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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
Telehealth has made medical care easier to access for millions of people. It has also created opportunities for improper or fraudulent billing practices. So yes, when health care providers knowingly seek payment from Medicare, Medicaid or another government program...
Under the False Claims Act, individuals can bring qui tam lawsuits on behalf of the government when they have evidence that a company or organization knowingly submitted false claims for government funds. Government intervention in these cases occurs when the...
Healthcare fraud has moved far beyond cash-filled envelopes. Modern kickback schemes hide within normal-looking business deals. For compliance officers and billing staff, spotting these schemes means knowing what to look for and where problems often appear....
Government contractors who improperly bill for labor costs commit fraud against taxpayers. Such schemes involve charging for unworked hours, misrepresenting employee qualifications or creating "ghost" employees. Employees who witness this activity can use the federal...
When medical providers charge insurance companies for services, visits or supplies that were never received, it’s often referred to as “phantom billing.” It is a major problem. This type of fraud seriously affects government programs like Medicare and Medicaid. Let’s...
Filing a qui tam lawsuit under the False Claims Act (FCA) is a powerful way for private-sector insiders to expose corporate fraud against government programs, including Medicare, Medicaid and other government contracts, including defense contracts. However, the...
When filing a qui tam action under the False Claims Act and alleging a form of fraud against the government, such as Medicare fraud or government contract fraud, the details of the initial filing will be kept private. These lawsuits are filed under seal. The defendant...
Suspected Medicaid fraud can affect healthcare programs, taxpayers, and patients who rely on essential services. Before filing a qui tam complaint, it is important to gather accurate information so that investigators can properly evaluate the allegation. Taking a few...
As billing specialists and office managers, you process the referrals and payments that keep Medicare and Medicaid running. However, illegal kickback schemes often hide in the details of those transactions, disguised as ordinary business arrangements. This puts you in...
There are many cases in which medical professionals and healthcare centers have to refer patients to other service providers. A doctor may make a diagnosis and note that a patient needs surgery, for example, but they are not a surgeon and will not carry out the...