Florida Medical Associates LLC that the FCA qui tam provision is unconstitutional. The court reasoned that a relator who litigates an FCA lawsuit on behalf of the United States is not a properly appointed “officer” under Article II of the US Constitution and, thus, does not have the ...
The Qui Tam Lawsuit Whistleblowers sued SuperValu and Safeway under the FCA.12 The FCA permits private parties (“whistleblowers”) to bring lawsuits in the name of the United States against those who they believe have defrauded the federal government. The FCA imposes liability on anyone who “...
Southern Dist. of N.Y., U.S. Settles False Claims Act Lawsuit Against Cardiologist and His Medical Practice for Paying Millions in Kickbacks for Referrals (Sept. 18, 2023),https://www.justice.gov/usao-sdny/pr/us-settles-false-claims-act-lawsuit-against-cardiologist-and-his-medical-practice...
On March 2, a Virginia medical practice agreed to pay $2.1 million to resolve allegations that it violated the FCA by double-billing Medicare for treatments administered to patients. The at-issue treatment is sold in single-use vials, but some patients do not need an entire vial. In such ...
Whistleblower lawsuit accuses Cigna of Medicare Advantage fraud A recently unsealed whistleblower case filed by the Department of Justice accuses Cigna of fraudulently overbilling for its Medicare Advantage plans. Allegations claim the company submitted unsupported diagnoses that resulted in “billions” ...
The act allows any individual who has become aware of such wrongdoing to file a lawsuit on behalf of the government under qui tam provisions. In aqui tam lawsuit, the person who files the claim is called a relator. The government is technically the plaintiff and may choose to take over th...
lawsuit alleges the government is a victim of a fraudulent scheme. Most fraudulent schemes involve false billing activities. If the qui tam lawsuit is successful and the defendant ends up paying damages and penalties back to the government, and the qui tam relator gets a percentage of those ...
On October 28, a physical therapy company agreed to pay $4 million to settle allegations that it violated the FCA by billing the government for outpatient physical therapy that was not provided. The allegations stem from a qui tam lawsuit, and the relator’s share was not disclosed at the ...