Category: False Claims California

ATTORNEY NEWSLETTER Case Alleged Higher Cost Rates Than Approved Contract Allegedly Contained Hidden Fees Former Employee Will Receive $157,220 Reward Contracts for work for the federal government or the State of California typically contain very precise provisions about the costs and fees to be charged under the contract. If a […]

ATTORNEY NEWSLETTER Settlement Of Multiple False Claims Allegations Kickbacks, Overbilling For Suspended Provider Services And Devices Former Executive Brought Case Individuals with information of fraudulent claims for reimbursement for health care services from the government can bring actions on behalf of the government to recover the money paid out on […]

ATTORNEY NEWSLETTER Allegations Of Submission Of False Diagnosis Codes Provider Allegedly Failed To Monitor Compliance Office Staff Member Blew Whistle  Health care fraud against private insurers and government programs like Medicare and Medicaid (called Medi-Cal here in California) amounts to billions every year. Every year private individuals recoup more of […]

ATTORNEY NEWSLETTER Allegations Of Overbilling And Upcoding Unnecessary Therapy Services Covered By Medicare<h2> Former Employee Blows Whistle Medical fraud makes up over three quarters of the annual recoveries for the government under the False Claims Act (FCA), 31 U.S.C. § 3729 et seq.   Over two thirds of the $2.2 billion recovered […]

ATTORNEY NEWSLETTER Qui Tam Follows Malpractice And Criminal Cases Allegations Of Unnecessary Lab Tests Three Office Staff Members Blow Whistle During 2020 fiscal year alone, $1.8 billion of the $2.2 billion recovered by the government from companies defrauding the government came from the healthcare field.  During that same year, $1.6 […]

ATTORNEY NEWSLETTER Allegations Of Illegal Kickbacks Agency Allegedly Paid Kickbacks To Retirement Communities Former Director Of Strategic Growth Blows Whistle Private individuals with credible information of fraud can bring whistleblower suits (known as qui tam cases) under the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq.  Qui tam […]

ATTORNEY NEWSLETTER Ineligible Medicare In-Patient Admissions Settlement Resolves Allegations Case Initiated By Former Employee In fiscal year 2020, the U.S. Department of Justice (DOJ) recovered $1.8 billion in FCA qui tam settlements and judgments involving the health care industry. Private whistleblower suits (known as qui tam cases) under the False […]

ATTORNEY NEWSLETTER Allegations Of Inflated Payments Healthcare Provider Allegedly Claimed Patients Sicker Than They Were Former Employee Blew Whistle  Health care providers defraud government programs like Medicare when they knowingly submit a claim for reimbursement that is based on false information, overcharge for or fail to provide an itemized service, […]

ATTORNEY NEWSLETTER Allegations Of Kickbacks And False Eligibility Certifications Claims For Deceased Patients Company Founders Previously Settle For $1 Million  Health care spending in the U.S. exceeded $3.8 trillion in 2019, and a large percentage of that money comes from government payouts under Medicare, Medicaid, the VA, government employee health […]

ATTORNEY NEWSLETTER California Attorney General Announces Large Settlement Allegations Of Medi-Cal Fraud Charges For Unnecessary Medical Devices Individuals who blow the whistle on fraud against the State of California are eligible for a reward if the State recovers money from the company committing the fraud. Cal. Gov’t Code § 12652(g). […]