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Articles Posted in Whistleblowers and Qui Tam Lawsuits

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When a Seemingly Harmless Editing Tool Can Contribute to Medicare Fraud

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…

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Doctor’s Medical Fraud Leads to Painkiller Abuse and Other Prescription-Related Problems

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…

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Florida Case Example of Medicare Fraud Lawsuit Settled Before Trial

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…

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As N.Y. Case Shows, Social Security Disability Could Be Major Target for Fraud

Fraud committed against the government through schemes against programs such as Medicare and Medicaid ultimately cost taxpayers and legitimate users of these social safety nets in the form of a drained U.S. Treasury and higher medical costs, respectively. But, as San Francisco qui tam lawsuit attorney Gregory J. Brod would…

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Questionable Rankings, Misinformed Patients, and Other Non-Economic Costs of Health Care Fraud

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…

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Who Commits Health Care Fraud?

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…

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Conviction in Medicare Fraud Scheme Involving Power Wheelchairs

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…

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Settlement Reached in Whistleblowers’ Double-Billing Claim

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…

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