Archive for January, 2016

Former Prosecutor Chris Hoyer Talks about Fighting the Mob in Tampa

Chris Hoyer interviewed by ABC I-team reporter Adam Walser

Chris Hoyer interviewed by ABC I-team reporter Adam Walser

Bringing down the mob in Tampa was one of most important jobs James Hoyer founding partners Bill James and Chris Hoyer tackled as federal prosecutors decades ago.  It was a battle fraught with danger and one that Hoyer rarely talks about. He broke his silence in an interview with ABC I-team reporter Adam Walser for this story which takes an in depth look at their crackdown on corruption and ultimate price some paid in the fight.  Watch the story below.

Click here to read more on the ABC Action News website.

 

Nursing Home Giant to Pay $125 Million in Whistleblower Case

Nursing home therapy giant RehabCare has agreed to pay the government $125 million to settle a whistleblower lawsuit alleging it knowingly caused facilities it contracted with to inappropriately bill Medicare for services.  Money from the settlement will be returned to the taxpayers, under the False Claims Act.  The FCA makes it possible for private citizens to file suit on the government’s behalf, if they learn of fraud against the government.  The whistleblower ultimately gets a percentage of the money recovered.

In the lawsuit, the whistleblowers and government alleged that RehabCare, whose parent company is Kentucky-based Kindred Healthcare, set unrealistic financial goals and scheduled therapy to get maximum reimbursements regardless of patients’ actual needs, according to an article in Business Insurance, a sister publication of Modern Healthcare.

Among other things, RehabCare allegedly scheduled and reported therapy after the patients’ treating therapists had recommended they be discharged from therapy. It also allegedly reported that skilled therapy had been provided to patients who were sleeping at the time or otherwise unable to undergo or benefit from therapy.

The provider also allegedly placed patients in the highest therapy reimbursement levels rather than determining their levels of care based on individualized evaluations.

Two former RehabCare employees filed the original whistleblower lawsuit; one was a physical therapist and manager, and the other was an occupational therapist.

Click here to read more in Business Insurance.

 

What’s on tap for Whistleblowers in 2016?

Whats on tap for whistleblowers in 2016?

Whats on tap for whistleblowers in 2016?For the 2015 fiscal year, the United States Department of Justice reported that whistleblowers helped the government recover more than $3.5 billion for the fourth year in a row, bringing the total recoveries from January 2009 to the end of the fiscal year to $26.4 billion. Read More…