Tennessee False Claims Act Lawyer Discusses Nursing Home Medicaid Fraud

whistleblower-lawyer

FALSE CLAIMS ACT FREE CASE EVALUATION: 1-800-632-1404

The Tennessee False Claims Act provides incentives for Tennessee whistleblowers reporting fraudulent activities impacting the government over a broad area. It allows filing of qui tam lawsuits in Tennessee courts by whistleblowers or relators seeking prosecution of the guilty and recovery of defrauded taxpayers’ money. One area of False Claims Act involves Nursing Homes committing Medicare and Medicaid Fraud.

Tennessee False Claims Act Medicare and Medicaid Fraud

Entities, private individuals, or businesses in the state can be named as defendants in qui tam lawsuits filed according to the protocol laid in the Tennessee False Claims Act, if they are directly responsible or party to any of the following fraud committed. These entities include nursing homes.  In fact, one nursing home company (Rochelle) recently settled a False Claims Act case in New York for $2.2 Million Dollars upon allegations that it submitted 62,000 false claims to the joint state and federal program between 2002 and 2006.  Similar conduct would be improper under Tennessee law and warrant the filing of a Tennessee False Claims Act lawsuit.

The Rochelle company allegedly used Medicaid reimbursement rates based, in part, on up-coded Patient Review Instruments, which false represented the degree of care required by many Glen Island residents during the mandatory quarterly assessment periods covered by these submissions.  The Rochelle nursing home also allegedly exaggerated residents’ diagnoses, conditions and required treatments in reports and routinely stated that residents were receiving treatments, including for oxygen and suctioning, when such treatments were neither required nor given.  Our False Claims Act attorneys have successfully handled a Tennessee False Claims Act case involving upc0ding allowing the return of hundreds of thousands of dollars to the Government.

The False Claims Act claim involved a nursing home allegedly attempting to cover up their fraudulent submissions and false claims by making false entries and forgeries into Glen Island residents’ medical records.  These falsified medical records were turned over in an investigation, and I believe led to the $2.2 Million Dollar False Claims Act settlement.

Contact a Tennessee False Claims Act Attorney

We help whistleblowers on a contingency basis, meaning there is no fee charged for our work unless there is a recovery. We also front any and all expenses. No matter where you are located — we will represent you. We will come to you, you will not have to come to us. Attorneys in our firm and attorneys that we work with on Whistleblower, Qui Tam, False Claims Act cases have represented a host of persons making claims, for violations of federal tax law, Medicare law and more. For more information, please contact our team of whitsleblower and qui tam attorneys today.

CALL 1-800-632-1404

or fill out this form below for a free initial consultation.

    Your Name (required)

    Your Email (required)

    Your Phone Number (required)

    Case Details

    captcha

    Our offices will review potential false claims act cases in all fifty states, including Tennessee, Arkansas, Mississippi, Kentucky and Alabama.

    Leave a Reply

    Your email address will not be published. Required fields are marked *