Category: medicare fraud

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). […]

ATTORNEY NEWSLETTER Former Rehab Director Of Company Blows Whistle  Company Allegedly Billed For Unnecessary “Ultra High” Therapy Complaint Alleged Eight Years Of Fraudulent Practices Healthcare fraud costs the government billions every year.  Private individuals play a great role in getting some of that money back for the government.   Under the […]

ATTORNEY NEWSLETTER Biden Administration Increases Enforcement Efforts Enhanced Prosecutions Under The False Claims Act Targeting Fraud In Healthcare And Defense Industries The False Claims Act (FCA), 31 U.S.C. § 3729 et seq. is a powerful enforcement tool against fraud.  Under the Biden Administration, the Justice Department is ramping up FCA […]

ATTORNEY NEWSLETTER Former Call Center Employee Blew Whistle On Alleged Fraud  Allegations Of Kickbacks And Ineligible Recipients Waived Co-Pays Illegal  Healthcare providers of all sorts receive revenue from government reimbursements under government-sponsored health programs like Medicare, Medicaid, and the VA.  Health care spending in the U.S. reached $3.8 trillion in […]

ATTORNEY NEWSLETTER Court Denies Summary Judgment For Defendants Private Equity Group’s Possible Liability For Portfolio Company Acts Positive Result For Whistleblowers Healthcare fraud is the largest kind of fraud against the government.  Increasingly, healthcare providers are owned by private equity groups.  The companies owned by private equity groups are often […]

ATTORNEY NEWSLETTER Complaint Alleged False Claims For Dental Services Five Years Of False Claims Alleged Violations Of Sterilization Requirements The False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., provides a remedy of civil damages when a party 1) makes a false statement or engages in a fraudulent course […]

ATTORNEY NEWSLETTER Individual Blows Whistle on Illegal Kickback Scheme Kickbacks Allegedly Included Foreign Vacations, Lavish Meals And Entertainment Individual To Receive Share Of Reward Private whistleblower suits (known as qui tam cases) under the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., are hands down the primary tool […]