Category: medicare fraud

ATTORNEY NEWSLETTER Allegations of False Marketing Tactics Unapproved Systems For Pediatric Care Case Brought By Employees False claims for reimbursement under government-sponsored health care programs may violate both federal law (when the claims are submitted to Medicare and other federal programs) and State law (when the claims are submitted to […]

ATTORNEY NEWSLETTER Allegations of Six-Year Fraud Against Medicare And Other Government Programs Whistleblower Alleged Illegal Inducements And Unnecessary Inpatient Admissions Former Patient Advocate Blew The Whistle The federal Anti-Kickback Statute, 42 U.S.C. § 1320a-7b, prohibits offering, soliciting, or receiving any remuneration to induce referrals for medical services or procedures, including […]

ATTORNEY NEWSLETTER Former Employee Blows Whistle On Telemedicine Fraud  Criminal And Civil Prosecution Of Wrongdoers Defendants Allegedly Submitted $400 Million In False Claims  The U.S. Department of Justice recently announced that the owner of a medical device maker has agreed to resolve criminal charges and civil claims arising out of […]

ATTORNEY NEWSLETTER Allegations of Unlawful Kickbacks Free Trips to Golf Tournaments and the Kentucky Derby Whistleblowers Will Receive Share of Settlement In order to protect all of us from medical services or care procured by health care providers paying kickbacks for referrals, federal law prohibits such conduct.  See Anti-Kickback Statute, […]

ATTORNEY NEWSLETTER Individual Whistleblowers Essential To Enforcement  $62 Billion Has Been Recovered Through Private Whistleblowers Since 1986  Whistleblower Rewards Average 20% Of Recoveries  The modern-day Federal False Claims Act (FCA), 31 U.S.C.§ 3729 et seq., and its qui tam whistleblower provisions (The term for individual whistleblower suits) grew largely out […]

ATTORNEY NEWSLETTER Whistleblower Alleges Illegal Kickback By Drug Maker Pharmaceutical Manufacturer Allegedly Made Patient Copays Through Foundations Whistleblower Will Receive $3.96 Million Out Of $22 Million Settlement Health care providers including drug makers, hospitals, clinics, equipment suppliers, and physician groups are prohibited from paying kickbacks for certain medical referrals under […]

ATTORNEY NEWSLETTER Settlement of False Claims Act Case Against Medical Equipment Provider $40.5 Million Settlement of Allegations  Three Former Employee/Whistleblowers Rewarded Employees and former employees are most often the individuals who may have come across fraud against the government by their employers, particularly in the health care industry where the […]

ATTORNEY NEWSLETTER Justice Department Announces Settlement With Private Equity Investor Alleged Billing for Unapproved Procedures Whistleblower Rewarded Whenever an individual blows the whistle on fraud against the federal government or State of California, the individual can be rewarded when the government recovers as a result.  The grounds for the claims […]

ATTORNEY NEWSLETTER Addiction Center Allegedly Charged Government Millions For Unnecessary Tests Provider Also Allegedly Unable To Ensure Quality Care Physician And Former Medical Director Blew Whistle Fraud against Medicare and Medicaid constitute violations of the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., and also often other statutes […]

ATTORNEY NEWSLETTER Billing For Services Never Provided Medi-Cal Fraud In Substance Abuse Programs Rewards For Bringing Fraud To Light Fraud against Medi-Cal is a crime and also a false claim against the State of California exposing the wrongdoer to actions for civil damages and penalties. Cal. Gov’t Code §§ 12650 […]