On April 7th, the Department of Justice announced that Medcare Clinic and Pharmacy, LLC agreed to a settlement for alleged violations of the False Claims Act. The government alleged that Medcare “knowingly billing federal health care programs for medications that were never dispensed.” The North Carolina company based in Indian Trail agreed to pay the government $213,677.
The U.S. Government learned of the potential taxpayer waste and healthcare fraud from two whistleblowers who are former employees of Medcare. The whistleblowers, Brittanie Henry and Zilphia Adcock, brought the claims forward under the qui tam provisions of the False Claims Act. Qui tam claims enable 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 case, the whistleblowers were awarded $53,419.43.
According to the press release from the Department of Justice, from 2016 to 2019 MedCare billed subsets of the federal programs Medicare and Medicaid for 200 prescription medications that MedCare never distributed to clients. The company’s inventory records showed that MedCare did not buy enough of those medications to fill all of the prescriptions billed to the programs.
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