Tennessee does have a state False Claims Act. Whistleblowers may file claims of fraud, waste or abuse affecting state government. The U.S. Department of Health & Human Services rates Tennessee’s FCA at least as strong as the federal FCA when it comes to Medicaid Fraud claims. 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.
Tennessee Whistleblower and Qui Tam News
- FBI investigates Tennessee road building giant for fraud
March 24, 2015 – The federal investigation was prompted by a 2012 whistleblower lawsuit filed by a former employee of Jones Brothers, who said he was fired after raising concerns about fraudulent activity. A federal judge has given the government until June 1 to decide whether to intervene in the whistleblower suit and bring charges against Jones Brothers, its affiliated companies and G&M Associates. Jones Brothers and the two affiliated companies, Mountain States Contractors and Hot Mix Asphalt, were allegedly involved in a scheme to fraudulently land government contracts intended for companies that promise to subcontract a certain percentage of the work to women- or minority-owned small businesses, the search warrant documents state.
- Whistleblower in Pilot investigation files lawsuit
February 23, 2015 – The Morgan Stanley executive who apparently was a key confidential source in the FBI investigation into Pilot Flying J filed a whistleblower lawsuit in federal court last week alleging he was fired after his role in the investigation was discovered.
Financial planner John Verble filed the suit in federal court in Knoxville on Thursday seeking hundreds of thousands of dollars in back pay and personal brokerage funds held with Morgan Stanley, which he says the company has frozen. In a statement, Morgan Stanley dismissed the allegations and promised to fight the suit.
- Tennessee Home Health Care Company Settles Whistleblower Allegations For $25 Million
November 24, 2014 – A Nashville, Tenn.-based home health care company and its affiliates have agreed to pay $25 million plus interest to settle whistleblower allegations that they violated the federal False Claims Act by submitting bills to Medicare and Medicaid that were wrongly coded and false in a scheme to boost profits. According to the U.S. Justice Department, CareAll Management LLC, one of Tennessee’s largest home health care providers, routinely overstated the severity of patients’ conditions to increase its billings. The company also billed Medicare and Medicaid for medically unnecessary services, often treating patients who were not homebound, federal prosecutors said. The alleged fraud lasted from 2006 to 2013, the Justice Department said, costing U.S. and Tennessee taxpayers millions of dollars in badly needed health care funds. The allegations stem from a whistleblower complaint filed by Toney Gonzalez under the qui tam or whistleblower provisions of the False Claims Act, which authorize private individuals to sue on behalf of the federal government.
- Whistleblower lawsuit seeks $10 million from EPB for overbilling claims
September 5th, 2014 – Attorneys have unleashed a whistleblower lawsuit alleging that EPB violated Tennessee’s False Claims Act by knowingly submitting inflated bills for its streetlights, overbilling Chattanooga taxpayers for an amount that remains in dispute. Plaintiff Don Lepard, who filed the sealed lawsuit against EPB on behalf of the city and state, is seeking more than $10 million in damages for what he says is an average 27 percent rate of overbilling rate among EPB’s 46,000 lights, including nearly 27,000 that belong to the city.
- Tennessee Clinics Settle Whistleblower’s Allegations Of Fraud For $1.85 Million
January 31, 2014 – Two Tennessee orthopedic clinics will pay a combined $1.85 million to settle a whistleblower’s allegations that the clinics engaged in a scheme to defraud Medicare by buying potentially unsafe injections of knee pain medication from foreign sources at deeply discounted prices, re-importing them for use in U.S. patients, and billing state and federal health care programs for the drugs at higher U.S. rates. The U.S. Justice Department said that Tennessee Orthopaedic Clinics P.C., headquartered in Knoxville, Tenn., will pay $1.3 million to settle the lawsuit, and Appalachian Orthopaedic Clinics P.C., headquartered in Kingsport, Tenn., will pay $550,000. The lawsuit alleged that the clinics knowingly purchased Synvisc, Orthovisc and other vicosupplements used to treat pain in orthopedic patients from foreign countries in order to profit from Medicare, Medicaid, and other taxpayer-funded health care reimbursements.