As followers of this blog have seen, there are far too many cases of healthcare fraud in the United States. They have also been reminded of the fact that the fraud negatively impacts the Treasury and U.S. taxpayers as well as potentially compromises the health of Medicare enrollees and results…
Some cases of healthcare fraud involve complex financial schemes. Other cases are more closely tied to medical treatment, involving poor patient care. Ultimately, both forms hurt patients but the latter is a more direct threat to patient health. Doctors who, in the course of fraudulent schemes, prescribe inappropriate medications or…
The federal government announced Tuesday that it had reached a settlement with a Florida-based physician over allegations that he and his clinics violated the False Claims Act by knowingly billing Medicare for procedures and offices visits conducted by unqualified personnel. And San Francisco qui tam lawsuit attorney Gregory J. Brod…
We’ve written a great deal in these pages about the financial costs of health care fraud. It is a crime that costs the government billions and causes financial losses throughout the health care industry that, in turn, impacts the wallet of every single one of us as past and future…
As readers of this blog have learned, health care fraud can take many forms, even when the focus is on fraud involving public programs such as Medicare, Medi-Cal, and Medicaid. A similarly broad response applies to the related question: Who commits healthcare fraud? Perpetrators of Medicare fraud range from executives…
As with many other forms of fraud, cases of health care fraud often involve a few primary wrongdoers who rely on the silence and/or complicity of many for their schemes to succeed. A federal jury in our own area was recently confronted with a case that follows this pattern and…
As a California health care fraud law firm, we work with the brave men and women who help bring fraud to light. We are committed to the success of these cases, actions that protect the health care system and all who come into contact with it. We are also committed…
Suppose you were reviewing your credit card bill and noticed that a company had billed you twice for the same product or service. Most of us would respond with an angry call to the company and would be unlikely to accept the company’s attempt to justify the double-billing. At the…
We have talked a good deal in recent weeks about the threat of Medicare fraud and the important roles whistleblowers play in protecting the system. In addition to the danger of fraud against our federal health care programs, there is also the potential for fraud against our state programs. As…
While a violation of the federal False Claims Act is a principle reason why many qui tam whistleblower lawsuits are filed, a breach of either of two other key laws, the Stark law and the Anti-Kickback law, is also grounds for launching a qui tam whistleblower lawsuit. As we will…