Although it’s not possible to determine the exact cost of Medicare abuse, the exploitation of Federal healthcare is a serious issue in the United States. Together, Medicare fraud and abuse cost taxpayers billions of dollars and limit the effectiveness of the programs...
Medicare/Medicaid Fraud
Medicare/Medicaid Fraud
Is your company committing Medicaid fraud?
As a person and a professional, you likely feel certain obligations when you suspect or confirm wrongdoing. If you are in the healthcare industry, you may find yourself in a position to either speak or stay silent when an individual or company is taking advantage of...
Have You Noticed Time Discrepancies In Medicaid Billing?
There are many different forms of fraud that involve billing Medicaid. In some cases, a doctor, billing specialist or medical business will intentionally bill for drugs, procedures or services that were never administered or performed. In other cases, doctors or...
Vascular Access Centers accused of false billing, kickback scheme
Vascular Access Centers L.P., along with 23 subsidiaries and related corporations, has been accused of Medicare fraud, violating the False Claims Act, and violating the Anti-Kickback Statute and have agreed to pay at least $3,825 million to resolve the allegations. If...
Whistleblowing – How It Works, Why We Need It
Who are the most popular fraud targets? The U.S. and state governments. Why? Governments cannot possibly police each of their millions of transactions. But beware you Medicare false claimers, overcharging defense contractors, sales tax skimmers, and bill-padding...
What are some common forms of Medicare fraud?
Medicare fraud is an expensive problem in the United States. Fraudulent charges to the system cost taxpayers billions of dollars every year. The problem is growing, and it affects everyone. If you work in a hospital or clinic, you may see instances of Medicare...
Former Bureau of Prisons employee settles Anti-Kickback Law case
"Improper financial arrangements between government officials and private contractors corrupt taxpayer-funded contracts," says the acting assistant attorney general of the Justice Department's Civil Division. A former financial administrator for the U.S. Bureau of...
Whistleblower claim yields 6-state, $33-million fraud settlement
Seven years ago, two doctors stood up to powerful players in the emergency medical field by blowing the whistle on Medicare fraud. Their courage and hard work contributed to settlements of more than $33 million between two large physician groups and the Justice...
Progressive units agree to $2 million False Claims Act settlement
A whistleblower will receive more than $600,000 after federal authorities obtained a $2 million+ settlement from Progressive Insurance in relation to alleged Medicare and Medicaid fraud. Progressive Casualty Insurance Co., of Cleveland, Ohio, and Progressive Garden...
Whistleblower: Clinics billed Medicaid for unlicensed treatment
A whistleblower has filed suit against a chain of Massachusetts mental health care centers, claiming the company defrauded the state and federal governments of $130 million. The accusation is that the company allowed "unlicensed, unqualified, and unsupervised...
