Oklahoma does have a state False Claims Act. Whistleblowers may file claims of fraud, waste or abuse affecting state government. If you have a whistleblower claim, please contact us so that a lawyer may advise you about your whistleblower rights under the state FCA as well as qui tam provisions of the federal False Claims Act.
Oklahoma Whistleblower and Qui Tam News
- Tulsa doctor, clinic to pay $105,000 to settle Medicare fraud lawsuit
June 12, 2015 – A Tulsa doctor and his clinic have agreed to pay $105,000 in civil penalties to settle a lawsuit alleging false Medicare claims submitted to the federal government. A former employee of Dr. Jerome E. Block and his clinic, Integrations Medical Center, filed a Whistle Blower complaint in the name of the United States under the False Claims Act, according to a news release from the office of U.S. Attorney Danny C. Williams Sr., for the Northern District of Oklahoma. The complaint alleges that Block and his clinic violated Medicare regulations by permitting unlicensed personnel to provide medical services to patients, such as taking and recording the patient’s history, including chief complaint and history of present illness; performing and recording a physical examination; and performing and recording medical decision-making, the release states.
- Whistleblower Complaint Leads To $15.69 Million Recovery For Medicare
May 15, 2015 – Sixteen U.S. hospitals and their parent companies have agreed to pay the U.S. $15.69 million collectively to resolve allegations brought by a whistleblower under the False Claims Act that they fraudulently billed Medicare for services that were not medically reasonable or necessary. The case concerns claims for reimbursement the hospitals made to Medicare for Intensive Outpatient Psychotherapy services. Medicare pays for an appropriate course of the psychotherapy services when a number of specific requirements are met, the most notable being that the services provided are needed for the diagnosis and treatment of the patient’s condition.
- Good Shepherd Hospice Inc., will pay $4 million to settle Medicare billing claims
February 11, 2015 – An Oklahoma City-based hospice chain will pay $4 million to the federal government to settle claims it submitted false Medicare invoices for patients who were not terminally ill. Good Shepherd Hospice Inc., as well as affiliates in Kansas, Missouri and Texas, also entered into a corporate integrity agreement and will submit to ongoing monitoring by the Department of Health and Human Services’ inspector general. Government investigators said the company pressured staff to meet hospice admissions and census targets. It paid bonuses to staff — including hospice marketers, admissions nurses and executive directors — based on the number of patients enrolled. The government also said Good Shepherd hired medical directors based on their ties to nursing homes, an easy source of referrals.