The federal government’s quest to stem the tide of fraud against Medicare has been overmatched by a flood of schemes that have been as widespread as they have been varied. For every case of Medicare fraud the government has cracked, it seems, there are many more that are go unpunished.…
Articles Posted in Healthcare Fraud
Why We Fight: A Reminder of the Dangers Behind Fraudulent Referrals in the Health Care Arena
At the Brod Firm, we do the work we do for many reasons. We enjoy the intellectual challenge and being able to constantly grow, using what we learned yesterday to improve our work today. We enjoy serving our clients and helping them through their legal challenges, difficulties that often arise…
Working With and Protecting Whistleblowers, Bringing Down Schemers Who Defraud the Government and Its Citizens
Imagine starting a new job. You’ve probably left behind another job and made other changes to prepare for the new experience, perhaps even relocating. No matter how experienced and educated you are, it is a nerve-wracking experience. It takes time to learn company practice. Now suppose you are asked to…
Health Care Fraud Whistleblowers’ Attorney Looks as the Costly Problem of Reverse False Claims
Suppose your eight year-old child receives a weekly allowance of $5 (perhaps the amount dates us!) and instead of handing him a five dollar bill, you accidentally give him a $20. If he speaks up, you probably praise his honesty, but what if he doesn’t? How do you feel later…
Focus on Potential Medicare Fraud Shifts to Lab Billing
It seems as though every time the federal government gains ground in the battle over Medicare fraud, schemers come up with new scams or variations of old ones in an attempt to stay one step ahead of the feds. So it comes as little surprise to San Francisco qui tam…
Medicare Fraud Hits Nursing Homes and Other Senior Care Centers
One of the most disturbing forms of health care fraud is fraud involving nursing home residents, a group that relies on their caregivers even more than most members of the public. As a San Francisco nursing home fraud lawyer, with expertise in both Medicare fraud and nursing home abuse matters,…
Tainted Decisions: Kickbacks Leave Providers Focused on Money, Not Patient Care
Our firm serves personal injury clients. We are also a law firm for California health care fraud whistleblowers, teaming with brave individuals/groups to combat fraud. Why the overlap? In a press release announcing the settlement of pharmaceutical kickback claims, Assistant Attorney General Stuart F. Delery explains that “Americans who rely…
In One Week, Two Cases Keep Spotlight on Medicare Fraud in Miami
Over the last week, two major cases concerning Medicare fraud that resulted in a guilty plea for an office worker or a prison sentence and fines for a well-known physician made the news. The two decisions represent text-book cases of why San Francisco qui tam lawsuit lawyer Gregory J. Brod…
High Medicare Billings: A Sign (But Not Conclusive Proof) of Possible Fraud
Good doctors should be paid well. Good doctors make huge sacrifices, racking up huge schooling bills and sacrificing sleep and personal time to serve their patients. This, along with the desire to attract talented minds to medical practice, makes paying doctors well incredibly important. However, when a doctor’s pay, including…
Focus on Fraud: Upcoding
If you are a regular reader of this blog, you are well aware that Medicare fraud is a serious problem that costs our nation billions of dollars each year. Understanding health care fraud and the many forms it can take is essential to fighting it, especially since private whistleblowers often…