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whistleblower 959 articles

Whistleblower Helps U.S. Nab California Urology Chain For Medicare Fraud

A whistleblower’s False Claims Act lawsuit has led to a $1.85 million settlement between Skyline Urology and the U.S. government, resolving allegations that the Torrance, California-based health care company deliberately overbilled Medicare. Federal prosecutors investigated the whistleblower’s claims and alleged that from January 1, 2013, through 2016, Skyline Urology systematically billed Medicare for evaluation and management services in violation of federal rules. Although some exceptions exist, health care providers are not permitted to bill Medicare for evaluation and management services on the same day a related procedure is performed. This is because the cost of evaluating a patient is included ... Read More

OSHA Orders Salon To Pay Employee Fired For Whistleblower Complaint

A Pennsylvania hair salon will have to pay a former employee $40,000 in back pay after the Occupational Safety and Health Administration (OSHA) found the salon owners unlawfully fired the employee in retaliation for contacting OSHA with health and safety concerns. OSHA said the U.S. Department of Labor filed a lawsuit against Blown Away Dry Bar and Salon in Kennett Square, Pennsylvania, on behalf of the hairstylist. The lawsuit was prompted by a complaint the hairstylist’s husband reported to OSHA. Business Insurance fills in some of the details of the case, announced by OSHA on Feb. 19. In March 2017, ... Read More

Prime Health Care Settles Another Whistleblower Lawsuit Alleging Medicare Fraud

Two employees of a Philadelphia hospital who filed a whistleblower lawsuit against the hospital’s parent company and its founder have helped the U.S. government recover $1.25 million in Medicare funds. Prime Health Care Services and Dr. Prem Reddy, the company’s founder and CEO, agreed to settle the whistleblower lawsuit Feb. 14, resolving allegations that two of its hospitals, Lower Bucks Hospital in Bristol Township, Pennsylvania, and Roxborough Memorial Hospital in Philadelphia, engaged in schemes to increase their Medicare billings. According to federal prosecutors, the whistleblowers alleged that the hospitals admitted Medicare beneficiaries who visited the ER when they should have ... Read More

Whistleblower Instrumental in Recovering $2.5 Million in Taxpayer Funds From SC University

A whistleblower was instrumental in helping the U.S. government recover $2.5 million in taxpayer funds from a private South Carolina “Christian” university that allegedly engaged in unlawful incentive-based recruitment schemes. According to the U.S. Department of Justice, North Greenville University (NGU) entered a settlement agreement with the federal government resolving a False Claims Act lawsuit initiated by whistleblower Maurice Shoe. The complaint alleged NGU made payments in the form of commissions, bonuses, and other incentives to a company named Joined Inc., a marketing and recruiting company for Christian colleges and universities. The unlawful payments were based on the company’s success in ... Read More

Whistleblowers Awarded $160,000 in Retaliation Case

A Connecticut awning manufacturer that wrongfully fired two employee whistleblowers for reporting safety and health violations on the job must pay the discharged workers a total of $160,000, a federal court has ruled. Two employees of Eastern Awning, which manufactures retractable fabric patio awnings in Watertown, Connecticut, filed complaints with the Occupational Safety and Health Administration (OSHA) after they became ill while working in the plant’s powder coat room in June 2009. OSHA investigated the whistleblower complaints and cited the company in December 2009 for willfully exposing the workers to inhalation hazards and for lack of adequate ventilation. While OSHA’s ... Read More

OSHA Sides With Whistleblower In Retaliation Case Against Vermont Realty Co

Federal authorities took the side of a whistleblower who complained that his employer, a Vermont real estate company, fired him in retaliation for reporting what he believed were illegal transactions within the company. The U.S. Occupational Safety and Health Administration (OSHA) said it ordered Hermitage Club Realty LLC to pay the former employee/whistleblower $42,693 in back pay, bonuses, and compensatory damages. Hermitage Club Realty, the on-site realty agency of a luxury ski and golf development in Wilmington, Vermont, fired the employee on Dec. 18, 2017, after he filed a formal complaint with Vermont regulators, according to OSHA. OSHA investigated the ... Read More

Whistleblower Lawsuit Leads to $17 Million Recovery from Pentec Health

A whistleblower who filed a False Claims Act lawsuit against her former employer, Pentec Health Inc., has helped the U.S. government recover $17 million for Medicare and other federal health care programs. Jean Brasher filed the whistleblower lawsuit in October 2013 accusing Pennsylvania-based Penter Health Inc. of billing Medicare and other government programs for excessive amounts of its renal drug Proplete. According to the U.S. Justice Department, the whistleblower lawsuit alleged that Pentec also routinely waived patient copayments and deductible obligations to incentivize beneficiaries of the government programs to get Proplete prescriptions, even when more affordable options were available. Additionally, ... Read More

Whistleblower Helps U.S. Recover $8.1 Million from California Hospital Group

A whistleblower lawsuit accusing a Los Angeles-based hospital group of engaging in unlawful financial arrangements has led to an $8.1 million settlement with the U.S. Government. Avanti Hospitals LLC and six of its owners agreed to pay the U.S. $8.1 million to settle whistleblower allegations that they violated the Anti-Kickback Statute, the Physician Self-Referral Law (also known as the Stark Law), and the False Claims Act. The lawsuit, filed by Dr. Joshua Luke, the former CEO of Gardena Hospital, alleged that Avanti, Gardena Hospital, and at least two other Avanti affiliates bribed a high-referring physician with payments that exceeded the ... Read More

Walgreens Settles Two Whistleblower Lawsuits for $269.2 Million

Walgreens Boots Alliance, the holding company that owns the controlling shares of Walgreens Drug Stores and several other health care companies, will pay $269.2 million to settle two separate whistleblower lawsuits. In one case, Walgreens agreed to pay $209.2 million to settle allegations that it fraudulently billed Medicare, Medicaid, and other government health care programs for hundreds of thousands of insulin pens that beneficiaries did not need. According to the U.S. Attorney’s Office for the Southern District of New York, Walgreens configured its electronic systems so that its pharmacists couldn’t dispense less than a full box of five insulin pens, ... Read More

Whistleblower Files Retaliation Complaint Against Texas Mental Health Hospital

A whistleblower who lost her job at an Austin, Texas area mental health hospital allegedly for reporting patient mistreatment to state regulators has filed a retaliation complaint, accusing her former employer of violating Texas whistleblower laws. Plaintiff Nicola Seahorn was hired as the clinical services director at Georgetown Behavioral Health Institute in April 2018. She was on the job just a few months when she became concerned about the mistreatment of patients by hospital staff. On June 26, the chief nurse notified Ms. Seahorn that a mental health tech had punched a patient in the face, an altercation that was ... Read More