$89.6 Million Florida Whistleblower Medicare Fraud Case

Miami-(PRWeb)-May 20, 2014

A Brevard County radiation oncologist and the two cancer treatment centers he operated have been ordered to pay the United States $89.6 million for defrauding Medicare in violation of the federal False Claims Act.

This action was brought by a client of The Ticktin Law Group, and prosecuted by one of Ticktin’s strategic alliances.

Here, there were false claims for medical procedures to Medicare from 2009 to 2012.  The defendants not only disregarded Medicare regulations but, more importantly, put the health and welfare of their patients at risk.

Ticktin’s client and other radiation therapists were instructed to bill on a daily basis for procedures supposedly performed with a certain type of imaging machine, even though ACTC never actually owned such a machine.

Additionally, the therapists were instructed to bill for performing procedures with a second type of imaging machine, despite the fact that the machine’s key component was inoperable. The lack of that key component meant that patients were not getting the specialized radiation treatment needed, even though defendants stated to the patients that they were.

“I was alarmed by what I saw happening at ACTC. The health of patients was being endangered by the failure to properly administer required radiation services, and I simply couldn’t stand by and allow it to continue,” said whistleblower Joseph McBride. “I am very pleased with the outcome my attorneys were able to achieve and that justice prevailed.”

The case was brought under the federal False Claims Act, which sets criminal and civil penalties for, among other things, falsely billing the government for services or products.

Most states, including Florida, have enacted their own versions of such “whistleblower” laws, as have many local governments. For example, Miami-Dade County and Broward County both have whistleblower laws.

False claims acts may be enforced by either the government or by a private individual in a qui tam proceeding. In a qui tam (or whistleblower) action, a private party files suit alleging that the defendants defrauded the government.

If the suit succeeds, the private party may receive 10 to 30 percent of any recovered damages depending on the type of case, and the attorneys are also paid out of the recovery.

By working with a qui tam attorney, the whistleblower maintains the protection of confidentiality while the initial case is being documented.

At The Ticktin Law Group, we are available to discuss the possibility of working with you to develop a whistleblower case under the False Claims Act.  False Claims can be found at all governmental levels including, federal, state, or county.   Contact The Ticktin Law Group today to discuss your whistleblower case and schedule a free consultation by calling 877-774-8077 or click here.