$145M
Qui Tam / Healthcare Fraud
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Case Details
Life Care Centers of America, Inc., a private nursing home company, settled a qui tam lawsuit by agreeing to pay $145 million to the government and whistleblowers. The consolidated lawsuit alleged that from January 2006 until February 2013, Life Care billed Medicare and TRICARE for therapy given to patients who didn’t need it or were ineligible. The case set a precedent by allowing statistical sampling to prove fraud.
Additional Notes
Settlement came from a consolidated lawsuit brought by a therapist and a registered nurse. The Department of Justice joined the case. The case set a precedent by allowing statistical sampling to prove fraud.