Jul 262023
Data Analytics Firm Files Qui Tam Based on Billing Outliers
Earlier this month, a federal court unsealed a declined qui tam complaint filed by a data analytics firm based on identification of Medicare billing outliers. See United States ex rel. Lincoln Analytics, Inc. v. Global Integrated Medical Group, Inc., No. 2:22-cv-06501 (C.D. Cal.). Despite asserting a claim as an original source, the relator, Lincoln Analytics, Inc., appears to have assembled its allegations through its own analysis of Medicare data and a single interview. DOJ has increasingly been deploying data analytics to develop FCA cases and this unsealed complaint demonstrates that relators are also beginning to use data analytics in a similar manner.