Largest settlement of its kind in Arizona history against a healthcare system over alleged Medicare fraud.
Kline & Specter partner David Williams represented a whistleblower in litigation that resulted in a $16.2 million judgment against Orthopaedic and Neuro Imaging LLC for submitting false claims for Medicare reimbursement. The 2018 decision by a federal judge in Delaware concluded the company administered contrast dye during MRI scans on patients without proper supervision by a physician, a violation of Medicare rules. The whistleblower, a former ONI employee, was to receive a $2.9 million reward under terms of the U.S. False Claims Act. (Read the government news release)
Also in 2018, Williams represented a whistleblower in a case that resulted in the hospice company SouthernCare Inc. paying nearly $5.9 million for wrongly billing Medicare for unnecessary care. The government claimed that SourthernCare Inc. placed patients who were not terminally ill into hospice, then submitted claims for that more expensive treatment.
And most recently, in a settlement announced by the government in January 2019, Williams represented a pharmacist whistleblower who alleged that Walgreen Co. (“Walgreens”) submitted claims to Medicaid for stimulants such as Adderall, Ritalin, and Vyvanse without first verifying with the prescribing doctor that the medication was for medically appropriate treatment, as is required. Walgreen agreed to settle the Wisconsin case for $3.5 million.
In other actions, Kline & Specter represented a whistleblower whose allegations resulted in a California aerospace parts manufacturer paying the federal government $2.7 million over charges it falsely certified performing required inspections. The whistleblower, a company employee, was to receive a reward of $621,000. (Read the news release) Kline & Specter attorneys also represented a whistleblower in litigation in which an Arizona community health system agreed to pay the United States $5.85 million to resolve claims it overbilled Medicare using inflated employee work hours. The whistleblower reward was $1.17 million. (See news release)
If you have information or evidence about fraud perpetrated against the government, you should call one of our whistleblower attorneys at 800-243-1100 for a free evaluation of the potential case.
Kline & Specter, based in Philadelphia and handling whistleblower cases throughout the nation, has more than 40 highly experienced attorneys, several of whom have worked as government prosecutors or won large verdicts and settlements against major corporations. They are well-equipped to assist citizens across the United States in the process of filing claims under the U.S. False Claims Act or various state laws. They can also help ensure that plaintiffs receive their fair rewards from successful civil actions.
-Jacqueline Bloink of Tucson, Ariz.
$35 million settlement with a nearly $6 million reward for a whistleblower in a case involving fraud against a healthcare system
-Jacqueline Bloink of Tucson, Ariz.
In another case, Kline & Specter attorneys represented a whistleblower in a New York tax fraud case that resulted in a $6.2 million settlement in 2014, with the whistleblower to receive a reward of more than $1.1 million. (See news release)
Among the Kline & Specter attorneys working on whistleblower lawsuits is David C. Williams, a West Point graduate who served in Iraq and a was awarded the Army Commendation for Meritorious Service and a graduate of the University of Pennsylvania Law School (Read his op-ed article in The Philadelphia Inquirer).
For every IRS whistleblower claim, we consult with a former veteran IRS criminal agent in evaluating claims and reporting tax fraud to the government. With 30 years as an IRS agent, our consultant brings a wealth of knowledge not just to tax fraud cases but also experience in navigating the IRS bureaucracy to maximize the chance the government will act on our clients’ information. While many firms simply help complete the paperwork necessary to submit an IRS whistleblower claim, we bring our clients’ information directly to agents in the field and our consultant’s expertise uniquely qualifies us to assist the IRS in its investigations.
It is important to file whistleblower lawsuits as quickly as possible since the government uses a “first to file” rule, meaning that the first person who brings suit against an entity allegedly defrauding the government is entitled to the government reward.
Healthcare Fraud & Healthcare Whistleblower Lawsuits
One of the most common types of whistleblower lawsuits involves health care fraud by pharmaceutical companies, hospital corporations and clinical laboratories which bill the government, often through the Medicare and Medicaid programs, for drugs or services. In a recent case, the firm helped secure an $800,000 settlement from a South Carolina ambulance company which defrauded the U.S. government by billing Medicare for transports that were not medically necessary. Kline & Specter represented the whistleblower in the case, clinical social worker Sandra McKee, who will receive a $160,000 reward under the federal False Claims Act. (See the Department of Justice news release, news article)
Kline & Specter handles whistleblower lawsuits on a contingent fee basis, meaning the law firm gets paid a percentage of a reward plus expenses if – and only if – a suit is successful. If there is no reward, the firm receives no remuneration, not even for expenses that may have been incurred.
Whistleblower lawsuits have flourished in recent years as they allow private citizens to sue on behalf of the government even though the individual has suffered no personal harm. The U.S. government has reaped more than $20 billion from qui tam lawsuits since 1986, when the law was bolstered, and whistleblowers have collected an average of roughly 16 percent – in some cases as much as 30 percent – of government recoveries.
Among the more famous whistleblower cases, drug manufacturer GlaxoSmithKline agreed to pay $750 million in 2010 to settle allegations that it knowingly sold drugs with questionable safety. The whistleblower in that case, Cheryl Eckard, the company’s quality manager, was fired when she tried to address the issue. She later filed a qui tam lawsuit that exposed the practice. She was to receive a $96 million reward.
Rewards in whistleblower cases vary widely. In 2008, for instance, hundreds of IRS cases were expected to bring rewards, including 228 related to cases of tax cheats owing at least $10 million each and 64 cases involving tax debts of more than $100 million.
Kline & Specter has won many major verdicts and settlements in a variety of cases (see Major Victories). Click here to read the biographies of all of the firm’s attorneys (Lawyer Profiles), including partners Tom Kline, Shanin Specter.
Call us at 800-243-1100 to speak with a whistleblower attorney today.
Kline & Specter Whistleblower News:
Carondelet pays $35M to settle false claim allegations, Arizona Daily Star, 8/19/14
Tucson hospitals pay $35 million in fraud settlement, The Arizona Republic, 8/19/14