ATTORNEY NEWSLETTER San Francisco nursing home abuse attorneys say that quality of care at nursing homes is suffering, as homes are competing with one another to receive Medicare funds. This competition leads nursing homes to invest in amenities to attract patients needing short-term rehab after a hospitalization for an injury […]

ATTORNEY NEWSLETTER More than a half-dozen whistleblowers nationwide have recently filed qui tam/false claim lawsuits alleging systematic over-billing by Medicare Advantage plans, according to San Francisco based qui tam/fraudulent claim lawyers. Medicare Advantage allows the government to pay different amounts for senior care based on each patient’s risk score. It […]

ATTORNEY NEWSLETTER Consumer Watchdog reports that doctors across the country are committing Medicare fraud by ordering medical tests for senior citizens that are unwarranted. Senior citizens, who are the age group least likely to be addicted to illegal drugs, are being tested by their doctors for drugs, such as ecstasy, […]

ATTORNEY NEWSLETTER In 2010, a whistleblower came forth with information showing Extendicare Health Services Inc., a nursing home chain, was defrauding Medicare and Medicaid by charging patients for below-average care. Now, the nursing home chain will be paying $38 million to settle the failure-of-care claims – the largest amount ever […]

ATTORNEY NEWSLETTER When people hear the term “whistleblower,” they might associate it with large financial rewards and exposing companies committing financial fraud. This isn’t wrong.  However, there is a side to whistleblowing that is just, if not even more important, than exposing financial fraud.  Especially in whistleblower lawsuits against hospitals […]

ATTORNEY NEWSLETTER In August, Community Health Systems, Inc. (CHS) and Community Health Systems Professional Services Corporation along with 119 of their hospitals settled seven False Claims Act lawsuits for $98 million. Whistleblowers from all around the country came forth with information regarding the inappropriate practices of CHS and its associated […]

ATTORNEY NEWSLETTER If you are a victim of non-payment of a primary payment or reimbursement by a primary plan employer or carrier, you can file a private action against them for damages. Not only do they have to pay, they have to pay twice that amount.  On August 28, 2014, […]

ATTORNEY NEWSLETTER Whistleblowers brought two False Claims Act lawsuits for Medicare fraud against UnitedHealth Group, Inc. the first in 2011 and the second in 2014. On August 28, 2014, the Department of Justice joined the two complaints against UnitedHealth. In both lawsuits, whistleblowers alleged that UnitedHealth billed Medicare for hospice […]

ATTORNEY NEWSLETTER The federal government has joined a whistleblower lawsuit against two hospital operators. The hospital operators were accused of fraudulently billing Medicare and Medicaid. The healthcare industry has been the target of many false claims cases recently. Many of the whistleblower cases contain fraudulent billing allegations. Los Angeles whistleblower […]

ATTORNEY NEWSLETTER The government funds healthcare through Medicare and Medicaid. There are an abundance of whistleblower lawsuits filed that are related to the healthcare industry. The role of the government in funding part of the healthcare system has led directly to the large number of whistleblower or False Claims lawsuits. […]