Search Site

Florida Urogynecology Network Settles False Claims Act Case for $1.7 Million

FWC Urogynecology, a urogynecology network based in Florida, recently settled a False Claims Act lawsuit for $1.7 million. In the suit, FWC was alleged to have billed the government for services it did not provide or were otherwise inflated to get larger refunds.

In the suit, FWC was alleged to have misused Medicare billing codes with modifier 25. Using a modifier on a healthcare claim can allow healthcare organizations to get additional payments from government programs. FWC used this modifier for services that it either did not provide or that were not billable at all.

The settlement agreement describes how FWC engaged in this knowing misuse of the modifier repeatedly from February 1, 2012 to January 12, 2017. In some cases, FWC physicians performed and billed for pelvic floor therapies and lavage treatments and billed using modifier 25 as if they had provided different services, even though they had not performed any additional care.

Case background

The lawsuit that led to the settlement was originally filed in the U.S. District Court for the Middle District of Florida by Holly Loebl, a former employee of an FWC Urogynecology provider. Loebl used the qui tam provisions of the False Claim Act to file the suit — these provisions allow private citizens to file lawsuits on behalf of the federal government for false claims and be compensated using money obtained in the resulting enforcement actions or settlements. The federal government is able to join in the case and prosecute the action as it wishes under such cases.

Lobel received $306,000 of the settlement money for her role in bringing the suit.

If you are aware of wrongdoing in a healthcare organization in which you work, you stand to earn a significant reward for providing this information to the federal government. For more information on how to proceed with a False Claims Act lawsuit, work with a knowledgeable Dallas whistleblower lawyer at Kardell Law Group.

Awards & Honors
Our Office
  • Dallas Office
    4514 Cole Ave
    Dallas, Texas 75205
    Phone: 214-306-8045
    Fax: 469-729-9926
As Seen In
In his new book, "Standing Up to China: How a Whistleblower Risked Everything for His Country," former client & Author, Ashley Yablon, quotes Attorney Steve Kardell about Whistelblower Law.
  • "Steve Kardell was terrific in representing me in some very adversarial discussions with Citigroup and also later represented me in my testimony before the Financial Crisis Inquiry Commission."  -Richard Bowen, Citigroup Whistleblower

  • "Incredible knowledge of employee related concerns and equally brilliant knowledge of health care regulations, standards of practice. I would recommend this firm to anyone."  -V.B.

  • "Reaching out to Steve Kardell was the best decision I made. His ability to provide immediate insight and direction was very powerful, and a huge relief during a very stressful time period. For anyone struggling with a whistleblower situation, I would highly recommend at least speaking with Steve. After a 10 minute call with him, I had a better understanding of what I was dealing with. Even better, he gave me some immediate hope. In the end Steve did a better job than I thought was possible. Steve was able to get in contact with people in my organization, that I didn’t have access to. Because of his years of experience, he already has contacts in many organizations in Dallas. The entire situation was handled peacefully. I was impressed by his ability to “keep the peace”–rather than creating a battle with the organization. The reason I didn’t reach out to a lawyer initially, was because I thought it would mean an immediate end to any hope of a positive relationship with the company. Steve was able to address my concerns, and in the end I was able to continue to work for them."  -KS

  • "Never thought my career would end like it did after 30 years of service. I was part of the first round of the so called reduction of force. I asked myself how can I be part of this with 30 years of seniority. How did they pick these 90 plus employees? Now, the culture of this organization made you question every decision they made. It wasn’t what you knew it’s was a culture of who you know. Nonetheless, I did not accept their severance package. I immediately starting looking for an attorney who would take on my case. After the initial call to Steve I had hope again. He was open and honest about everything and reassured me he would do his best for me, and he did. I had an awesome outcome. Thanks Steve you’re the best."  -S.S.