Court awards $417 million in False Claims Act case involving medical fraud

Court awards $417 million in False Claims Act case involving medical fraud
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Tom Methvin, Principal, Managing Attorney | Beasley Allen, law firm, GA

A recent legal victory has underscored the significant role whistleblowers play in exposing fraud and ensuring justice. In a case presided over by Judge Madeline Haikala in the Northern District of Alabama, a $417 million judgment was secured against Capstone Medical Resources, LLC, and Dr. Sharon Waltz for violations under the False Claims Act (FCA).

The FCA is designed to prevent fraud against government programs and imposes strict penalties on violators. Penalties include fines ranging from approximately $13,946 to $27,894 per false claim and require repayment of triple the government's losses due to fraudulent activities. In this case, 29,511 false claims led to a total penalty amounting to $411,560,406.

Nancy D’Anna and Valerie Paige Zeiger filed a motion as qui tam relators seeking damages for fraudulent claims submitted by Capstone Medical Resources. They alleged that services billed to the Alabama Medicaid Agency were often not provided. The court's decision awarded them 25% of the total judgment—$104,477,503.30—for their crucial role in uncovering the fraud.

Dr. Waltz operated Capstone Medical Resources with its main office in Birmingham and offered various counseling services for at-risk youth across Alabama.

This case highlights Beasley Allen’s legal team’s dedication and expertise under Leon Hampton's leadership alongside Larry, Lauren, and Jessi's efforts. Their work not only resulted in substantial financial restitution but also served as a deterrent against future fraudulent acts.

Whistleblowers face challenges that can affect their careers and reputations; however, they play an essential role in safeguarding public funds. Beasley Allen offers support throughout the complex process of filing whistleblower claims.