A former Kmart traveling pharmacist is set to receive a $309,000 reward after he came forward alleging that the retailer was fraudulently billing government health care programs. The initial allegations claimed that Kmart had been billing government health care programs like Medicaid and Medicare for all drugs included in a prescription, however, only some of the prescribed drugs were actually dispensed. It was alleged that the retailer would bill the government for the entire prescription but would return the rest of the prescriptions to their stock.
Kmart Corporation has agreed to pay the United States and 32 participating states $2.55 million to settle the allegations. According to the Federal Bureau of Investigations, U.S. Attorney Barbara McQuade said that the retailer violated the False Claims Act which imposes liability on companies who defraud the government.
Along with Michigan the following states will receive funds attributable to their Medicare programs:
Alabama | California | Colorado |
Florida | Georgia | Idaho |
Illinois | Indiana | Iowa |
Louisiana | Maryland | Minnesota |
Mississippi | Missouri | Montana |
New Jersey | New York | North Carolina |
Ohio | Pennsylvania | South Carolina |
Tennessee | Texas | Utah |
Virginia | Washington | West Virginia |
Wisconsin |
as well as Puerto Rico and the Virgin Islands. The timing of the settlement spans January 1, 2004 to October 17, 2005 which is prior to when Sears Holding Inc. purchased Kmart.
Cases like this one help ensure that health care program funds are used for the benefit of patients and not instead lost in the bureaucracy of large pharmacies, McQuade said in a public statement.
Under the False Claims Act individuals who bring forth lawsuits against companies are eligible to receive a portion of the monies recovered. In this case Mark Kirsch who originally filed the action in Detroit is now being compensated for his decision to stand up for what was right.
Under Qui Tam law whistleblowers are eligible to receive up to 15% of the compensation recovered along with being pleased that they have helped an ongoing fraudulent act be stopped.
Gordon & Partners – West Palm Beach injury lawyers.