Medicare is a lifesaving federal program for millions of seniors, people with disabilities, people with low income and more. Sadly, various groups and individuals commit fraud against the program—resulting in billions of dollars of stolen healthcare funds. Medicare...
Blow The Whistle
And Do The Right Thing
At Fischer Legal Group, we help clients aggressively pursue justice in qui tam cases.
As the situation with the COVID-19 virus continues; we want you to know that we are available to all our clients for phone consultations.
Medicare / Medicaid Fraud
The importance of fighting Medicare fraud
Millions of Americans, particularly the elderly and disabled, rely on the critical support Medicare provides. However, this essential service is under constant threat from fraudulent activities. Medicare fraud drains valuable resources away from those who need them...
What are examples of Medicaid fraud?
One reason why whistleblowers decide to speak out is when they see evidence of Medicare or Medicaid fraud. These are government benefits systems that can cover the cost of certain medical treatments. Because Medicaid can be billed for those treatments, there are those...
How do insurance providers commit adjustment fraud?
The intersection of private insurers and government-sponsored programs often gives rise to unique challenges. One such challenge is insurance providers taking advantage of the federal government’s Medicare Advantage program through adjustment fraud. Medicare...
When to speak up: identifying and reporting Medicaid fraud
As a Medicaid recipient, you have the right to receive necessary medical care and services that help improve your health and well-being. However, sometimes, health care providers may bill for services that are not medically necessary or may upcode (bill for more...
What signs of Medicaid fraud should providers look out for?
Medicaid fraud is a severe issue in New York, costing the state valuable resources that could have been allocated for other urgent needs. This type of fraud can involve one or more parties, including patients, health care providers and practitioners. If left...
Maintaining integrity through the Anti-Kickback statute
Under the Anti-Kickback Statute, health care providers cannot exchange anything of value to reward or induce referrals for federal programs like Medicare or Medicaid. Meaning, doctors cannot give or accept gifts or rewards to get more patient referrals for services...
What are examples of provider and recipient Medicaid fraud?
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...
Who suffers in Medicaid fraud incidents?
Fraud is a serious crime that could negatively impact innocent people's lives. It is also true for health care fraud involving funds used to cover the medical needs of unsuspecting citizens. The New York State Office of the Medicaid Inspector General (OMIG) considers...
Detroit health system to pay $29.7 million for kickbacks
VHS of Michigan Inc. (doing business as, The Detroit Medical Center Inc. (DMC)), Vanguard Health Systems Inc. (Vanguard), and Tenet Healthcare Corporation (Tenet) all agreed to pay a total of $29,744,065 to the federal government for providing kickbacks some referring...