Doctor’s estate, UMC Physicians paying $3.28 million to settle claims

DALLAS — The estate of Dr. Kenneth Michael Rice and UMC Physicians (UMCP) have agreed to pay a total of $3,280,000.00 to the United States and the State of Texas to settle allegations that Dr. Rice and UMCP violated the False Claims Act, announced U.S. Attorney John Parker of the Northern District of Texas.

Specifically, the United States alleged that Dr. Rice, by and through UMCP, submitted false claims for payment to Medicaid and Medicare related to in-person evaluation and management services, as well as critical care services. The estate of Dr. Rice agreed to pay the United States and the State of Texas $2 million, collectively, to settle the allegations. UMCP agreed to pay $1,280,000 to settle the matter. Both the Estate of Dr. Rice and UMCP fully cooperated with the investigation and, by settling, did not admit any wrongdoing or liability.

A Qui Tam Relators Story about the history of the False Claims Act 31 U.S.C. 3729-3733 coined “Mr. Lincoln’s Law and the 1986 Libya Bombing Raid and the 1988 Ramsey Clark Complaint for the Innocent residents neighborhoods surrounding Tripoli and Bengazzi. John Gravitt and Roland Gibeault were the first two successful Qui Tam Relators since the Civil War and the Oct. 27, Amendment Senator Grassley and Bermann to curb Defense Fraud by Aerospace Corporations and their Sub-Contractors.

Source: A Pioneer Whistleblowers Story

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False Claims lawsuits and recoveries

The state of New Jersey has what is known as a False Claims Act. The False Claims Act permits individuals to recover monies for discovering and reporting those individuals or entities who have profited from fraud on the government. One such area of fraud is Medicaid and Medicare fraud. As an example, if a medical professional office was billing for items in Medicaid and Medicare for which they were not permitted in this was discovered by a person and they filed suit it would be entitled to recover a percentage of the recovery.

Recoveries for false claims lawsuits is in the billions of dollars. The areas of litigation range from healthcare to government contracts.