Readers of this blog know that scammers are routinely bilking the federal Medicare system out of large sums of money, crimes that add up to billions (yes, with a “b”) in losses every year. Health care fraud is not, however, only a federal matter. From small lies to big ones,…
Medicare billing is a complex and specialized field. Translating patient care into billing codes takes knowledge and skill. While most providers and coders work hard to make sure billing codes accurately reflect the care provided, others use the system to divert money from government coffers into their own pockets. Fraudulent…
It seems like you can barely turn on the television these days without seeing an advertisement for medications and medical equipment. Equipment ads in particular often target seniors and inevitably include a promise that the company will deal directly with Medicare to get the product supplied with little or no…
We are honored to work alongside brave and honest individuals as a government contracts fraud law firm. Attorney Brod has a deep understanding of the laws that allows private whistleblowers to fight back against scammers who commit fraud against the government and partners with such individuals on cases nationwide. Many…
Medicare Advantage (“MA”) plans allow Medicare beneficiaries to have a private company manage their health care benefits. When a beneficiary opts for coverage via an MA plan, Medicare pays the plan a set amount depending on the patient’s health status. As detailed below, this capitated payment system relies upon providers…
Government contracting is, to put it in an overly simplified manner, a complex arena. This complexity is one reason government contract fraud often goes undetected and why it often requires an inside whistleblower stepping forward to uncover and ultimately put an end to these frauds. Procurement fraud, including fraud involving…
There has been growing awareness in recent years about the importance of mental health. More people are seeking help and health professionals are becoming more educated on the importance of a well-rounded definition of health. Sadly, there are also scammers out to take advantage of this trend including the perpetrators…
Regular visitors to this blog are familiar with the False Claims Act (“FCA” or “the Act”), a piece of federal law aimed at recovering money wrongfully taken from government coffers. The Act contains detailed provisions that allow ordinary private citizens to bring suit on the government’s behalf through a process…
It takes a very special individual to work in the end-of-life care arena. We have the deepest respect for the men and women who support both patients and their loved ones in the hospice care environment. These professionals offer much more than medical care, they offer emotional support to people…
When one thinks about fraud and its impact, finances tend to come to the forefront of the mind. However, when the issue is defense contract fraud, there is much more than money at stake. Defense contract fraud not only takes money from already-strained budgets, but it also puts our nation’s…