Physical therapy company pays 7 million to Uncle Sam for Medicare Tricare fraud

   Drayer Physical Therapy Institute, LLC (“Drayer”).  Drayer has locations in South Carolina and 14 other states from Pennsylvania to Oklahoma is paying the Government $7 million to resolve allegations that it submitted invoices to Medicare, TRICARE, and Federal Employee Health Benefit Programs for services being provided to multiple patients simultaneously as though the services were being provided by a physical therapist or physical therapist assistant to one patient at a time. 

The investigation began with the filing of a whistleblower lawsuit called a qui tams lawsuit under the False Claims Act.  The suit was filed by former employees of Drayer.  The False Claim Act allows the government to recover actual damages and penalties of three times the actual damages and up to $11,000 per false claim.  This settlement was reached based on Drayer’s ability to pay.

The False Claims Act allows individuals to file lawsuits with allegations that fraud has been committed against the federal government on behalf of the government.  Whistleblowers, referred to as Relators in the False Claims Act, are entitled to share in any recovery received by the government.  In this case, the two relators collectively will receive 24% of the funds of the settlement or $1,680,000 plus they are entitled to attorney fees.   The relators performed significant work in the investigation of this case. 

“Health care companies must bill taxpayer-funded health programs honestly,” said Special Agent in Charge Derrick L. Jackson of the U.S. Department of Health and Human Services, Office of Inspector General. “Those engaging in deceptive billing practices can expect our aggressive investigation to recover inappropriately obtained funds.”

Jeffrey Newman represents whistleblowers but not the whistleblowers in this case