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…
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…
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…
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.…
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…