In many ways, government procurement contracts are similar to procurement agreements in the private sphere. The basic elements of all contracts are the same, an offer and acceptance made between two or more competent parties for a legal purpose that creates obligations for both parties (e.g. payment for and the…
Articles Posted in Whistleblowers and Qui Tam Lawsuits
Record Settlement in Non-Intervened Health Care Fraud Case
When it comes to the world of health care fraud, there’s one truth we cannot emphasize enough – Honest individuals are the key to winning the fight against fraud. It is a truth we see again and again in our work as a whistleblower’s law firm. The False Claims Act…
Medicare Fraud: A Problem Invading All Aspects of Health Care
Among the lessons we’ve learned as a Medicare fraud law firm is that fraud doesn’t always look like you think it does or involve the type of services you’d typically expect. Most people would presume a case of Medicare fraud would involve a geriatric doctor, senior care facility, provider of…
The Role of Compliance Department in Fighting (or Perpetuating) Health Care Fraud
Sometimes health care fraud is a well-known secret, something many in a company’s leadership know about and either passively or actively conceal. Likewise, a number of lower-level employees may know about and be asked to help perpetuate the fraud. Fraud takes cooperation. How does this happen when almost everyone we…
Provider Medical Identity Theft
Identity theft is a common fear and a common problem. Readers of this blog know that identity theft is a problem that reaches beyond the financial sphere. Quite often, health care fraud cases involve an element of medical identity theft. In a previous post, our medical identity theft lawyer discussed…
Beneficiary-Reported Medicare Fraud
Often, Medicare fraud is brought to light because a brave employee saw a wrong and spoke up. Notably, however, insiders are not the only ones who can bring a Medicare fraud whistleblower lawsuit (aka a qui tam action). Medicare beneficiaries can also witness and report Medicare fraud. We are proud…
Focus on Fraud: Recruiting Scams and Health Care Fraud
Medicare and Medicaid fraud are a thriving business. Medicare and Medicaid fraud are also illegal and, in many ways, immoral enterprises that take advantage of programs intended to help the elderly and impoverished. Health care fraud takes many forms. Today, we focuses on one subset – recruiting schemes. In these…
Medicaid Fraud: Health Care Fraud Targeting Another Government Program
Sometimes it seems like the terms “health care fraud” and “Medicare fraud” are interchangeable. Medicare related fraud is a topic of great concern, but it is important to remember that Medicare is not the only government health care agency targeted by scammers. Medicaid fraud is also a growing problem and…
Health Care Fraud Recovery Numbers For 2014 and the False Dichotomy of Prevention and Prosecution
An article released by the Wall Street Journal late last week caught the attention of health care fraud lawyer Greg Brod. As discussed below, the article reviews some promising numbers from 2014 that show the fight against health care fraud is gaining ground and, at the same time, show how…
A Question of Trust – Excluding the Perpetrators of Fraud from Future Government Contracting Opportunities
Government contracting fraud is a crime of opportunity. It involves wrongs perpetrated by people who are in a position of trust. It is a crime that amounts to stealing from the government at best; at worst, it can put our military at risk or pose a threat to public health/welfare.…