FOR IMMEDIATE RELEASE CIV FRIDAY, JUNE 12, 1998 (202) 616-2765 TDD (202) 514-1888 HEALTH CENTER IN SAN ANTONIO WILL PAY U.S. $17.2 MILLION TO SETTLE FALSE CLAIMS CASE WASHINGTON, D.C. The University of Texas Health Science Center at San Antonio (UTHSCSA) will pay the United States $17.2 million to settle allegations that UTHSCSA submitted false claims for reimbursement to several federally funded health care insurance programs. Assistant Attorney General Frank Hunger of the Civil Division said that today's settlement resolves allegations that UTHSCSA, a component of the University of Texas, submitted claims to Medicare, Medicaid and other federal programs without possessing sufficient documentary evidence to support those claims. The charges were brought against UTHSCSA and University of Texas Medical School at San Antonio, a component of UTHSCSA, by a former employee, Benjamin Kready, under the qui tam provisions of the False Claims Act. Kready filed his suit in U.S. District Court in San Antonio, Tex., in 1996. Kready's complaint alleged that University of Texas Medical School at San Antonio submitted claims between January 1990 and December 1995 for services that were personally provided by faculty physicians when, in fact, defendants' records do not support these claims. Kready alleged that four federally funded programs were overcharged by these practices Medicare, Medicaid, the Civilian Health and Medical Program of the Uniformed Services, and the State Legalization Alien Impact Assistance Grant programs. Hunger said the settlement is an example of the Department's determination to insure that the government is compensated for all False Claims Act violations involving the practices of physicians at teaching hospitals. The $17.2 million settlement will result in the dismissal of Kready's suit. Under the settlement, Kready will receive $2.58 million for bringing the matter to the attention of the government. Under the qui tam provisions of the False Claims Act, a private party can file an action on behalf of the U.S. and receive a portion of the settlement if the government takes over the case and reaches a monetary agreement with the defendants. The case was investigated by the Department of Health and Human Services Office of the Inspector General in San Antonio and the Defense Criminal Investigative Service. The Justice Department's Civil Division negotiated the settlement. #### 98-278