Visiting Nurse Service of New York, which claims to be the largest nonprofit home health agency in the U.S., will have to face a False Claims Act lawsuit, a federal judge has ruled. The company is accused of defrauding Medicare and Medicaid and also of failing to provide the care prescribed by patients' doctors.
A New York City pharmacist is facing both a civil complaint and criminal charges after allegedly bilking Medicaid out of $11 million. The pharmacist is accused of giving kickbacks to Medicaid patients in exchange for the opportunity to refill their prescriptions -- or to buy the prescriptions outright and bill Medicaid despite never intending to fill them. The patients were typically poor and the prescriptions were often for expensive HIV medications.
Perhaps the most important element in a successful qui tam case, after the strength of your case, is your choice of attorney.