Three hundred and fifteen insurance companies are accused of leaving taxpayers with the bill. In what may be the largest whistleblower lawsuit in U.S. history, the multibillion-dollar whistleblower lawsuit alleges that the carriers did not cover the medical costs...
Medicare/Medicaid Fraud
Medicare/Medicaid Fraud
Classifying improper payments: Mistake, abuse or fraud?
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...
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...
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...
New York doctors get prison for $100 million Medicare fraud
Three New York-based doctors will receive prison time after pleading guilty to accepting bribes. Their sentences are the most recent development in a massive scandal that involved $100 million in Medicare payments to a specific diagnostic lab. An extensive...
Spotting fraud as a beneficiary
As a beneficiary of Medicare or Medicaid, you use these entitlements to pay for important medical bills or gain access to necessary prescriptions. Protecting the future of these programs remains a top social priority for many, but fraud continues to threaten...
