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DOJ Intervenes in Integra Med Analytics’ $129 M Medicare Whistleblower Go well with Towards NY-Primarily based Expert Nursing Amenities, Administration, and Possession

Share this…FacebookPinterestTwitterLinkedin AUSTIN, Texas–(BUSINESS WIRE)–In the present day, nationwide trial agency Reid Collins made public a personal whistleblower lawsuit filed…

By Staff , in Medicare , at June 5, 2021

AUSTIN, Texas–(BUSINESS WIRE)–In the present day, nationwide trial agency Reid Collins made public a personal whistleblower lawsuit filed on behalf of its shopper Integra Med Analytics LLC (“Integra”) in opposition to a significant group of expert nursing amenities in New York tied to Isaac Laufer that was beforehand underneath seal pursuant to the False Claims Act (“FCA”). The qui tam motion alleging Medicare fraud exceeding $129 million was unsealed upon the U.S. Division of Justice’s (“DOJ”) announcement that it intervened within the case in opposition to eleven expert nursing amenities, their administration firm, proprietor, and a senior worker for a decade of fraudulently billing Medicare for pointless providers.

The DOJ’s lawsuit carries ahead claims developed by Integra by its in depth investigation and information evaluation of the Medicare billing practices of 11 New York-based amenities (“Amenities”). Integra’s investigation demonstrated that these defendants had been engaged in important Medicare fraud by wrongfully extending affected person stays and offering pointless and unreasonable rehab with out regard for sufferers’ medical wants.

DOJ’s Intervention Expands Timeframe and Anticipated Financial Measurement of Fraud

Integra’s lawsuit, filed underneath seal in 2017 by Reid Collins, introduced claims in opposition to the Laufer associated entities for over $129 million in alleged Medicare fraud. Following its personal investigation of Integra’s allegations, DOJ filed its personal complaint-in-intervention alleging that the very schemes recognized by Integra continued by 2019.

Like Integra’s unique qui tam grievance, the DOJ’s complaint-in-intervention alleges that from no less than January 2010 by September 2019, the Defendants systematically saved Medicare sufferers on the Amenities longer than cheap or needed, and put these sufferers on greater ranges of rehabilitation remedy than cheap or needed. These practices had been designed to extend the quantities billed to Medicare past what was justified based mostly on sufferers’ scientific wants. In some cases, the Amenities went as far as to deliberately restrict sufferers’ progress with the intention to create the looks of a continued want for providers.

The Defendants within the authorities’s complaint-in-intervention are Isaac Laufer, Tami Whitney, Paragon Administration SNF LLC, Montclair Care Middle, Inc., East Rockaway Middle LLC, Excel at Woodbury for Rehabilitation and Nursing, LLC, Lengthy Island Care Middle Inc., Treetops Rehabilitation & Care Middle LLC, Sutton Park Middle for Nursing & Rehabilitation, LLC, Suffolk Restorative Remedy & Nursing, LLC, Oasis Rehabilitation and Nursing, LLC, Forest Manor Care Middle, Inc., Surge Rehabilitation & Nursing LLC, and Quantum Rehabilitation & Nursing LLC. Laufer is a component proprietor of ten of the eleven Amenities and operates all eleven Amenities by Paragon Administration SNF. Tami Whitney is the Coordinator of Rehabilitation Companies for the Amenities, and on this function she instructed and pressured employees to have interaction within the alleged fraudulent practices.

Reid Collins companions P. Jason Collins and Jeremy Wells led the prosecution of the whistleblower motion on Integra’s behalf. Collins on the DOJ’s intervention: “We’re more than happy with DOJ’s intervention on this matter and proud to be a part of aiding Integra in its mission to reveal those that defraud the federal government. The federal government’s intervention is an incredible validation of Integra’s stellar work on behalf of American taxpayers. Integra’s investigation revealed Laufer to be among the many worst offenders within the nation, and we have now nothing however reward for the excellent US attorneys within the Southern District who dug into this matter and agreed to prosecute these defendants.”

The case is captioned UNITED STATES OF AMERICA, ex rel. INTEGRA MED ANALYTICS LLC, Plaintiff, v. ISAAC LAUFER, et al. Defendants, Case No. 17-CV-9424, USDC, SDNY.

About Reid Collins

Reid Collins & Tsai LLP is among the nation’s main plaintiffs’ trial companies, litigating advanced enterprise disputes and attaining billions of {dollars} in settlements and judgments for its shoppers. Its group is comprised of achieved trial attorneys, together with former federal prosecutors, who’ve in depth expertise prosecuting monetary fraud and company malfeasance instances, chapter and insolvency associated litigation, skilled legal responsibility claims, whistleblower actions, and cross-border disputes. The agency represents fund managers, investor teams, trustees, receivers, liquidators, worldwide banks, firms, authorities entities, and people in federal and state courts throughout the nation.

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