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Articles Posted in Healthcare Fraud

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Oncology Therapy Center Pays $3 Million in Healthcare Fraud Settlement

A radiation therapy center based in Lancaster agreed to pay $3 million to the federal government to resolve a claim that it committed healthcare fraud for close to 10 years. A qui tam suit based on the federal False Claims Act, filed by former employee Jared Shindler, alleged that Valley…

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University of California Discovers Health Care Fraud Targeting Students

The University of California recently announced that it uncovered evidence of a fraudulent health care scheme targeting students. Local health care providers would recruit and encourage students to enroll in fake clinical trials or apply for fake jobs. This allowed them to gain the student’s personal and health plan information.…

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California Dermatologist Settles Qui Tam Claim With Federal Government

The federal government has once against settled a qui tam claim based on the False Claims Act (FCA) with a medical provider. In April, the government announced it came to an agreement with dermatologist and surgeon Dr. Norman A. Brooks, M.D., for $2,681.400 based on false billings to Medicare. Dr.…

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Government Allowed Writs of Attachment and Garnishment Against Defendants in Qui Tam Cases

 In the qui tam case of BlueWave Healthcare v. U.S., the government was allowed to execute writs of attachment against both real and personal property and writs of garnishment against bank accounts of the defendants under the Federal Debt Collection Procedures Act (FDCPA). The defendant’s attempted to appeal the denial…

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DOJ Investigating How Much Large Health Insurers Charge Medicaid

Based on documents from a qui tam lawsuit filed against numerous health insurance companies, it is clear that the U.S. Department of Justice is looking into allegations that major health insurers in the U.S. are overcharging Medicare. These insurers include UnitedHealth Group Inc., Health Net Inc., Aetna Inc., and Bravo…

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Recent Qui Tam Decisions Around the U.S.

Each week new qui tam suits, possible under the False Claims Act (FCA) are brought by private individuals against other individuals and businesses on behalf of the federal government. Many of these lawsuits take years to investigate and litigate. Additionally, each week sees some of these cases settled, finalized, or…

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DOJ Recovers a Record Amount under False Claim Act and Qui Tam Cases

Between Oct. 2015 and Sept. 2016, the Department of Justice (DOJ) won more than $4.7 billion in judgements and settlements from civil fraud and false claims against the government, a DOJ press release stated. This recovery is from cases brought under the False Claims Act (FCA), including qui tam claims…

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Research Hospitals Becoming New Target for False Claims Act Actions

The False Claims Act is a federal statute designed to be used by whistleblowers who expose government fraud and waste. The whistleblower seeking to expose this type of deceit and corruption files a private lawsuit seeking to assert the rights to compensation for the government. Regardless of whether the government…

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Government Fraud Whistleblowers’ Law Firm Examines the Continuing Commitment to Fighting Fraud

It is no secret that, as a whistleblower’s law firm, we are big fans of the False Claims Act (“FCA” or “the Act”).  The Act holds liable any person/entity that presents a false or fraudulent claim for payment to the federal government (or an agency thereof) and/or create false records to…

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Lessons from a False Claims Act Ruling on Medicare Pricing and the “Usual and Customary” Price

We pride ourselves on our work helping whistleblowers bring claims pursuant to the False Claims Act.  As a False Claims Act law firm, we have specialized knowledge of this complex piece of legislation that empowers individuals to bring fraud claims on behalf of the government.  A ruling from a federal…

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