Moss & Gilmore Obtain $7.9 Million Settlement In FCA Whistleblower Lawsuit For Improper Radiation Oncology and E.R. Services; Including Payment of $850,000 for Whistleblower Retaliation Claim
27th September 2017

ATLANTA, Georgia (September 27, 2017) – Moss & Gilmore LLP announced today on behalf of their client Linda Jainniney, a former radiation oncology manager for AnMed Health, an affiliate of Carolina Health Care System (“CHS”), the settlement of a whistleblower lawsuit. AnMed Health will pay the federal government $7,073,000 to resolve allegations by the United States that it knowingly violated Federal law by, among other things: (i) submitting radiation-oncology-services claims to Medicare and other federal payors that required physician supervision where the radiation oncologists were not present to supervise the procedures; (ii)  AnMed’s Minor Care Facility did not qualify as a Type B Emergency Department but it systematically billed Medicare at these higher rates and (iii) upcoding charges to Medicare and other federal payors for emergency-room nurse and nurse-practitioner services to falsely reflect that services were performed by physicians.

AnMed Health also agreed to pay Ms. Jainniney $850,000 to resolve her claims for retaliation under the FCA. For several years, Ms. Jainniney warned AnMed management, radiation-oncology physicians and staff, and employees of CHS that the law required that a radiation oncologist be present when supervising treatment of critically ill cancer patients and was retaliated against for repeatedly raising this warning.

Click on the below links for the following press releases:

Moss & Gilmore Press Release

Fulton County Daily Report

Georgia DOJ Press Release

South Carolina DOJ Press Release