ATTORNEY NEWSLETTER Health Care Fraud At Its Ugliest Sometimes stories of fraud just stop you in your tracks. This is one such case. Recently, state authorities rescued 60 residents of a nursing home after their food ran out and trash piled up. Food and services bills hadn’t been paid. Resident […]

ATTORNEY NEWSLETTER FINRA Gives Individual $1 Million for Annuity Fraud Annuity Fraud Annuity fraud, especially targeting seniors, is a growing problem. Complex annuities are often sold to individuals as retirement investments when they are, in fact, an insurance product often wholly unsuitable to a client’s portfolio or future financial needs. […]

ATTORNEY NEWSLETTER Department of Justice Expands Investigation Lead By Whistleblower Allegations of Large-Scale Medicare Fraud The Department of Justice (DOJ) recently expanded its investigation of the Medicare Advantage Plan thanks to the efforts of a Medicare whistleblower. The whistleblower case (also known as a qui tam) began as an investigation […]

Blowing The Whistle On Medicare Fraud Whistleblowing Recently, in the news and elsewhere, whistleblowing has become a hot topic of discussion. Most recently, whistleblowing has also drawn attention due to the awards given out by organizations such as the Internal Revenue Service and Securities and Exchange Commission. Yet, healthcare and […]

Department of Justice Rewards Medicare Whistleblower Physician Gets Large Whistleblower Award Recently, the Department of Justice (DOJ) awarded a physician over $11 million as an award for original information the doctor provided about large-scale Medicare fraud. Specifically, the whistleblower’s information led to a lengthy DOJ investigation that recouped $60 million […]

ATTORNEY NEWSLETTER New Developments in False Claims Act Cases As the end of a Supreme Court session rolls around, attorneys tend to take a moment to recoup, gather the decisions, and take a look at what new features have been added to the landscape of the law. This has been […]

ATTORNEY NEWSLETTER Health Care Providers seek to weaken False Claims Act Healthcare is one of the areas most frequently involved in qui tam cases, and by restricting the avenues available for prosecutors to pursue claims against nursing homes, health care facilities, and pharmaceutical companies, lobbyists hope to prevent the government […]

ATTORNEY NEWSLETTER The Nursing Home Reform Law prohibits discrimination based on a person’s Medicaid status or eligibility. Medicaid rates, however, are often much lower than those paid by Medicare and private insurance residents, which can lead to residents being treated as second-class citizens in a nursing home. Approximately two-thirds of […]

ATTORNEY NEWSLETTER Medicare and Medicaid programs differ in the way that they pay for nursing home care. It is important for nursing home residents and their loved ones to understand the coverage they have under their particular program. Medicare coverage functions like a health insurance policy, with either the beneficiary […]

ATTORNEY NEWSLETTER Thanks to whistleblower George Karadsheh, a doctor who was improperly giving patients chemotherapy was stopped. Dr. Farid Fata, a Michigan doctor, was recently sentenced to 45 years in jail. According to prosecutors, Fata mistreated over 500 patients. In some cases, he was administering chemotherapy to people who did […]