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...
Medicare/Medicaid Fraud
Medicare/Medicaid Fraud
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...
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...
