Category: medicare fraud

Blowing The Whistle On Medicare Fraud Whistleblowing Recently, in the news and elsewhere, whistleblowing has become a hot topic of discussion. Most recently, whistleblowing has also drawn attention due to the awards given out by organizations such as the Internal Revenue Service and Securities and Exchange Commission. Yet, healthcare and […]

Department of Justice Rewards Medicare Whistleblower Physician Gets Large Whistleblower Award Recently, the Department of Justice (DOJ) awarded a physician over $11 million as an award for original information the doctor provided about large-scale Medicare fraud. Specifically, the whistleblower’s information led to a lengthy DOJ investigation that recouped $60 million […]

ATTORNEY NEWSLETTER A $125 Million Settlement Put Skilled Nursing Facilities on Notice A Qui Tam Lawsuit against the Kindred/RehabCare Nursing home company has just settled for $125 million, according to the law firm that handled the case. The claims, levied under the False Claims Act, were that nursing homes owned […]

Hospital in California Allegedly Involved in a Healthcare Fraud Including Kickbacks, Justice Claims $600 Million in Return ATTORNEY NEWSLETTER In California, the Pacific Hospital is involved in a healthcare fraud case with an alleged $600 million in falsified billing in an eight-year period. The scheme was allegedly created by the […]

ATTORNEY NEWSLETTER Healthcare fraud is often a fairly technical area of law: large companies misusing funds, fraudulently billing Medicare or Medi-Cal, or improperly treating patients not in need of expensive procedures. Cases often revolve around class disputes, the finer points of qui tam law and the false claims act, or […]

ATTORNEY NEWSLETTER The SEC wants to alert the individuals receiving compensation from insurance companies after natural disasters like hurricanes, floods, oil spills, and fires that they may be targets of investment fraud. This compensation gives rise to investment scams and takes many forms. There are the classic Ponzi schemes where […]

ATTORNEY NEWSLETTER In the wake of Governor Jerry Brown’s signing of the End of Life Option Act, California has become the sixth state in the US to allow physician assisted suicide. While the bill offers those in excruciating pain or discomfort the agency to end their own lives, some disability […]

ATTORNEY NEWSLETTER If you’ve ever seen an advertisement for free lunch seminars on living trusts, or for the astoundingly low cost to set one up, you may be thinking it’s too good to be true. Well, you’re right. It’s probably a lure for a living trust mill. It has long […]

ATTORNEY NEWSLETTER The Nursing Home Reform Law prohibits discrimination based on a person’s Medicaid status or eligibility. Medicaid rates, however, are often much lower than those paid by Medicare and private insurance residents, which can lead to residents being treated as second-class citizens in a nursing home. Approximately two-thirds of […]

ATTORNEY NEWSLETTER Medicare and Medicaid programs differ in the way that they pay for nursing home care. It is important for nursing home residents and their loved ones to understand the coverage they have under their particular program. Medicare coverage functions like a health insurance policy, with either the beneficiary […]