Category: medicare fraud

ATTORNEY NEWSLETTER Inappropriate Hospice Certifications Possible Fraud Four Former Employees Blow Whistle Healthcare fraud against the government includes kickbacks, false billing, upcoding, sales of unapproved drugs, illegal referrals and kickbacks, and inappropriate certifications for services like hospice care. Individuals can bring whistleblower cases under the False Claims Act (also known […]

ATTORNEY NEWSLETTER False Billing, Overcharging, Upcoding And Other Healthcare Fraud Whistleblowers Rewarded For Blowing Whistle The FBI estimates that fraud under the federal government’s Medicare and Medicaid programs amounts to $75 billion to $250 billion every year. Each year, individual whistleblowers help the government recoup billions under the False Claims […]

ATTORNEY NEWSLETTER Appellate Win for False Claims Whistleblower Whistleblowers won a recent victory in the Ninth Circuit, where the Court reinstated a false claims whistleblower case alleging false claims under Medicare. See US ex rel. Geraldine Godecke v. Kinetic Concepts, Inc., et al, No. 18-55246 (9th Cir. Sept. 6, 2019).[1] […]

ATTORNEY NEWSLETTER Healthcare Fraud on the Government Whistleblowers Lead the Way in Recoveries Outlook for 2019 In 2018, the volume of False Claims Act (FCA) litigation remained high, and health care-related qui tam (i.e., whistleblower) cases continued to lead the way.  Data from 2018 suggests that pharmaceutical companies, hospitals, and home health […]

ATTORNEY NEWSLETTER Large Whistleblower Awards Keep Coming False Claims Act 2017 was a banner year for whistleblower cases under the False Claims Act. The Department of Justice obtained more than $3.7 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the past […]

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 $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 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 […]