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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
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...
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...
When you uncover health care fraud at work, you face a critical decision that demands quick action. Witnessing false billing, kickbacks or unnecessary procedures puts you in a difficult position where both patient care and taxpayer dollars are at risk. The choice...
Medical billing fraud is one of the most widespread and costly issues affecting the healthcare industry today. It not only drains billions of dollars from the system but also places patients and providers at risk. Fraudulent schemes often remain hidden for long...
Most referrals to specialists or facilities happen for good reasons. But sadly, some healthcare providers send patients to specific clinics or people in exchange for kickbacks. These illegal payments harm patients and waste taxpayer money. When healthcare decisions...
Medical billing practices are subject to numerous state and federal regulations. Particularly when a hospital or other medical facility accepts government insurance programs, including Medicaid and Medicare, careful adherence to all regulations is crucial. Health care...
The False Claims Act (FCA), mainly known for combating fraud against the government, has been a strong tool for whistleblowers in the health care industry, especially in cases involving Medicare and Medicaid fraud. But aside from the FCA, there are other laws that...
Professionals don't take positions with companies assuming that they’ll have to act as whistleblowers. Most professionals look for positions at reputable companies where their employment should remain stable for the duration of their time at the company....
Committing Medicaid fraud is a severe crime that can impact the usage of public funds. This type of fraud can divert financial resources from vulnerable residents who rely on Medicaid for healthcare. Because of its significant impact on the community, authorities have...