U S files suit against Renal Care Group for Medicare Billing Fraud

The St. Louis Business Journal reports that the United States filed a civil complaint against Renal Care Group, Renal Care Group Supply Co. and Fresenius Medical Care Holdings Inc. alleging that the firms fraudulently billed the Medicare program for supplies and equipment provided to End Stage Renal Disease patients, according to U.S. Attorney Catherine Hanaway, out of Kansas City.

The lawsuit was filed as a qui tam lawsuit, which are usually filed by private individuals on behalf of the government. These type lawsuits are normally sealed and are often associated with whistleblower accusations. Due to the false claims presented to the United States by defendants, the United States has suffered damages and is seeking multiple damages under the False Claims Act, to be determined at trial, plus a civil penalty of $5,500 to $11,000 for each fraudulent claim presented for payment.

Let's hope that the relators or whistleblowers that were involved in the qui tam suit have all their documentation and have sought legal counsel on how to protect their rights for the relator's portion of the government's settlement.  There are so many whistleblowers that are denied relator claims because they did not follow the proper steps to protect themselves before they brought their case to the proper authorities.

As fomer Federal Prosecutor, Brian F. LaBovick, mentioned in a previous post on the Whistle Blower Law Blog, you need to follow a few steps when preparing to file a qui tam whistleblower claim.  Consult with an attorney that understands and handles qui tam claims.  This can make the difference between getting a thank you from the government or a check in the amount of up to 30% of what the government recovers. Unfortunately, the whistleblower has to protect their interest first, and that is not only gathering the documentation and proof. If you have a potential qui tam claim, contact the civil justice prosecutors at LaBovick & LaBovick. They are former Federal Prosecutors and understand how to bring a case on behalf of the government. Consultations are confidential and FREE.  Act quickly, protect your rights.

The Whistleblower Law Blog is presented as a service of the Private Law Firm, LaBovick & LaBovick, P.A., Civil Justice Prosecutors. LaBovick & LaBovick is a Plaintiff's firm that represents whistleblowers in Florida and throughout the nation in qui tam (False Claims Act) litigation.



U.S. Attorney files $1 million qui tam suit against nursing home operator

Federal authorities have filed a qui tam suit  seeking $1 million in fraudulent claims plus civil penalties against a company that operated five nursing homes in the St. Louis area, saying that the facilities provided what amounted to "worthless" health care.

The suit claims that Cathedral Rock Corp., based in Fort Worth, Texas, committed Medicaid and Medicare fraud when it billed the government for care it didn't provide, U.S. Attorney Catherine Hanaway said in a statement to the press.

Investigators, who intervened after two nurses filed a "whistle-blower" lawsuit in 2003, found numerous residents at the facilities suffered from dehydration, weight loss, and preventable bed sores that eventually led to amputations. 

The two nurses, Michele Kimball and Anna Juelfs, who filed the original suit, "qui tam action" could receive 15 percent to 25 percent of the damages recovered in the action, according to U.S. Attorney Hanaway.

Click Here to read more about the case in the St. Louis Post Dispatch.