SAINT PAUL, Minn. (December 1, 2017) — A dermatologist’s whistleblower lawsuit recovered $850,000 for his fellow taxpayers, as the U.S. government settled fraud claims against a Minnesota skin-care practice and its owner, whom it had accused of false billing and unnecessary surgical procedures.

The Employment Law Group® law firm represented the whistleblower, Dr. Jeff Samuelson, with the assistance of local attorney Susan Coler of Halunen Law.

In his lawsuit, Dr. Samuelson alleged that Michael J. Ebertz, a dermatologist and owner of Skin Care Doctors, P.A. (SCD), based in Burnsville, Minn., profited by knowingly treating many patients’ benign skin lesions as if they were pre-cancerous — and then billing Medicare, the government insurance program, for procedures that weren’t medically necessary and shouldn’t have been reimbursed by taxpayers.

According to Dr. Samuelson’s complaint, Dr. Ebertz also used other methods to profit illegally from his patients’ visits — and urged other doctors in the practice to follow his lead, which they refused to do. Dr. Ebertz’s patients were unaware of the manipulation, according to Dr. Samuelson, who was a partowner of SCD at the time but was forced out after uncovering the scheme.

Dr. Samuelson now practices dermatology in California.

After investigating Dr. Samuelson’s claims, the U.S. government largely echoed his accusations and negotiated a settlement in which Dr. Ebertz denied wrongdoing yet agreed to pay $850,000 on his own behalf and for SCD. He also agreed to pay Dr. Samuelson’s attorney fees, and to stop billing Medicare for the disputed practices.

“This settlement is an important statement about the proper conduct of medicine,” said David L. Scher of The Employment Law Group, who was Dr. Samuelson’s lead attorney in the case. “When people visit a clinic such as SCD, they must be treated based on sound medical judgment — not based on how much money they can generate for a doctor’s bank account.”

The United States was represented in the case by Assistant U.S. Attorney Ann M. Bildtsen and members of the Office for the U.S. Attorney for the District of Minnesota. Dr. Samuelson brought the lawsuit under the federal False Claims Act (FCA) and will receive a reward of $153,000 for his whistleblowing.

The FCA, originally signed into law by President Abraham Lincoln in 1863, makes it illegal to deceive the federal government for financial gain. In addition to steep penalties for violators, it includes a “qui tam” provision that allows whistleblowers to file a legal complaint on behalf of taxpayers and — if they prevail — to receive a share of the proceeds.

“Jeff took a tough stand against his boss, and was pushed out of the SCD practice as a result,” said R. Scott Oswald, managing principal of The Employment Law Group. “He could have kept quiet and moved on, but instead he stood up for taxpayers and future SCD patients, achieving a measure of justice with the strongest whistleblower tool available for Medicare fraud — the False Claims Act. He’s a model of medical ethics and a beacon for doctors and other medical professionals who witness wrongdoing by their colleagues.”

“Along with Jeff and local counsel Susan Coler, we’re grateful to AUSA Bildtsen and her aggressive team in Minneapolis, and to Acting U.S. Attorney Gregory G. Brooker,” noted Mr. Scher. “They recognized the harm to Minnesota citizens, as well as to federal coffers, and they moved smartly to hold Dr. Ebertz to account.”

David Scher, a principal of The Employment Law Group, and Susan Coler, a partner in Halunen Law, are available for interviews about this case. Dr. Samuelson’s original complaint in the case, filed in 2015, is available here.

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About The Employment Law Group
The Employment Law Group® law firm represents employees who stand up to wrongdoing in the workplace. Based in Washington, D.C., the firm takes cases nationwide. More information about The Employment Law Group and its attorneys is available at https://www.EmploymentLawGroup.com.

About Halunen Law

Based in Minneapolis, Minn., Halunen Law represents employees, consumers, and whistleblowers in actions against corporations that have committed wrongdoing. More information about Halunen Law and its attorneys is available at https://www.halunenlaw.com.

Susan M. Coler A Partner at Halunen Law, Susan Coler represents whistleblowers across the United States in many different industries who challenge illegal corporate conduct, including fraud against the government. As a Labor and Employment Law Specialist, Susan has also brought successful retaliation claims in connection with False Claims Act (FCA) /qui tam cases and as stand-alone actions.

Learn more about Susan Coler

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FOR IMMEDIATE RELEASE

Rochester Police Officer Who Opposed Racial Bias and Excessive Force
Obtains $1 Million Settlement, Halunen Law Reports.

MINNEAPOLIS – (Sept. 19, 2017) A Rochester, Minn. police officer has obtained a $1 million settlement from the city of Rochester to resolve her employment discrimination and retaliation claims against the Rochester Police Department, according to Minneapolis-based Halunen Law, the firm representing the officer.

In 2016, Rochester Police Lt. Elisa Umpierre reported suspected racial bias in a decision to deny a favorable assignment to another police officer. Later that year, Rochester Police Chief Roger Peterson filed an internal complaint against Umpierre, allegedly based on Facebook posts Umpierre had published.
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Halunen Law - SightPatch Medical Former Presient to Pay $12 Million A $12 million settlement was reached in a False Claims Act case alleging kickbacks to physicians for using Sightpath Medical Products in eye surgeries. The relator, Kipp Fesenmaier, was vice president of the company and reported that kickbacks were being offered to physicians to bribe them to use Sightpath Medical products. These kickbacks came in the form of sham consulting agreements and free entertainment – including hunting, fishing, and skiing trips. Halunen Law was proud to work with lead counsel from Morgan Verkamp LLC in this case. Susan Coler, head of Halunen Law’s Whistleblower/Qui Tam practice group, stated, “It’s great to see a result like this, where an employee’s report of illegal conduct caused significant corporate change and helped protect the integrity of medical decision making.

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Has a potential client come to you who is talking about fraud involving a contract or program that receives government funding? That person just might have a strong suit for filling a qui tam case. To give you an idea of what we are talking about consider just a few of the following examples of frauds that have been uncovered; keep in mind that the list goes on and on.

  • Billing for goods and services that never existed
  • Upcoding either for false illnesses or treatments or for employee work by charging higher doctors rates
  • Defective testing saying something passed a test when it failed
  • Failure to report known product defects while still billing the government for the product

A word cloud in gray and blue colors. The text represents a variety of words representing Halunen Law such as "Whistleblower, truth, law, fraud, government, regulation, anonymity and protection

The False Claims Act is an important federal law that combats fraud against the Government, but many people have never heard of it. This vital act allows individuals with evidence of fraud to sue companies on behalf of the government for damages.

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With all of the news surrounding the fate of the Affordable Care Act lately, you may have missed that the government intervened in two lawsuits alleging fraud against the country’s largest health insurance company, Minnetonka-based UnitedHealth Group. Since the beginning of this year, the Department of Justice joined two separate False Claims Act cases against UnitedHealth. Both qui tam lawsuits (the Latin phrase commonly used for False Claims Act cases brought by a whistleblower) allege that UnitedHealth fraudulently inflated its Medicare Advantage risk adjustment scores.

So, what is the Medicare Advantage program? What are risk adjustment scores? And how can a major health insurance company, like UnitedHealth, defraud the government? The answers to each of these questions can be found in this post.

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Halunen Law - Service Agreement Seek AdviceI get calls several times a week from executives and professionals who want me to review a severance agreement that was just presented to them by their employer. When I ask if they think they have any potential claims against the company, people seem bewildered. I’m often told they just want me to review the severance—that they don’t want to risk losing what is offered, and have no interest in seeing if they could get more. I, on the other hand, am often dumbfounded. After all, negotiation is part of business—right? As an executive or professional part of your job typically includes some form of negotiation. So then, why would you not negotiate over a severance?

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Halunen Law Launches Securities Fraud Investigation Against MiMedx Group MINNEAPOLIS–(BUSINESS WIRE)–Halunen Law (www.halunenlaw.com) has initiated an investigation into MiMedx Group, Inc. (NASDAQ: MDXG) (“MiMedx” or the “Company”) regarding whether the Company’s board breached its fiduciary duties to shareholders or engaged in other violations of state or federal law.

On Dec. 15, 2016, Halunen Law filed a complaint on behalf of two employee whistleblowers against MiMedx and its Chief Executive Officer, Parker Petit, in the U.S. District Court for the District of Minnesota (No. 16-cv-4171). The complaint alleges that MiMedx and its senior executives have engaged in the illegal practice of booking phantom sales of one of the company’s most lucrative product lines, EpiFix, for the purposes of artificially inflating revenue and deceiving MiMedx’s shareholders. While developing the factual background for this whistleblower lawsuit, Halunen Law uncovered what it believes to be evidence of securities fraud by MiMedx since at least 2014. As alleged in Halunen Law’s whistleblower complaint, “CEO Parker ‘Pete’ Petit ordered the MiMedx sales force to submit false orders for unpurchased product for the purpose of recognizing the ‘revenue’ in the company’s financial statements.”

Access the original amended complaint against MiMedx at: https://1drv.ms/f/s!Apr_gPRDSPDNgfww6C1lM2CNA3PfKg

Halunen Law is a national class action law firm with offices in Minneapolis and Chicago. For more information on Halunen Law, visit the firm’s website at www.halunenlaw.com.

Contacts at Halunen Law

If you are a MiMedx shareholder and are concerned about your rights, or if you possess information that would assist Halunen Law in its investigation of this matter, please contact:

Chris Moreland Halunen Law

Chris J. Moreland
612-638-5019
[email protected]

 

Halunen Law - Whistleblower Physician Collects $4.5 Million Honesty is the best policy. It’s one of the first lessons we learn, and yet it seems there is an epidemic of selective memory loss among providers who choose to defraud Medicare. Our journey begins in South Carolina where another medical provider is paying out millions in an effort to put the allegations of wrongdoing behind them.

This past summer, the Justice Department announced that Lexington County Health Services District Inc. d/b/a Lexington Medical Center located in West Columbia, South Carolina, had agreed to a $17 Million settlement. (1) The settlement resolved allegations that the Center had maintained improper financial relationships with physicians they employed and submitted fraudulent claims to Medicare. This is extremely troubling considering a large percentage of their income is from Government funded programs.

People who rely on Medicare are among our nation’s most vulnerable citizens, including the elderly, disabled and terminally ill. In many cases, this is truly their only hope for receiving the medical care they so desperately need, but many could not otherwise afford. Subsequently an extensive body of law protects the rights of these recipients and safeguards the tax payer dollars funding these services with severe penalties for those who choose to ignore them.

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Halunen Law - Minnesota Based Hospice Provider to Pay $18 Million in Response to Whistleblower Allegations

Hospice and greed. Two words that are diametrically opposed and when combined—toxic.

At its inception, hospice in America was mostly a philanthropic movement led by volunteers and non-profit entities. Today the hospice industry is big business including a large percentage of for-profit providers. According to the Medicare Payment Advisory Commission (MEDPAC) in 2013 Medicare hospice expenditures alone totaled about $15.1 billion for services rendered by over 3,900 providers. (1)

The hospice movement is built on the core belief that patient dignity and respect are fundamental to providing compassionate care to the dying. When the prognosis of a terminal illness carries a life expectancy of 6 months or less it’s devastating. Hospice includes access to essential medical care along with emotional and psychological support which enables individuals and their loved ones to live as fully as possible in the time remaining while striving to come to terms with saying good-bye.

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Susan Coler Halunen partner and whistleblower/False Claims Act attorney Susan Coler recently spoke at the National Employment Lawyers Association 2016 Annual Conference in Los Angeles. Her topic was proving discrimination and retaliation when there is no “smoking gun” — that is, when there is no direct evidence of illegal conduct.

She noted that the law allows juries to infer retaliation and discrimination from many different kinds of conduct. This includes, for example, evidence that an employer engaged in a sham investigation, did not follow its policies, fabricated or exaggerated the reasons given for termination, or treated the plaintiff differently than other employees. The panel on which she spoke included Professor Michael Foreman from Penn State Law and New Jersey attorney Patricia Barasch.

Discover more about Susan Coler.

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