Whistleblower Rewards
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August 31, 2023
Watermark Retirement Communities LLC, which manages 79 retirement homes across the country, has agreed to pay $4.25 million to settle claims of violating the Anti-Kickback Statute and False Claims Act. According to a lawsuit launched by David Freeman, the former director of strategic growth for a nationwide home health agency (HHA), between 2014 and 2020, Watermark solicited and received kickbacks from the HHA in exchange for referrals of Medicare beneficiaries from 8 of its retirement facilities in 5 states, including Arizona, Connecticut, Delaware, Florida, and Pennsylvania. Watermark then caused false claims to be submitted in connection with those referrals. DOJAugust 25, 2023
A whistleblower has been awarded more than $18 million for providing the SEC with information that launched an investigation. According to the SEC, the whistleblower initially reported concerns internally before reporting to the agency. Their assistance ultimately led to a successful enforcement action. SECSEC Awards $18 Million Whistleblower Award
Posted 08/25/23
SEC Awards $104 Million to Seven Whistleblowers
Posted 08/16/23
August 1, 2023
A now defunct clinical laboratory in Texas, BestCare Laboratory Services LLC, and its owner, Karim Maghareh, have agreed to pay another $5.7 million on top of nearly $800,000 already paid to the government to resolve an outstanding obligation under a 2018 judgment for violating the False Claims Act. The underlying lawsuit, filed in 2008 by whistleblower Richard Drummond, alleged that BestCare billed Medicare for travel by lab technicians that did not reflect the actual mileage traveled. DOJJuly 31, 2023
Martin’s Point Health Care Inc. in Maine has agreed to pay almost $22.5 million to resolve a lawsuit by a former manager in its Risk Adjustment Operations group, which alleged the health plan administrator defrauded Medicare over a three year period. The former manager, Alicia Wilbur, alleged that Martin’s Point reviewed charts for their Medicare Advantage beneficiaries to identify additional diagnosis codes, then submitted those codes in claims to Medicare in order to increase reimbursements even though they were not properly supported by patient medical records. For blowing the whistle on this misconduct, Wilbur will receive a $3.8 million award. DOJCatch of the Week: Booz Allen Hamilton
Posted 07/24/23
