On October 17, the United States Attorney for the Eastern District of Michigan announced that IPC Hospitalists of Michigan Inc. has agreed to pay a total of $4,384,618 to settle allegations of violating the False Claims Act (FCA).
The case alleges that IPC Hospitalists of Michigan, Inc. engaged in upcoding of inpatient hospital services. As well as allowing their doctors to bill for more services than they could possibly provide in one day and for services that were not rendered.
This case stems from two qui tam whistleblower cases filed against IPC Hospitalist of Michigan Inc. The False Claims Act’s qui tam provisions allow private citizens to file lawsuits on behalf of the government if they know of an individual or company defrauding the government. Qui tam whistleblowers are eligible to receive between 15 and 30% of the government’s recovery. In this settlement, the whistleblowers are set to receive a total of $767,308.
“The submission of False Claims to our Federal health care programs by individuals or institutions erodes the trust that we place in these providers and wastes valuable taxpayer dollars,” said Mario M. Pinto, Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “HHS-OIG remains committed to working with our law enforcement partners to ensure that those who submit false claims are held accountable.”
“The False Claims Act is an important tool to deter and hold accountable those who submit...
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