Now, This Might Hurt a Little: Physical Therapy and Sports Medicine Practice Pays $790,000 to Settle False Claims Act Lawsuit

Brown, LLC Whistleblower awarded $142,200.

Whistleblower law firm Brown, LLC continued with its streak of victories with its whistleblower lawsuits by obtaining a $142,200 whistleblower award for an individual who blew the whistle on a alleged variety of fraud on Medicare and Tricare. With the assistance of the U.S. Attorney for the District of South Carolina, Brown LLC was able to help an honest and diligent whistleblower put an end to the fraudulent billing of government health insurances by a Therapy and Sports Medicine, Inc. practice headquartered in Columbia, South Carolina.

The whistleblower alleged that the practice where she had previously worked as a receptionist and scheduler, had knowingly submitted false claims to Medicare and TRICARE for one-on-one therapy services when in reality those services were provided to patients on a group basis. The whistleblower also alleged that the practice had knowingly submitted claims for services provided by unsupervised assistants, and claims for attended electrical stimulation services that were actually unattended. These schemes enabled the practice to receive higher reimbursements than it deserved, thereby cheating the government and the taxpayer.

The relator, which is the term used for a plaintiff who brings a qui tam action under the False Claims Act (FCA) was able to establish the case through very little documentary evidence, but a very detailed, credible host of allegations regarding the Medicare Fraud.  Brown, LLC worked with the Plaintiff to draft a successful False Claims Act lawsuit and following the procedure set forth in the FCA by filing the matter under seal, conducting a relator interview and ultimately assisting the United States government in crafting a whistleblower settlement.

This settlement illustrates an important point: even whistleblower cases where there’s not a substantial amount of money at stake or not a lot of documents can still reap sizable benefits, both for the public and the whistleblower and help hold companies accountable.

As the U.S. Attorney for the District of South Carolina said in announcing the settlement,

“Medical billing fraud drives up the cost of healthcare and diverts critical resources from federal healthcare programs. Whistleblower suits, like this one, are one of the government’s most effective tools at detecting fraud and protecting the integrity of our burdened healthcare system.”

If you’re aware of fraud upon Medicare, Medicaid, TRICARE, or any other government program, please contact the whistleblower lawyers at Brown, LLC who offer free whistleblower consultations by calling (877) 561-0000 or emailing fightfraud@jtblawgroup.com. You can read more about Brown LLC’s whistleblower achievements by clicking here. 

Going Green Doesn’t Always Mean Keeping Green – Renewable Energy Program False Claims Act Settlement

Various entities must pay $2.6 million to resolve False Claims Act (FCA) violations alleging the received reimbursements for programs and costs they did not incur. The False Claims Act allows private individuals (referred to as relators) to bring actions against entities who defraud the United States government and shares with the victorious a portion of the recovery which is known as a whistleblower award.

Congress’s well-intentioned Recovery and Reinvestment Act of 2009 incentivized corporations to enable “renewable energy properties,” with government reimbursement up to 30% for certain projects.  Where there is money available for a good thing, however, there are always people and companies ready to wear the badge of goodness and exploit it for their own economic gain.

The allegations of the United States are that a company known as Eagle Valley applied for the bio-friendly program for reimbursement for its investment in one of its non-green actual physical plants.  The application indicated that Eagle Valley agreed with Evergreen to perform certain types of services. Evergreen was incentivized on a percentage basis for the cost of building the plant.

Without using the actual numbers to illustrate what occurred, assuming Eagle Valley put in for $10 million dollars of reimbursement from the federal government, Eagle Valley told the government that $3.3 million of those monies would go to Evergreen. The United States taxpayers through the federal government paid Eagle Valley, but Eagle Valley never paid Evergreen and Evergreen never sought payment. It is unclear what led to those circumstances, but what is clear is that after Eagle Valley received funds that were designated to go elsewhere, they were not entitled to keep those funds after the earmarked company was not paid and was not going to be paid.

Former FBI Special Agent Jason T. Brown    and head of Brown, LLC (a law firm that focuses on protecting whistleblowers ) indicated:

“Once again this was great work on behalf of the federal government holding those accountable who have allegedly ripped off the taxpayer.  Every year there’s billions of dollars of fraud and through the False Claims Act whistleblowers can help the taxpayer recoup its losses while receiving a whistleblower award for their cooperation.” 

 

Although this case was not handled by Brown, LLC, Mr. Brown’s whistleblower law firm remains active and vigilant in protections whistleblowers and prosecuting whistleblower lawsuits nationwide. The firm offers free whistleblower consultations by calling (877) 561-0000 or emailing fightfraud@jtblawgroup.  Brown, LLC is a private firm and although it works cooperatively with the federal government, is not part of the federal government.