If you are on Medicare, it is probably because you need help with your medical expenses. And while you may find the benefits of the program necessary, unfortunately, some Americans try to use federally-funded health care to fraudulently provide for their individual interests.
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 certain contingencies arise, additional payments up to $18,360,794 could be triggered.
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 construction contractors. An explosively growing army of honest employees await to blow the whistle on those illegally slicing your tax dollars into their own pockets. Host Bart Jackson invites noted qui tam (whistleblowing) super-attorney Andrea Fischer to reveal how upright citizens with an aggressive judiciary are bringing cheating firms to justice. Founder of the Fischer Legal Group, Andrea cites specific cases, describes the whistleblowing process and the retaliation protections. Tune in and learn about those valued individuals who refuse to tolerate corruption in our democracy.
Medicare fraud is an expensive problem in the United States. Fraudulent charges to the system cost taxpayers billions of dollars every year.
"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.
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 Department. As a result, the two whistleblowers will receive over $6.2 million.
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 State Insurance Co., of West Trenton, New Jersey, improperly submitted claims under the company's "health first" auto insurance policies.
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 employees" to treat patients. Doing so would be in clear violation of Medicaid regulations and requirements, the suit says.
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 investigation by the Department of Justice has led to the conviction of over 30 physicians, including two from Staten Island and one from Yonkers.
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 resources. According to the Coalition Against Insurance Fraud, more than 2,500 people have been charged with Medicare fraud in the past decade, totaling nearly $8 billion in false claims.