Category: False Claims

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 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 Allegations Of Medicare Payments For Non-Covered In-Patient Admissions Ineligible Admissions For Non-Medical Reasons Former Medical Center Employee Blew Whistle  Private whistleblower suits (known as qui tam cases) under the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., recover billions for the government every year from companies […]

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 Employee Alleged Kickbacks And Compliance Misstatements Compliance Issues In Government Contracts Allegations Of Illegal Subcontractor Kickbacks The False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., is the primary enforcement tool for recovering money fraudulently claimed from the government.  Government contractors are among those businesses that […]

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 Overpaying Physicians As Form Of Illegal Kickback Internal Audit Director Blows Whistle Whistleblower Will Receive 15-30% of $21.25 Million Healthcare providers in the U.S., including hospitals and clinics, are subject to a number of statutes to prevent any fraudulent billing under government programs like Medicare and Medicaid.  When […]

ATTORNEY NEWSLETTER Accusations Of Unnecessary Rehabilitation Therapy Services 11 Skilled Nursing Facilities Involved Former Program Director Was Whistleblower  According to the Centers for Medicare & Medicaid Services improper payments for Medicare and Medicaid services totaled $25.74 billion in 2020 alone.  Often, the payments were made by the government for services […]

ATTORNEY NEWSLETTER Five-Year-Old Case Settles Defendant Sold Allegedly Faulty Defibrillators Manufacture Allegedly Made False Statements To FDA The submission of fraudulent claims for reimbursement under government healthcare programs such as Medicare, Medicaid, VA and health programs covering government workers like TRICARE, constitute the largest form of fraud against the federal […]

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 […]