Below please find information related to dermatologist fraud.
Case Name: United States ex rel. Janet Burke v. Norman A. Brooks, M.D. Inc. et al.
Case Number: 14-6735
Settlement Amount: $3 million
Court: Central District of California
Description of Dermatologist Fraud Qui Tam Case
A dermatologist and surgeon settled a False Claims Act case against him for $2,681,400. This qui tam settlement involving dermatologist fraud resolved allegations that the doctor falsely billed Medicare.
More specifically, the dermatologist owned The Skin Cancer Medical Center in California. A former employee and contract biller filed a False Claims Act suit under seal pursuant to the qui tam provisions of the federal False Claims Act. The dermatologist fraud lawsuit alleged that the doctor falsely diagnosed skin cancer in some of his patients so he could submit bills to Medicare for Mohs micrographic surgeries. The doctor did this to obtain more money from Medicare. It is well settled that billing services and procedures to Medicare that are not “medically necessary” is actionable under the False Claims Act.
The whistleblower received a portion of the recovery as a reward for coming forward and reporting the dermatologist fraud. To learn more about the types of healthcare fraud that can be pursued under the False Claims Act, please refer to the Healthcare Qui Tam Web page.
If an individual has filed a qui tam case alleging Medicare/Medicaid has been defrauded, the whistleblower’s lawyer should also investigate if private insurance companies were defrauded by the same conduct. If private insurance companies are defrauded, the whistleblower might also have a case under the California Insurance Fraud Prevention Act or CIFPA. E
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