False Claims Act

U.S. Appeals Court Reverses Gross Trebling of False Claims Damages

March 27, 2013

On March 21, the U.S. Court of Appeals for the Seventh Circuit upheld the district court’s decision to find Anchor Mortgage Corporation and its CEO John Munson liable for false claims submitted in loan guaranty applications to the U.S. government, but reversed the “gross trebling” calculation of the damages in favor of “net trebling,” which reduced the total recovery.

In 2010, the federal district judge found Anchor Mortgage Corporation guilty of lying when applying for federal guarantees of 11 loans, and therefore liable for treble (triple) damages under the False Claims Act.  The judge calculated damages by totaling the amounts that the government paid to lenders under the federal guarantees, trebling it, then subtracting any collateral (in this case, real estate that had been sold).  According to the appellate decision, as an example,

[T]he Treasury paid $131,643.05 on its guaranty of a particular loan. Three times that is $394,929.15. The real estate mortgaged as security for that loan sold for $68,200. The judge subtracted the sale price from the trebled guaranty; the result of $326,729.15 represented treble damages. To this the judge added the $5,500 penalty, for a total of $332,229.15.

The defendants proposed a different approach: beginning with the total of the federal guarantees, immediately subtracting the collateral, and then trebling the amount.  The defendants’ example results in a significantly smaller amount of damages:

Like the district judge, they start with $131,643.05, but they immediately subtract the $68,200 that the United States realized from the collateral. The net loss is $63,443.05.  Treble that, and the result is $190,329.15. Add $5,500 for a total of $195,829.15.

The appeals court affirmed Anchor’s guilt in the matter, but reversed the district judge’s “gross trebling” of the damages in favor of the defendants’ “net trebling,” noting that while the False Claims Act does not specify either a gross or a net trebling approach, “the norm is net trebling.” 

The False Claims Act allows whistleblowers to bring suit on behalf of the U.S. government and share in the recovery.  The Chanler Group, in association with the Hirst Law Group, has years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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Caddell to Pay $1.15M for False Claims Re: Hiring Native American Business

March 26, 2013

Alabama-based Caddell Construction has agreed to pay a $1.15 million settlement to resolve allegations that they violated the False Claims Act by knowingly making false reports to the Army Corps of Engineers that they had hired and were mentoring a Native American-owned company to work construction projects, the U.S. Department of Justice announced.

The United States alleged that from 2003 to 2005, Caddell falsely represented in invoices and supporting documents that it was mentoring Mountain Chief Management Services to perform work on construction projects at Fort Bragg, N.C. and Fort Campbell, Ky.  The mentorship of Mountain Chief Management Services was part of Caddell’s contract with the Army Corps of Engineers, and Caddell received reimbursements and rebates under the Mentor-Protégé and Indian Incentive Programs.  However, as alleged by the government, Mountain Chief was a pass-through entity used by Caddell to enable Caddell to claim payments and did not actually perform the work or receive any mentoring.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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Court Upholds Whistleblowers' $6.9M Share of $46M False Claims Settlement

March 15, 2013

Earlier this month, the U.S. Court of Appeals for the Eighth Circuit upheld the federal district court's decision that the two whistleblowers, or relators, in Rille et al v. Accenture, LLP et al, No. 11-2054 (8th Cir. 2013) were entitled to a 15% share of the federal government's $46 million False Claims Act settlement with Hewlett-Packard, amounting to a $6.9 million award to the whistleblowers.

The relators, Norman Rille and Neal Roberts, filed a <i>qui tam</i>, or whistleblower, action in 2004 against HP and other defendants on behalf of the United States, alleging that the defendants gave kickbacks to consultants in exchange for recommendations and engaged in pricing schemes that cost the federal government millions of dollars.

In 2006, the government intervened and filed its own complaint against HP and the other defendants, and eventually entered into a settlement in which the government received $55 million: $9 million from the kickback scheme and $46 million for the pricing scheme.  While the government conceded a share of the kickback settlement to the relators, it attributed the pricing settlement to its own investigation, and not the relators'.

The district court found in favor of the relators, writing that "the government had no knowledge of the defective pricing before Relators brought it to light."  The government appealed.  The Court of Appeals affirmed the district court's decision, upholding the whistleblowers' entitlement to 21% of the $9 million kickback settlement and 15% of the $46 pricing settlement.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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Hospice of Ariz to Pay $12M for Medicare Fraud; Whistleblower to get $1.8M

March 20, 2013

Hospice of Arizona, L.C., American Hospice Management LLC, and American Hospice Management Holdings LLC, have agreed to pay $12 million to resolve allegations that they violated the False Claims Act by knowingly defrauding Medicare, the Department of Justice announced today.

Hospice of Arizona and its related entities allegedly engaged in practices that resulted in the admission of ineligible patients, inflated medical bills, and delayed and discouraged staff from discharging patients no longer eligible for hospice care.  As part of the settlement, American Hospice Management Holdings has agreed to enter a corporate integrity agreement with the Inspector General of the Department of Health and Human Services that provides for procedures and reviews to be put in place to avoid and promptly detect similar misconduct.

Medicare hospice benefits are available to patients with a life expectancy of six months or fewer; these patients do not receive care intended to treat or stop their illnesses, and instead receive medical care focused on providing them with relief from the symptoms, pain, and stress of a terminal illness.

The allegations arose from a lawsuit filed by former Hospice of Arizona employee Ellen Momeyer, under the qui tam, or whistleblower, provisions of the False Claims Act.  The False Claims Act allows private citizens to bring suit on behalf of the United States and share in any recovery.  Momeyer will receive $1.8 million.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

Source: 
http://www.justice.gov/opa/pr/2013/March/13-civ-326.html
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False Claims Act Is Taxpayers' Best Tool to Recoup Funds Lost Through Fraud on Govt

January 31, 2012

The U.S. Department of Justice celebrated the 25th anniversary of the 1986 amendments to the False Claims Act today.  The False Claims Act has been called the single most important tool that American taxpayers have to recover funds when false claims are made to the federal government, including health care fraud, mortgage fraud, and procurement fraud.     

“In the last quarter century, the False Claims Act’s success has been unparalleled with more than $30 billion dollars recovered since it was amended in 1986 and $8.8 billion since January 2009,” said Attorney General Eric Holder.  “In these challenging economic times when resources are scarce, government budgets are being tightened and so many Americans are forced to do more with less, the need to act as sound stewards of every taxpayer dollar has never been more clear or more urgent.  The Department of Justice has achieved record recoveries in recent years and we will continue to aggressively pursue those who would take advantage of their fellow citizens.”

The False Claims Act was originally passed by Congress during the administration of President Abraham Lincoln in 1863 to help the government recover federal funds stolen through fraud by U.S. government contractors.   During the Civil War, the law was used to recover monies from unscrupulous contractors who sold the Union Army decrepit horses and mules in ill health, faulty rifles and ammunition, and rancid rations and provisions.

In 1986, Congress amended the False Claims Act to permit the government to seek treble damages and revised the statute’s qui tam, or whistleblower, provisions to increase the incentives for whistleblowers to come forward with allegations of fraud.   Since those changes were enacted, the Justice Department has recovered more than $30 billion under the act.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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Nursing Home Manager to Pay $2.7M for Medicare Fraud, $405K to Whistleblower

March 12, 2013

Tennessee-based Grace Healthcare LLC and its affiliate Grace Ancillary Services LLC (collectively, Grace) have agreed to pay $2.7 million to settle allegations that they knowingly submitted false claims to the Medicare and TennCare/Medicaid programs for unnecessary rehabilitation therapy, the Department of Justice announced last week.

The suit alleged that from 2007 to 2011, Grace pressured therapists in ten of its nursing homes to meet targets for Medicare revenue regardless of patients' individual therapy needs.  This resulted in patients being billed for large amounts of unnecessary rehabilitation and therapy, which were then paid for by Medicare.  As part of the settlement, Grace has agreed to procedures and reviews to be put in place in order to prevent future similar conduct.

The suit was originally filed by an unnamed former Grace employee under the qui tam, or whistleblower, provisions of the False Claims Act.  The False Claims Act allows private citizens to bring suit on behalf of the government and share in the recovery.  The whistleblower in this case will receive $405,000.  The Justice Department has recovered $10.2 billion in healthcare fraud cases since January 2009.  The Justice Department’s total recoveries in False Claims Act cases since January 2009 are over $14 billion.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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CHG, Parent to Pay $18.5M for Time Card Fraud, Guilty Whistleblower Gets Nothing

March 11, 2013

Colorado-based CH2M Hill Hanford Group (CHG) and its parent company CH2M Hill Companies Ltd. (CH2M Hill) admitted to criminal conduct when CHG engaged in years of widespread time card fraud  on the U.S. Department of Energy. Between 1999 and 2008, CH2M Hill had a federal contract to manage and clean 177 large underground storage tanks containing mixed radioactive and hazardous waste at the Department of Energy’s Hanford Nuclear Site in southeastern Washington. The Hanford Site was used for the production of nuclear weapons during World War II and the Cold War. CHG hourly employees involved in the cleanup routinely overstated the number of hours they worked,  and CHG management not only condoned the practice---submitting inflated claims to the Department of Energy that included the fraudulently claimed hours--but certain supervisors engaged in patterns designed to avoid the detection of the routine time card fraud by law enforcement and internal auditors.  So far, eight individuals have pleaded guilty to the fraud scheme and conspiracy.

CH2M Hill will pay $16.5 million to resolve its civil liability under the False Claims Act, refund an additional $1.95 million in wrongfully obtained profits, dedicate $500,000 to increasing accountability at the Hanford site, and pay for independent monitoring.  The allegations were originally brought under the qui tam, or whistleblower, provisions of the False Claims Act by Carl Schroeder, a former employee of CH2M Hill, and one of those to plead guilty to the scheme.  Under the False Claims Act, private citizens can sue on behalf of the United States and share in the recovery.   The act, however, bars whistleblowers from recovering if they were convicted based on their role in the scheme.  Thus, Schroeder will not receive any share of the recovery.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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Corning to Pay $5.65M for False Claims, Whistleblower to Get $904K

March 9, 2013

New York-based Corning Incorporated has agreed to pay $5.65 million to the U.S. government to resolve allegations that it knowingly presented false claims for laboratory research products it sold to federal agencies through its Life Sciences division.

In 2005, Corning entered a contract to sell laboratory research products to the federal government through a program that provided authorized purchasers with a streamlined procurement process for commonly used goods and services.  The suit alleged that Corning knowingly failed to fulfill its contractual obligation to provide the program with information about its discounts to other customers and made false statements about its sales practices, leading to the government receiving lower discounts and paying more for Corning products than it should have.

The suit was brought under the qui tam, or whistleblower, provisions of the False Claims Act, which allows private citizens to bring suit for false claims on behalf of the government and share in the recovery.  Kevin Jones, a former Corning Life Sciences sales representative, will receive $904,000 as his share of the settlement.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud against the government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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Illinois Nursing Home to Pay $29 Million Penalty for False Claims Act Violations

February 11, 2013

A jury ordered a nursing home in Illinois to pay a total of $29 million in penalties for false Medicare claims to the government.  Two former employees at the facility filed a complaint that the home allegedly destroyed and/or forged records to make it appear that residents were receiving appropriate care and medications, while residents allegedly went without food or medication, developed bedsores and scabies, and were left to lie in their own waste.  The jury found that the government suffered losses of over $3 million due to the submission of over 1,700 false Medicare claims and awarded the maximum penalty of $11,000 for each false claim.  The two whistleblowers received $400,000.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who uncover fraud of every kind perpetrated against our government, including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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CIA Contractors to Pay $3M Settlement, Whistleblower to Get $585K

March 8, 2013

American Systems Corporation, Anixter International Inc., and Corning Cable Systems LLC have agreed to pay the U.S. government $3 million to settle allegations that they violated the False Claims Act and the Anti-Kickback Act while bidding on a contract with the CIA, the U.S. Justice Department announced today.  The United States alleged that the three companies provided CIA employees and outside consultants with meals, entertainment, sporting tickets, and other gifts and gratuities while bidding on a contract to provide the CIA with supplies and services.

Anixter sales representative William Jones first initiated the lawsuit under the qui tam, or whistleblower, provisions of the federal False Claims Act.  The False Claims Act allows private citizens with knowledge of fraud or false claims to sue on behalf of the government and share up to 30% of the recovery obtained by the government.  Jones will receive $585,000 as his share in this settlement.

The Chanler Group, in association with the Hirst Law Group, represents whistleblowers who take action under the False Claims Act to report fraud committed against the federal and state governments.  We have years of experience representing whistleblower clients who expose every kind of fraud perpetrated against the government including health care fraud, contract fraud, and tax fraud.  Read more about our expertise in False Claims Act cases and how you can take action.

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