As we have seen time and again, health care providers of all kinds can run afoul of the False Claims Act. Oftentimes, these providers are accused of committing health care fraud by overbilling government programs such as Medicare and Medicaid, or are accused of paying kickbacks to doctors in order to have business sent their way. Yet another case came to the fore recently, and was settled for more than $15 million.
In this particular case, a diagnostic firm that had been founded by a physician had been accused of billing for work that was not done and forcing doctors to request tests that were not medically necessary -- and paid kickbacks to certain physicians to have the tests done. The settlement resolves the firm of wrongdoing, but the whistleblowers in the case, which dated back to 2009, stand to receive more than $2.75 million for bringing the case to the government's attention.