The Department of Justice has announced that an Atlanta whistleblower’s allegations of Medicare fraud have led to a $16 million settlement.
According to the press release, an Atlanta-based hospital system allegedly violated the False Claims Act (FCA) by overriding its providers’ medical judgement and billed Medicare and Medicaid for more expensive medical procedures than were medically necessary. Additionally, the hospital system allegedly violated the FCA by engaging in an illegal kickback scheme. The whistleblower states that the hospital system paid a commercially unreasonably amount to acquire a lab, during its attempts to acquire a local cardiology practice.
The FCA allows individuals who have uncovered fraud against government programs, like Medicare and Medicaid, to bring a civil action to recover the lost public funds. The whistleblower—known under the act as a relator—is entitled to share in any recovery. In the present case, the whistleblower has been awarded over $2.9 million for bringing the allegations of fraud to light.
If you have uncovered fraud against the government, contact the whistleblower lawyers at Miller Law Group today for a free and confidential consultation. You can also set up a consultation by calling us at (919) 348-4361.
The case and settlement discussed above is based on allegations only. No determination of liability has been made.