Soon after Wendy Horne began working at Pinnacle Medical Solutions, a Mississippi-based medical supply company, she noticed irregularities in the company’s handling of insurance reimbursement claims. When she suggested that the company repay money to which it wasn’t entitled, Horne says, she was ignored and eventually fired. Horne then reported her findings to the U.S. Department of Health and Human Services and, later, filed suit directly against Pinnacle under the qui tam provisions of the federal False Claims Act.
Now Pinnacle has agreed to pay nearly $1.8 million to settle the suit. The allegations stated that from 2006 through 2009 Pinnacle routinely billed Medicare for blood glucose strips and lancets that it had never shipped. Because of her role in raising these allegations, Horne will share in the government’s recovery along with another whistleblower. Pinnacle will also enter into a five-year Corporate Integrity Agreement.
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