Category: Healthcare Industry

ATTORNEY NEWSLETTER Whistleblowers and Healthcare Fraud Health care fraud costs the country tens of billions of dollars a year. Even worse, patients are often harmed in these schemes when their care is subordinated to the greed of healthcare providers perpetrating the fraud.  Frauds include false billing, improper diagnoses, kickbacks, sales […]

ATTORNEY NEWSLETTER Attorney General Charges Over 400 in Huge Fraud Case Justice Department Cracks Down on Medicare Fraud Attorney General Jeff Sessions announced today that over 400 physicians, nurses, and other healthcare professionals in 20 different States were being charged in a string of healthcare fraud cases. The cases entail […]

ATTORNEY NEWSLETTER Elder Abuse Allegations After Neglect Led To Death Elder Abuse Elder abuse is a problem steadily growing in our country and local San Francisco community. Each year, countless elders are victims of abuse, whether it be financial, physical, sexual, emotional, or another type of abuse. Any kind of […]

ATTORNEY NEWSLETTER Kickbacks and False Claims More Fraud in Healthcare Industry Recently, one of the country’s leading pharmaceutical companies settled a whistleblower’s False Claims Act (FCA) case against them for $13 million. The case, filed in 2009, was brought by two doctors/whistleblowers who alleged that defendant offered kickbacks to doctors […]

ATTORNEY NEWSLETTER $13.45 Million Settlement in False Claims Case The Recent Case Recently, three cardiac monitoring device providers agreed to settle a whistleblower case (also known as a “qui tam”) against them for alleged false claims to the government for reimbursement under Medicare. The whistleblower was a former sales manager […]

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 Hospital and Nursing Home Accountability Government Agency Wants Inspection Results Publicized In a groundbreaking announcement, federal authorities are pushing to have details of hospital and nursing home inspections made public. The Centers for Medicare and Medicaid Services (CMS) recently proposed that the results of private inspections of medical […]

A Pill That Is Tough To Stomach: Healthcare Fraud Health Care Fraud In a recent year, the country spent $2.27 trillion on healthcare. In that same year, more than four billion health care claims were filed to insurance companies, some of which were, as expected, fraudulent. And while the sheer […]

The Unhealthy Truth: Healthcare Professionals Committing Fraud In 2016 alone, the U.S. Department of Justice (“DOJ”) recovered over $4.7 billion in civil cases regarding fraud. . Of the $4.7 billion recovered by the Department of Justice for fraud claims in 2016, a whopping $2.5 billion was attributed to the healthcare […]

Residential Care Facilities for the Elderly Pursued For Elder Abuse With the aging population, California has a growing number of new Residential Care Facilities for the Elderly (RFCE). Unfortunately, RFCEs have become more focused on the business than the elderly and the caregivers are generally undertrained and overworked. In consequence, […]