Blog

Roberto Marrero and Sandra Viera, Owners of Home Health Companies and Enrique Rodriquez,Patient Recruiter Plead Guilty in Miami for Role in $20 M Health Care Fraud Scheme

September 06, 2013 | Posted By: Hoyer Law Group, PLLC

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The owners and operators of several Miami home health care agencies and a patient recruiter pleaded guilty today in connection with a health care fraud scheme involving defunct home health care company Trust Care Health Services Inc. (Trust Care). Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division; U.S. Attorney Wifredo A. […]

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Understanding Medicare Billing and Reimbursement Coding

September 03, 2013 | Posted By: Hoyer Law Group, PLLC

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A general understanding of Medicare billing and reimbursement can increase a healthcare whistleblower’s chances for success. It is not a requirement for a whistleblower to be a Medicare billing or reimbursement expert to bring a successful qui tam case involving fraud committed against a government healthcare program.  However, knowledge of a defendant’s billing and reimbursement […]

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Hawaii Hospital Pays to Settle Improper Billing Claims

September 03, 2013 | Posted By: Hoyer Law Group, PLLC

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 REPORT FROM THE US ATTORNEY’S OFFICE – HONOLULU – B Wahiawa General Hospital (“WGH”) of Honolulu, Hawaii, will pay $451,428.00 to settle two lawsuits alleging that WGH improperly billed the Medicare program, the State of Hawaii Medicaid program, and TRICARE, the federal health benefits program for military dependents. The settlement grew out of civil “whistleblower” […]

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Bank Chairman, Darryl Woods, Pleads Guilty to Using Public Funds to Purchase Luxury Vacation Condo in Fort Myers, Fl.

August 28, 2013 | Posted By: Hoyer Law Group, PLLC

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JEFFERSON CITY, Mo. – Tammy Dickinson, United States Attorney for the Western District of Missouri, announced that a Columbia, Mo., bank chairman pleaded guilty in federal court today to misleading federal investigators about his use of $381,000 in bank bailout funds to purchase a luxury condominium in Fort Myers, Fla. “At a time when many […]

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New York-Based MRI Diagnostic Testing Company, Imagimed LLC, and William Wolf III and Dr. Timothy Greenen,Its Former Owners and Chief Radiologist to Pay $3.57 M to Resolve F.C.A. Allegations

August 28, 2013 | Posted By: Hoyer Law Group, PLLC

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New York-based Imagimed LLC, the company’s former owners, William B. Wolf III and Dr. Timothy J. Greenan, and the company’s former chief radiologist, Dr. Steven Winter, will pay $3.57 million to resolve allegations that they submitted to federal healthcare programs false claims for magnetic resonance imaging (MRI) services, the Justice Department announced today. Imagimed owns […]

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The Dos and Don’ts of Obtaining and Disclosing Company Documents when Filing a Whistleblower Case

August 26, 2013 | Posted By: Hoyer Law Group, PLLC

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Under the False Claims Act, whistleblowers are required to provide the government with “substantially all material evidence and information” in their possession upon filing a qui tam lawsuit.  This assists the government in performing an early analysis of the merits of the case.  As one would expect, the more compelling evidence of wrongdoing a whistleblower […]

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Justice Department Sues South Dakota Drug Manufacturer, Dakota Laboratories LLC, for Improperly Producing Sterile Eye Drops

August 26, 2013 | Posted By: Hoyer Law Group, PLLC

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The government filed suit in the U.S. District Court for South Dakota against Dakota Laboratories LLC and its owner, Charles L. Voellinger, Sr., to block them from violating the Food, Drug and Cosmetic Act (FDCA) in connection with their alleged violations of Current Good Manufacturing Practices (CGMP).  The alleged violations concerned problems with the manufacture […]

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Ivan Alejo and Hugo Morales, a Patient Recruiter and Owner, Plead Guilty in $7 Million Health Care Fraud

August 22, 2013 | Posted By: Hoyer Law Group, PLLC

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A patient recruiter and a therapy staffing company owner pleaded guilty today in connection with a $7 million health care fraud scheme involving the now defunct home health care company Anna Nursing Services Corp. Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division; U.S. Attorney Wifredo A. Ferrer of the Southern District […]

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Keeping It Confidential: Can a Relator Remain Anonymous Throughout a Qui Tam Case?

August 19, 2013 | Posted By: Hoyer Law Group, PLLC

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As has been discussed before on this blog, whistleblowers play a critical role in reducing fraud against our government and protecting the American taxpayers, and they should be celebrated for their courage.  But, because of the potential workplace stigma and concerns of retaliation, whistleblowers often ask if they can protect their identity during a case […]

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Shands Hospitals Pay $26 Million in Florida Whistleblower Case

August 19, 2013 | Posted By: Hoyer Law Group, PLLC

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The Department of Justice announced today that Shands Hospitals will pay $26 million to settle charges of over-billing to Medicaid/Medicare for inpatient care.  The whistleblower case was filed under the federal False Claims Act and the Florida False Claims Act.  It was unsealed today upon announcement of the settlement. Attorney Chris Casper of the James […]

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The Role of a Relator and Relator’s Counsel in a Whistleblower Case

August 13, 2013 | Posted By: Hoyer Law Group, PLLC

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The James Hoyer Qui Tam Team Whether from personal experience, reading the news or just watching television, most people have some understanding of the basic legal case: a plaintiff sues a defendant, both sides have lawyers that file pleadings and exchange evidence, eventually the case settles or goes to trial where a judge or jury […]

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Dr. Fata, Owner of Michigan Hemotology and Oncology Centers Charged in $35 Million Medicare Fraud Scheme

August 08, 2013 | Posted By: Hoyer Law Group, PLLC

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Dr. Farid Fata, 48, of Oakland Township, Michigan, was arrested this morning and charged in a criminal complaint for his role in a health care fraud scheme which involved submitting false claims to Medicare for services that were medically unnecessary, including chemotherapy treatments. Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division, […]

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