The Department of Justice announced today that a North Carolina doctor, turned whistleblower, has helped the government recover up to $43 million after bringing alleged violations of the False Claims Act to light.
The whistleblower-doctor brought this action under the qui tam provision of the False Claims Act which allows private individuals to file lawsuits in the name of the government when they uncover fraud on public assets. The act also allows whistleblowers to share in any recovery and protects them from workplace retaliation. The whistleblower in this case will be awarded up to $6 million of the recovery.
In his complaint, the whistleblower alleged that an Asheville-based company submitted false claims to Medicare, TRICARE, and the federal employee health program for its lab tests. Additionally, the whistleblower alleged that the company engaged in self-referrals, in violation of the Stark Law.
The settlement discussed above is based on allegations only. No determination of liability has been made.