Thomas Prose is the founder and owner of a Michigan-based “post-hospitalist” company named General Medicine P.C. (GM), which purports to specialize in the care of post-acute patients in long-term care facilities by providing skilled nursing facility (SNF) program services, among other things. Since at least 2016, Prose has also had another pastime: filing qui tam actions under the False Claims Act (FCA) against other long-term care companies.
Late last month, however, the chickens appear to have come home to roost, as the government filed its own FCA case against Prose himself, as well as GM and numerous other entities Prose used to operate his business. The government’s complaint alleges that Prose conducted a long-running scheme to defraud Medicare through a host of fraudulent practices, including billing for unnecessary medical services, failing to provide services billed for, and submitting inflated bills for services provided.
Prose’s history of filing FCA cases began as early as 2016 when he filed a qui tam suit in the Northern District of Texas alleging that a rehabilitation company had defrauded the government by paying kickbacks to skilled nursing facilities and participating in a sham program to disguise illegal cash payments to doctors. That case was settled in 2018 for an undisclosed sum. Prose continued blowing the whistle with two more FCA cases in 2017. First, in the Eastern District of Louisiana, Prose filed an FCA lawsuit claiming that a healthcare company...
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