In a healthcare False Claims Act case in North Carolina, we represented an employee of a urology clinic who became aware that her boss was committing Medicare and Medicaid fraud by failing to be present to provide direct supervision of certain medical procedures.  The case involved the administration of certain treatments, including testosterone shots.  Under federal regulations, the physician provider is required to be present and "immediately available" in emergencies under the "direct supervision" rules - as when the services are being delivered by someone in the medical office other than the billing provider.  In this case, the physician had, for years, allowed his staff to administer shots and procedures when he was not present within the clinic - yet he had been billing government payors for those service as if he had been present.  The Department of Justice intervened in the qui tam case, and the physician agreed to pay back to the government nearly half a million dollars in false claims.  The Relator's Share in this case was 20% of the amount recovered by the United States.