly overbilled the Medicaid programs of Massachusetts and Michigan as a result of its failure to comply with the “usual and customary charge” billing rule. Read Press Release

Generic Drug Manufacturer Kickback Case - Qui Tam Settlements

Drug Manufacturer Kickbacks on Generic Drugs

Ivax Pharmaceuticals a manufacturer of generic medications, paid $14 million to resolve qui tam whistleblower claims by a firm client that it paid kickbacks to become Omnicare’s exclusive supplier of certain generic medications.

Medicaid Fraud Cases - Omnicase Pharmacy Fraud Whistleblower Lawsuit

Drug Switching to Inflate Medicaid Reimbursement

Omnicare, Inc. the nation’s largest long term care pharmacy chain, paid $49.5 million to settle allegations made by two qui tam whistleblowers, including a firm client, that it switched the form of patient medications (e.g., tablets to capsules) without physician approval in order to maximize Medicaid reimbursement.

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