ATTORNEY NEWSLETTER Fraudulent Billing Under Medicaid  Dental Group Allegedly Billed For Work Never Performed Reward For Individual Who Blew Whistle False billing of the government for any work or services constitutes a violation of the False Claims Act (“FCA”).  Services paid for by the government include medical and dental services […]

ATTORNEY NEWSLETTER Healthcare Fraud on the Government Whistleblowers Lead the Way in Recoveries Outlook for 2019 In 2018, the volume of False Claims Act (FCA) litigation remained high, and health care-related qui tam (i.e., whistleblower) cases continued to lead the way.  Data from 2018 suggests that pharmaceutical companies, hospitals, and home health […]

ATTORNEY NEWSLETTER Important False Claims Act Case for Sales of Defective Drugs Will the Department of Justice Put Public Health and Safety at Risk? Last year, the Ninth Circuit reinstated all claims of a whistleblower (also called a “relator”) brought under the federal False Claims Act (FCA) against the large […]

ATTORNEY NEWSLETTER False Claims Act Cases For Kickbacks and Falsifying Records Two Large Whistleblower Settlements Awards in whistleblower cases brought for false claims against the government can be very substantial. Last week, the government announced two settlements in false claim whistleblower cases with rewards for the whistleblowers, discussed below, that […]

ATTORNEY NEWSLETTER Large Whistleblower Settlement For Illegal Upcoding False claims for inflated Medicare reimbursements (sometimes in the form of “upcoding”) are a common fraud against the government. Under the False Claims Act, whistleblowers initiate the majority of recovery actions against companies for submitting such inflated claims. The California and San Francisco […]

ATTORNEY NEWSLETTER False Claims Act Cases Against Healthcare Industry Healthcare fraud costs the nation an estimated $68 billion annually. False claims submitted to Medicare and Medicaid are a big part of that fraud.  The government can sue to recover under the federal False Claims Act and whistleblowers initiate most of […]

ATTORNEY NEWSLETTER Prime Healthcare and Its CEO Settle Whistleblower Case for False “Upcoding” Whistleblower Will Receive $17.2 Million Reward A California Registered Nurse will receive a $17.2 million reward for blowing the whistle on her employer’s false claims to the federal government for reimbursement under Medicare.[1]  The employer, Prime Healthcare, […]

ATTORNEY NEWSLETTER Whistleblowers and Healthcare Fraud Health care fraud costs the country tens of billions of dollars a year. Even worse, patients are often harmed in these schemes when their care is subordinated to the greed of healthcare providers perpetrating the fraud.  Frauds include false billing, improper diagnoses, kickbacks, sales […]

ATTORNEY NEWSLETTER Hospital Settles Whistleblower Case for $12.2 Million False Claims Act Suit Whistleblower/qui tam cases brought under the federal False Claims Act (FCA) typically involve direct, illegal claims for reimbursement under government programs such as Medicare and Medicaid.  Sometimes, however, the alleged fraud is more complicated as a recent […]

ATTORNEY NEWSLETTER Attorney General Charges Over 400 in Huge Fraud Case Justice Department Cracks Down on Medicare Fraud Attorney General Jeff Sessions announced today that over 400 physicians, nurses, and other healthcare professionals in 20 different States were being charged in a string of healthcare fraud cases. The cases entail […]