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ARTICLE ID 195736

$________ – DOJ – FALSE CLAIMS – FRAUD – FLORIDA DOCTOR ACCUSED OF BILLING FOR MEDICALLY-UNNECESSARY PROCEDURES – ALLEGED VIOLATION OF FALSE CLAIMS ACT.

U.S. District Court, Middle, Florida

In this fraudulent action, the United States accused a Florida physician of violating the False Claims Act. The matter was resolved via settlement.

The defendant, Dr. Sean O., is a neurologist, formerly employed by Baptist Neurology Inc. and Baptist Medical Center in Jacksonville Florida. The U.S. Department of Justice (DOJ) alleged that from September ________ to April ________, the defendant knowingly misdiagnosed certain patients with various neurological disorders, such as multiple sclerosis (MS), which caused federal health care programs to be billed for medically unnecessary services and drugs.

The whistleblower, Verchetta W., a former Baptist Neurology Inc. employee, filed suit in the U.S. District Court for the Middle District of Florida under the qui tam provision of the False Claims Act. The United States ultimately intervened respecting the allegations, accusing the defendant of violating the False Claims Act by submitting claims for medically unnecessary services and drugs to federal health care programs, including Medicare, TRICARE, and the Federal Employees Health Benefits programs.The matter was resolved with a settlement for $________, with no admission or determination of liability.

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