Category: medicare fraud

ATTORNEY NEWSLETTER Medicare Fraud Allegations In Whistleblower Case Nurse Practitioner Time Allegedly Charged At Physician Rate Physician Group Settles For $341,690 The federal government loses tens of billions every year in fraudulent Medicare billing.  Part of that loss comes from overbilling by health care providers, including hospitals, drug and medical […]

ATTORNEY NEWSLETTER Illegal Physician Referral Kickbacks Violations of Anti-Kickback Statute, Stark Law and False Claims Act  Former Hospital Official Blows Whistle on Violations Hospital kickbacks to physicians for patient referrals are illegal, and when the patients are covered by Medicare or other government payment programs, these kickbacks constitute fraud against […]

ATTORNEY NEWSLETTER Regional Hospital Accused Of Illegal Kickbacks To Physicians Physicians Referring Patients Received Back Investment Units In The Hospital Physician Whistleblower Will Receive Reward Hospitals and clinics violate the False Claims Act (“FCA”), 31 U.S.C. §§ 3729-3733, and the Anti-Kickback Statute, 42 U.S.C. § 1320a-7b, when they pay illegal […]

ATTORNEY NEWSLETTER Company Allegedly Used Charitable Foundation To Cover Copays Program Constituted A Kickback For Prescriptions $97 Million Settlement On September 23, 2020, the U.S. Department of Justice (DOJ) announced a $97 million settlement with pharmaceutical giant Gilead Sciences, Inc. for allegedly paying illegal kickbacks for drug prescriptions.  The action […]

ATTORNEY NEWSLETTER Private Citizens Brings Suit For Alleged Overbilling False Claims For Medicare Payments Case Settles For $117 Million Under the qui tam provisions of the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., private citizens can bring suits on behalf of the United States government to recover […]

ATTORNEY NEWSLETTER One Individual Exposed Large-Scale Healthcare Fraud Employees And Other Insiders Can Blow Whistle On Fraud Salesman Brings Massive Kickback Fraud To Light Healthcare fraud is the largest single category of fraud against the federal government year in and year out. Employees, case managers, nurses, physicians, salespeople, directors and […]

ATTORNEY NEWSLETTER Settlement Of Large Whistleblower Healthcare Fraud Suit Kickbacks For Medical Services Referrals Former Employee Brings Fraud To Light Healthcare fraud against government programs costs billions and individual citizens help the government recoup large amounts lost to this fraud. Under the False Claims Act (FCA), 31 U.S.C. §§ 3729 […]

ATTORNEY NEWSLETTER California False Claims Act Rewards Whistleblowers Protections From Employer Retaliation Whistleblowers who blow the whistle on fraud against the State of California are entitled to rewards when the State recovers funds. Cal. Gov’t Code § 12652(g). California law also protects those individuals from employer retaliation. Cal. Gov’t Code […]

ATTORNEY NEWSLETTER Illegal Kickbacks For Prescribing Medical Devices Whistleblowers Rewarded For Blowing Whistle Kickbacks for medical referrals or prescription of medical devices violate the Anti-Kickback Statute, and, when the government is paying for the services, the False Claims Act. 42 U.S.C. § 1320a-7b (Anti-Kickback Statute); 31 U.S.C. §§ 3729 et […]

ATTORNEY NEWSLETTER Fraudulent Billing And Illegal Kickbacks For Medicine Whistleblowers Rewarded For Blowing Whistle Healthcare fraud is the largest kind of fraud perpetrated against the government year in and year out. Wrongdoers include pharmaceutical companies, compounding pharmacies, hospitals and nursing homes, physician groups, clinical laboratories, device manufacturers and others. Private […]