Nursing Home Abuse Lawyers: Update on Michigan Maggot Case

Last month, our nursing home abuse lawyers wrote about a facility in Ann Arbor, Michigan where maggots were found in a patient’s catheter. The staff of the Whitehall Healthcare Center of Ann Arbor was told to document the incident as “debridement,” which is a term that means dead tissue, not maggots. Now, three former employees of the facility have sued the home and parent company, claiming that they were fired for reporting the abuse. The state came to the home after one of the former certified nursing aides filed a complaint due to a patient fall. When the investigators were visiting the facility, all three of the aides told them about the … [Read more...]

Qui Tam: What Is It?

The term qui tam is actually an abbreviated form of the latin phrase "qui tam pro domino rege quam pro seipse," which means "he who sues for the king as for himself." Whistleblower is another term used to describe the same type of claim. When an employee gets wind of their employer's illegal business practices, they have the opportunity to file a qui tam claim against them, and are usually awarded a large portion of the settlement that the government receives. Whistleblower vs. Qui Tam Claims - Is There a Difference? Whistleblower and qui tam claims do essentially the same thing; they allow employees to file lawsuits against their … [Read more...]

The “Dead Doctor” Scam: How Medicare and Medicaid Lost $70 Million In Fraudulent Claims

Most people envision Medicare or Medicaid fraud as a pharmacist billing for name brand prescriptions while dispersing the generic version, or a doctor inflating the cost of his services to bring in a few extra bucks. Unfortunately, another type of Medicare and Medicaid fraud exists—and it’s one that took the Centers for Medicare and Medicaid Services (CMS) 7 years to put a stop to. A subcommittee report issued by the Senate Homeland Security and Government Affairs Investigations Subcommittee on Tuesday revealed CMS has paid out more than $70 million between 2000 and 2007 for durable medical equipment that used the personal … [Read more...]

CVS WHISTLEBLOWER SUIT SETTLED FOR $36.7 MILLION

On March 18, 2007, CVS agreed to pay $36.7 million as a result of allegations that the company improperly switched patients from the tablet version of the prescription drug Zantak to a more expensive version in order to increase Medicaid reimbursement. The fraud was brought to light by a Bernard Listiza, a pharmacist in Washington, DC. Following extensive negotiations between the US Attorney"s Office and CVS, CVS agreed to pay $36.7 million for defrauding the government. The United States" share of the settlement was approximately $21.1 million, with 23 states and the District of Columbia sharing $15.6 million. More importantly, the … [Read more...]

Whistleblower Lawsuits For 2005 Total $1.1 Billion in Settlements

The Federal Government issued a report stating that in 2005 alone, whistleblower lawsuits resulted in a recovery of 1.1 billion dollars to the United States Government. The actual whistleblowers that brought these claims to light were awarded $166 million dollars for their involvement. One of the largest cases from 2005 involved a whistleblower that discovered Medicare had made $21.7 billion in improper payments to doctors, hospitals and insurers in 2004. After the government recouped the money, the whistleblower was awarded over a billion dollars in compensation. Similarly, in March 2005, a whistleblower that had previously worked for … [Read more...]