PRECISION LITIGATION

Whistleblower claim filed regarding kickback scheme at hospital

On Behalf of | Dec 7, 2021 | Whistleblowers |

When it comes to referring patients in Georgia and elsewhere to another doctor, there are rules and regulations concerning how the process must go. Should a person feel that others are using the referral process in an unlawful way for financial gain, he or she may wish to bring such actions to light, but knowing how best to approach the situation can be a complex task. A hospital in another state has been ordered to pay a judgment of more than $18 million following a recent whistleblower claim pertaining to the presence of a kickback scheme at the facility.

Kickback scheme

According to reports, the person who filed the claim accused the facility of referring patients to other doctors within a group with whom it shared an unspecified financial relationship. Reports indicate that this type of action is prohibited under the Physician Self-Referral Law. The lawsuit states that the group used this method to elicit payment for treatment rendered and claimed that in many cases, payments were sought from federally funded programs such as Medicaid.

The whistleblower also accused the facility of taking patient referrals into account when deciding which parties would be given preference when it came time to buy or sell company shares. During recent legal proceedings, the company was reportedly ordered to pay a substantial financial judgment. Reports also indicate that the person who came forth and filed the whistleblower claim will receive around $3 million for her part in the matter.

Shedding a light

Individuals who become aware of unlawful behavior of this nature may wish to do their part in shedding a light on the issues at hand, but the idea of filing a whistleblower claim could be a daunting concept. Fortunately, one does not have to face this process alone, as there are attorneys who can address all a person’s concerns and provide insight on the best course of action with which to proceed. An attorney can help a client in Georgia navigate every stage of the process and assist him or her in seeking any compensation he or she may be eligible to receive in the process.