Representative Matters

Tim’s extensive list of clients have successfully helped the United States and various states recover hundreds of millions of dollars, including cases where:

  • As co-lead counsel, Tim represented a whistleblower in a prominent case against UnitedHealth Group alleging the Medicare Advantage Organization engaged in risk adjustment fraud under Medicare Parts C and D.
  • A Medtronic subsidiary and more than 130 hospitals were allegedly engaged in a fraudulent scheme to bill Medicare for medically unnecessary inpatient procedures for a routine spine surgery. The whistleblowers’ efforts led to a nationwide enforcement initiative and recovered more than $175 million for taxpayers.
  • The United States recovered $69.3 million from The Louis Berger Group in a case involving complex cost reporting fraud related to construction projects funded by the United States Agency for International Development. This settlement was the largest recovery in a case involving war-zone contractors in Afghanistan and Iraq.
  • Alpharma Inc. paid $42.5 million to settle allegations that it paid kickbacks to physicians to boost sales of its prescription painkiller, Kadian. The alleged kickbacks included payments for sham “consulting” arrangements, payments for attendance at meetings held at resorts with lavish entertainment and “educational grants,” which were just thinly disguised kickbacks.
  • Two large Medicare Advantage health insurers, Freedom Health and Optimum Healthcare, and one of their executives paid $32.5 million to settle allegations that they improperly inflated how sick their members were to increase payments from the Medicare advantage risk adjustment program and misrepresented the size and nature of their physician network to fraudulently induce Medicare to allow them to offer Managed Care plans in counties where that had an insufficient number of hospitals and physicians available.
  • Two brothers helped the State of New York recover $20 million by unwinding a sophisticated scheme involving illegal retention of “off- invoice” rebates paid by vendors supplying food, milk and supplies to public schools and universities. The $20 million settlement was the largest non-Medicaid fraud settlement under the New York False Claims Act.
  • Omnicare, the nation’s largest provider of pharmacy services for nursing homes, paid $19.8 million to settle allegations that it paid millions in kickbacks to two Atlanta-based nursing home chains in return for contracts to provide prescription drugs to their residents. The nursing home chains and their owners later paid the federal government and certain state Medicaid programs $14 million to settle allegations that they solicited and accepted the kickbacks from Omnicare.
  • Omnicare paid an additional $17.2 million to settle allegations that it paid two Chicago-area nursing home owners millions in kickbacks in return for contracts to provide prescription drugs to residents of the nursing homes. The nursing home owners then paid the government $5 million to settle allegations that they took kickbacks from Omnicare.
  • Zwanger-Pesiri Radiology paid $10.5 million in civil and criminal damages, penalties and restitution to settle allegations that the company defrauded the government by performing unnecessary testing, charging for services not performed, and using uncredentialed physicians.
  • Adventist Health System paid $118.7 million to settle allegations that the company violated Medicare and Medicaid rules and regulations by billing for services while maintaining improper compensation relationships with referring physicians in violation of the Stark Law and miscoding claims to increase reimbursement.
  • Six banks paid $161.7 million to settle allegations that they illegally charged veterans hidden fees on refinanced home loans backed by the Veterans Administration.

Firm Highlights

Publication

Massachusetts High Court Issues Important Ruling Impacting Prompt Pay Act

Earlier today, the Massachusetts Supreme Judicial Court issued an order in the matter of Business Interiors Floor Covering Business Trust v. Graycor Construction Co. Inc. This decision presents the high court’s first ruling clarifying...

News

Preti Attorneys File Suit Against Al-Generated Robocalls in the 2024 NH Presidential Primary

Representing the League of Women Voters of New Hampshire, the League of Women Voters of the United States, and individual voters, Preti Flaherty, with co-counsel, filed a federal lawsuit against Steve Kramer, Lingo Telecom...

News

10 Preti Attorneys, 6 Practice Groups Honored in National Rankings

Ten Preti Flaherty attorneys and six practice groups have been selected by Chambers USA for inclusion in their premiere annual list of America’s leading lawyers. Preti is recognized for excellence in the practice areas...

Publication

Supreme Court Clarifies Constitutionality of Outdoor Camping Bans

Earlier today the United States Supreme Court issued its decision in the  City of Grants Pass, Oregon v. Johnson et al. , overturning a 2019 decision from the 9 th  Circuit Court, which held...

Publication

What Is the Affirmative Relief Announcement?

On June 18, 2024, President Biden announced  a series of immigration actions  using the authority granted to him by our existing immigration laws. These actions will help certain undocumented individuals in the United States...

News

Preti Flaherty Welcomes Trusts and Estates Attorney Dianne Ricardo to the Firm

Preti Flaherty is pleased to announce that Dianne Ricardo has joined the firm’s Trusts & Estates Practice Group. Based out of the firm’s Concord, New Hampshire office, Dianne focuses her practice on comprehensive estate...

News

Greg Hansel Named Top 25 Attorney of the Northeast Region by Attorney Intel

Preti Flaherty attorney Greg Hansel has been named one of the Top 25 Attorneys of the Northeast Region for 2024 by Attorney Intel . This year’s class of attorneys has been recognized for excelling...

News

Preti’s Sig Schutz Recognized as Member of NHPR’s Pulitzer-Finalist Team

Preti First Amendment attorney Sig Schutz has been recognized as “a core member of the [NHPR] team” involved in a podcast honored as a Pulitzer Prize finalist in the audio journalism category.  The podcast...

Publication

Veto Day and Final Day of the 131st Legislature

The Legislature convened on Friday, May 10 th for Veto Day to take action on the six bills objected to by the Governor. As expected, all six vetoes were sustained by lawmakers allowing  Governor...

Publication

Compliance for Two—What Employers Need to Know about the Newly Effective Final Regulation for the Pregnant Workers Fairness Act

On June 18, 2024 the final rule from the U.S. Equal Employment Opportunity Commission (EEOC) implementing the Pregnant Workers Fairness Act (PWFA) takes effect, clarifying employers' obligations under this landmark legislation. Effective since June 27...