Below are a few samples of monetary results obtained for clients by CROSS LAW FIRM. In some cases, the resolution was sealed permanently by the court or the settlement was entered into with a confidentiality agreement, so the parties cannot be listed. In individual cases, often recovery or settlement includes non-monetary items equally important to clients in employment situations such as employment continuation, retention of professional licenses, success in partnership break-ups or in business formation, etc. which cannot be quantified.
False Claims Act/ Fraud /Whistleblower Claims
In 2006, Odyssey Healthcare, Inc., a national hospice provider, paid $12.9 million to settle a qui tam suit for Medicare fraud under the False Claims Act. The hospice fraud allegations included that Odyssey falsely billed Medicare for providing hospice care to patients who were not actually terminally ill and were therefore ineligible for Medicare hospice benefits. The case was originally filed in 2003 and the settlement included a Corporate Integrity Agreement for future monitoring of the company. Cross Law Firm's client was awarded a share of about $2.3 million from the funds returned to the government. United States ex rel. JoAnne Russell v. Odyssey Healthcare, Inc., Civil Action No. 2:03-cv-00865-AEG (E.D. Wis.). See the related client Testimonial.
In 2011, Abri Health Plan, Inc. of Germantown, WI, who was doing business as Today's Health and selling Medicare Part C coverage plans, agreed to pay $4.8 million to settle a health care fraud claim filed by Cross Law Firm. Universal American Financial Corp. of Missouri controlled Abri Health Plan Inc. In the complaint filed under the False Claims Act in 2008, Cross Law Firm's clients alleged that the company misrepresented its Medicare Part C coverage plans in violation of federal regulations by withholding essential information about the products and signing up some customers without their consent. Cross Law Firm's clients together were awarded nearly $1 million including the share from the government's recovery, attorneys' fees, and damages from retaliation. This settlement also involved allegations of kickbacks to doctors for referrals and to beneficiaries who purchased the plans, misleading beneficiaries and signing up beneficiaries without their consent. Cross Law Firm was proud to represent these clients who stood up for what was right, at their own risk, to protect a vulnerable elderly population.