We filed suit under the False Claims Act on behalf of our whistleblower client, a former vascular clinical instructor who holds certifications as Registered Vascular Technologist (RVT), registered diagnostic medical sonographer (RDMS) and registered phlebology sonographer (RPhS).  She brought this case against her then-employer, a vein clinic, and the physician who ran its offices in North Carolina, alleging that fraudulent claims had been submitted in violation of the FCA.

The United States Department of Justice intervened in the action, in part, stating in the Settlement Agreement: “The United States contends that it has certain civil claims against [Defendants] arising from the improper billing of ultrasounds in conjunction with sclerotherapy procedures (i.e. claims for ultrasound CPT codes 76942 and 93971 billed in conjunction with sclerotherapy CPT code 36471) during the period from January 1, 2013, through July 25, 2016, for Medicare and TRICARE claims.  That conduct is referred to below as the ‘Covered Conduct.'”

The defendants collectively paid nearly $900,000 to resolve the fraud claims.  Our client and other relators in a similar case were paid a Relator's Share of 20% of the total recovered.