Hawaii Whistleblower Suits Settle; U.S. Recovers $2.5M

Queen’s Medical Center of Honolulu paid $2.5 million to settle two whistleblower lawsuits alleging that it overbilled Medicare, Medicaid, and TRICARE. Two former pharmacy techs alleged that the private hospital fraudulently billed for services to residents without the level of supervision required by federal rules. 

According to the United States Attorney for the District of Hawaii: (1) QMC submitted false claims to Medicare, Medicaid and TRICARE for anti-psychotic drugs ordered by a psychiatrist which were really ordered by non-psychiatrist physicians without the prior knowledge of a psychiatrist; and (2) QMC wrongfully represented its services were provided by teaching physicians when QMC did not have the documentation to show that the teaching physicians were sufficiently involved.

To report Medicare, Medicaid or TRICARE fraud, contact Frohsin & Barger.