A decision handed down by a federal court in New York last week further evidences the government’s commitment to fighting health care fraud. The court finds the clock begins to run on the duty to return Medicaid and Medicare overpayments (also known as reverse false claims) when the provider is…
Articles Posted in Whistleblowers and Qui Tam Lawsuits
Spotlight on Government Contracting Fraud: False Data Fuels Fraud in Program Providing Work Opportunities for the Disabled
This week, CNN reported on rampant abuse in the federally-funded programs that help provide job opportunities for the severely disabled. Sadly, the current investigations are just the latest chapter in a series of problems with fraud and abuse in this area. If the allegations are true, this is yet another…
Medi-Cal Fraud Targeting Drug Rehab Clinics
As a health care fraud law firm, we work with private whistleblowers nationwide to protect taxpayer money and ensure the health of millions of Americans. Often, scammers who defraud the federal system also target state health care programs. We work to fight this type of fraud too, recognizing that these…
Whistleblowers’ Law Firm Alert: For-Profit Schools Committing Federal Student Aid Fraud
For-profit schools provide an education to many students who might otherwise be unable to attend post-secondary school. However, these schools have a dual mission: a commitment to educating students and a commitment to earning money for investors and shareholders. While many, perhaps most, are ethical and education-oriented, some for-profit schools…
Health Care Fraud Spotlight: Kickbacks and Other Fraud in Nursing Home Pharmacy Services
Few things are more important that health. We all worry about it, especially when we think about our senior years. In addition to worrying about our physical and mental well-being, many of us are plagued by questions like “Will I be able to afford the health care that I need?” …
A Startling Example of Health Care Fraud Involving False Cancer Diagnoses (and a Castle!)
One of the reasons we write about health care fraud is to make people aware of the true cost of these schemes. These crimes are ultimately financial in nature, with scammers stealing billions (not a typo!) each year from government programs that are already operating on strained budgets. As if…
Spotlight on Government Contracts Fraud: The Threat of Government Set-Aside Fraud
It shouldn’t surprise us anymore, but it’s the type of fraud that surprises anyone who believes in supporting the American dream. We’ve seen it before and, sadly, we know we’ll see it again – people taking advantage of programs intended to help small businesses succeed, especially businesses run by our…
Focusing on the Victims: Medicare Fraud, Mental Health, and a Partial Hospitalization Program Scam
Who are the victims of Medicare fraud? As a law firm specializing in health care fraud matters, we understand that question requires a multi-part answer. At the broadest level, Medicare fraud is theft and the target is a taxpayer-funded government program, meaning every U.S. taxpayer is a victim. Narrowing the…
New U.S. Supreme Court Ruling is a Mixed Bag for Whistleblowers
When someone identifies an act of health care fraud, it is important that they speak up. However, under the False Claims Act (FCA) the ways in which they speak up are limited by Federal law. A recent Supreme Court ruling on qui tam lawsuits arising under the FCA will have…
Medicare Fraud: Home Health Care Scams
According to ABC News, the rate of Medicare fraud is on the rise. One of the areas in which Medicare fraud is growing is home health care fraud. It’s important to be aware of this type of fraud, as it makes up a significant portion of health care fraud and…