Heba Elsherif  |  December 27, 2017

Category: Labor & Employment

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Medicare fraud Medicaid fraud whistleblower medical paperworkThe United States will reportedly receive $300,000 from four East Texas imaging companies and their owners, resolving allegations of Medicare abuse.

The companies allegedly submitted improper billing for transportation charges pertaining to portable X-ray services, according to a press release by the United States Department of Justice (DOJ).

The East Texas imaging companies involved in the Medicare abuse settlement include PDQ Imaging Services LLC, PDQ Ultrasound Services LLC, PDQ Mobile X-Ray Services, and PDQ Mobile X-Ray LLC.

The companies, along with their owners Dennis Whitsell and Jonathan Lane, will be required to pay for the alleged Medicare abuse, according to Acting United States Attorney Britt Featherston.

A deferred prosecution agreement was also entered into by one of the imaging companies involving alleged violations of the Anti-Kickback Statute.

According to the Acting U.S. Attorney, “The United States Attorney’s Office for the Eastern District of Texas keeps a watchful eye on the use of public funds. When a provider fails to comply with Medicare or Medicaid program rules, taxpayers expect to be repaid.”

The whistleblower lawsuit was first filed under the qui tam provisions of the False Claims Act in March 2011. The lawsuit was filed in the Eastern District of Texas by two relators, Kevin M. and Boyd B.

Under the False Claims Act, a private citizen with knowledge of fraud against the government, such as Medicare abuse, can file a lawsuit on behalf of the United States. The person who files such a claim is known as a “relator.” If the claim is successful, the relator can share in the recovery.

According to the DOJ, the companies are accused of improperly billing for “portable x-ray services and unlawfully paid kickbacks to skilled nursing facilities (SNFS)…”

This arrangement, termed “swapping” was made in exchange for patient referrals, according to the DOJ.

For the purposes of settlement, the United States intervened in this whistleblower lawsuit. The defendants entered an agreed judgment in favor of the United States for the improper claims submission for transportation charges and Medicare abuse, the DOJ states.

Kevin and Boyd will share 19 percent of the United States’ recovery, according to the DOJ.

In addition to this civil whistleblower lawsuit, the United States undertook a criminal investigation pertaining to allegations of improper remuneration paid to skilled nursing facilities by PDQ Imaging Services LLC.

The investigation allegedly revealed that PDQ Imaging illegally offered discounts to skilled nursing facilities in exchange for patient referrals, an arrangement known as “swapping.”

In a separate criminal prosecution, PDQ entered a deferred prosecution agreement with the United States. Through the agreement, PDQ admitted that it violated the Anti-Kickback Statute through its “swapping” arrangement.

The agreement further requires PDQ to cooperate in the prosecution of all of the skilled nursing facilities and “individuals involved in the illegal swapping arrangements and to maintain internal controls.”

In general, whistleblower and qui tam lawsuits are filed individually by each plaintiff and are not class actions. Whistleblowers can only join this investigation if they are reporting fraud against the government, meaning that the government must be the victim, and that the alleged fraud should be a substantial loss of money.

Do YOU have a legal claim? Fill out the form on this page now for a free, immediate, and confidential case evaluation. The attorneys who work with Top Class Actions will contact you if you qualify to let you know if an individual qui tam lawsuit or whistleblower class action lawsuit is best for you. Hurry — statutes of limitations may apply.

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Join a Free Whistleblower, Qui Tam Lawsuit Investigation

If you believe that you have witnessed fraud committed against the government, you may have a legal claim. Whistleblowers can only join this investigation if they are reporting fraud against the government, meaning that the government must be the victim, and that the alleged fraud should be a substantial loss of money.

See if you qualify to pursue compensation and join a whistleblower lawsuit investigation by submitting your information for a free case evaluation.

An attorney will contact you if you qualify to discuss the details of your potential case.

Please Note: If you want to participate in this investigation, it is imperative that you reply to the law firm if they call or email you. Failing to do so may result in you not getting signed up as a client, if you qualify, or getting you dropped as a client.

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Please note: Top Class Actions is not a settlement administrator or law firm. Top Class Actions is a legal news source that reports on class action lawsuits, class action settlements, drug injury lawsuits and product liability lawsuits. Top Class Actions does not process claims and we cannot advise you on the status of any class action settlement claim. You must contact the settlement administrator or your attorney for any updates regarding your claim status, claim form or questions about when payments are expected to be mailed out.