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United States Department of Justice
                                                       United States Attorney’s Office
                                                                  District of Minnesota



B. Todd Jones,
United States Attorney
Jeanne F. Cooney
                                                          News Release
Director of Community Relations
(612) 664-5611
email: jeanne.cooney@usdoj.gov


FOR IMMEDIATE RELEASE
Monday, December 20, 2010
WWW.USDOJ.GOV/USAO/MN


                        Justice Department files Complaint
                                against Mayo Clinic
     The U.S. Attorney’s Office for the District of Minnesota today announced that a civil
Complaint has been filed in an existing federal suit against the Mayo Clinic and three related
entities. The Complaint alleges that Mayo billed the federal government, including the Medicare
and Medicaid programs, for surgical pathology services not rendered.

     The suit was originally brought under the qui tam, or “whistleblower,” provisions of the
False Claims Act. That statute allows private individuals to file civil actions on behalf of the
United States and share in any recoveries. Dr. David Ketroser, the lead whistleblower in this
case, is a physician and an attorney.

      The U.S. Department of Justice intervened on claims arising from Mayo’s billing practices
at its pathology laboratories in Rochester, Minnesota. The government’s Complaint alleges that
over a period of many years, Mayo billed Medicare, Medicaid, and other federal health care
programs for surgical pathology services it never provided; specifically, the preparation and
examination of human tissue slides. The government asserts that each claim for payment Mayo
submitted to the government payers for non-existent surgical pathology slides and examinations
was false.

     Mayo asserts that it has refunded some of the money received as a result of its false claims.
It appears, however, that Mayo failed to make any refunds until November 2008, after the
government had issued a subpoena in this matter. The government also asserts that Mayo’s
refunds were inadequate in many respects.

    This matter is brought by the Justice Department’s Civil Division, the U.S. Attorney’s
Office for the District of Minnesota, and the U.S. Department of Health and Human Services-
Office of Inspector General. Assistant U.S. Attorneys Chad Blumenfield and Ann Bildtsen are
representing the U.S.

    The case is entitled United States ex rel. Ketroser, et al. v. Mayo Foundation, Case No.07-
SC-4676 (D. Minn.)


                                              ###

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Press release: Justice Dept. files complaint against Mayo

  • 1. United States Department of Justice United States Attorney’s Office District of Minnesota B. Todd Jones, United States Attorney Jeanne F. Cooney News Release Director of Community Relations (612) 664-5611 email: jeanne.cooney@usdoj.gov FOR IMMEDIATE RELEASE Monday, December 20, 2010 WWW.USDOJ.GOV/USAO/MN Justice Department files Complaint against Mayo Clinic The U.S. Attorney’s Office for the District of Minnesota today announced that a civil Complaint has been filed in an existing federal suit against the Mayo Clinic and three related entities. The Complaint alleges that Mayo billed the federal government, including the Medicare and Medicaid programs, for surgical pathology services not rendered. The suit was originally brought under the qui tam, or “whistleblower,” provisions of the False Claims Act. That statute allows private individuals to file civil actions on behalf of the United States and share in any recoveries. Dr. David Ketroser, the lead whistleblower in this case, is a physician and an attorney. The U.S. Department of Justice intervened on claims arising from Mayo’s billing practices at its pathology laboratories in Rochester, Minnesota. The government’s Complaint alleges that over a period of many years, Mayo billed Medicare, Medicaid, and other federal health care programs for surgical pathology services it never provided; specifically, the preparation and examination of human tissue slides. The government asserts that each claim for payment Mayo submitted to the government payers for non-existent surgical pathology slides and examinations was false. Mayo asserts that it has refunded some of the money received as a result of its false claims. It appears, however, that Mayo failed to make any refunds until November 2008, after the government had issued a subpoena in this matter. The government also asserts that Mayo’s refunds were inadequate in many respects. This matter is brought by the Justice Department’s Civil Division, the U.S. Attorney’s Office for the District of Minnesota, and the U.S. Department of Health and Human Services- Office of Inspector General. Assistant U.S. Attorneys Chad Blumenfield and Ann Bildtsen are
  • 2. representing the U.S. The case is entitled United States ex rel. Ketroser, et al. v. Mayo Foundation, Case No.07- SC-4676 (D. Minn.) ###