Whistleblower Lawsuit Leads to $371 Million Judgment in Laboratory Fraud Case In December 2019, Jacqueline Cushing filed a False Claims Act (FCA) complaint, which has now resulted in a $371,489,616 damages award through a default judgment entered on September 21, 2023. The judgment was issued against Tomoka Medical Lab, Inc.; Rajen Shah; Golden Rule Management, […]
Whistleblower Lawsuit Against Sutter Health Moves Forward in Stark Law Case The False Claims Act (FCA) and the Stark Law are two of the most critical tools used to combat healthcare fraud, particularly in cases involving improper physician compensation and illegal financial relationships between hospitals and referring doctors. A recent whistleblower lawsuit against Sutter Health […]
Health Management Associates Settles False Claims Act Lawsuits for $260 Million Health Management Associates (HMA), a former hospital chain operating across the United States, agreed in September 2018 to pay $260 million to resolve multiple False Claims Act lawsuits filed by whistleblowers and to enter a criminal guilty plea in connection with fraudulent billing practices. […]
$65 Million False Claims Act Settlement Against Prime Healthcare: A Landmark Whistleblower Case In a significant victory against healthcare fraud, U.S. ex rel. Berntsen vs. Prime Healthcare, et al. resulted in a $65 million False Claims Act (FCA) settlement announced on August 3, 2018. The case, filed in 2011 in the United States District Court […]
The suit alleged that Tenet and four of its hospitals in Georgia and South Carolina, entered into an illegal arrangement with a business called “Clinica de la Mama” that operated walk-in obstetric clinics for undocumented Hispanic women. The case settled in October 2016 for $368,000,000.
In April of 2015, Davita settles case with United States and 2 W&G whistleblowers for $450,000,000 after 8 years of hard fought litigation.
In September 2015, W&G recovers record settlement of $118.7M against hospital chain involving physician referrals to hospitals. Read the Press Release | View the Orlando Sun Article
Forest Laboratories case involved allegations of off-label marketing and kick-back claims and resulted in a $106,000,000 in civil recovery and $300,000,000 in total dollar recovery.
Whistleblower Exposes Halifax Health Fraud, Leading to $85M Settlement A whistleblower lawsuit filed by Elin Balid-Kunz led to a record-breaking $85 million settlement against Halifax Health for illegal physician compensation and Medicare fraud. Ms. Kunz, who worked for 17 years as Halifax’s Director of Physician Services, uncovered systemic Stark Law violations and took legal action […]
Olsen Corporation case involved allegations of fraudulent billing, sales and marketing within home health agencies resulted in $61,000,000 in Government recovery.
C.R. Bard Inc., a multinational medical device company, agreed to pay the federal government $48.2 million to settle this whistleblower lawsuit that alleged its urological division and wholly owned subsidiary, ProSeed Inc., paid doctors and hospitals kickbacks to entice them to order Bard’s products at inflated prices to treat Medicare patients with prostate cancer.
Bank of America/Countrywide Mortgage involved allegations of veteran’s mortgage fraud resulting in a recovery of $45,000,000.
Whistleblower Exposes Shands Hospital Overbilling, Leading to $26M Settlement Wilbanks & Gouinlock (W&G) successfully prosecuted a qui tam lawsuit against Shands Healthcare in Florida, resulting in a $26 million settlement. The case alleged that Shands improperly billed Medicare and Medicaid by admitting patients for inpatient care when outpatient treatment was medically appropriate—a scheme designed to […]
Memorial Health involved allegations of payment of excessive fees by hospital to doctors in excess of fair market value with a $5.08 million Government recovery.
In 2011, we represented an executive who learned the company partners were submitting false Medicare claims in excess of $2 million dollars. We successfully brought this matter to trial and received a positive verdict.
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