Picture a case of workers’ compensation fraud. Chances are if you are like most Americans, the image in your head is a worker who claims to be injured and unable to work, but then goes trail running, competes in weight lifting competitions, and single-handedly builds his own house. Contrary to…
Healthcare Fraud Lawyer Blog
Kentucky Case Example of When Medicare Fraud May Have Cost a Patient’s Life
As San Francisco qui tam lawsuit attorney Gregory J. Brod has pointed out in our blog posts, the problem of Medicare fraud is as pervasive as it is costly to taxpayers and honest enrollees in the Medicare system. Unfortunately, the financial downside to the Medicare fraud crisis has been coupled…
Public Safety and Other Aims of False Claims Act Litigation
In the world of False Claims Act (“FCA”) suits, it is easy to become focused on the money. Media stories often highlight the amount at issue in a pending case, the amount recovered in a settlement or verdict, or (and we’ve done this too) the staggering yearly figures for money…
Health Care Fraud Targets Back Pain Care
Readers of this blog know that health care fraud steals billions from federal and state governments each year. The financial impact ultimately reaches all taxpaying Americans and anyone who uses our health care system, whether or not they use government programs. Our San Francisco health care fraud attorney knows that…
The Devastating Mix of Health Care Fraud and Nursing Home Abuse
In an ideal world, we would honor our elders, learning from their wisdom while taking care of them as age leads to physical and/or mental ailments. Sadly, our world is far from perfect. Many seniors find themselves on the receiving end of rude, disrespectful behavior. Worse still, elder abuse is…
Hardly a Victim-less Crime: The Victims of Health Care Fraud
Why health care fraud? We’re asked this a lot. Much of our practice involves representing the wrongfully injured causing some to peg us as a victims’ law firm. That is a label that we are proud to say fits much of our practice. The truth is there are MANY victims…
Allegations Against Doctor, if Confirmed, Suggest Brazen Medicare Fraud
As we have detailed on these pages, the scope and brazenness of Medicare fraud is truly breathtaking. The federal government is having trouble keeping up with all the schemes, and some of them are quite blatant indeed. But San Francisco qui tam lawsuit attorney Gregory J. Brod would cite the…
Medicare Advantage and Risk-Adjustment Fraud
Health care is an ever-evolving field with constant changes both in the area of medical knowledge and in terms of health care as a business. Medicare began back in the 1960s and the concept of Medicare Advantage (“MA”) programs dates back to the mid-1990s and allows Medicare beneficiaries to choose…
Where Health Care Fraud and Government Contracting Fraud Intersects
Readers of this blog know that our firm is actively working to help combat fraud against our government, including health care fraud and government contracting fraud. Sometimes, these two fields overlap. In this post, we look at a case of pharmaceutical fraud that is akin to cases of government contracting…
Variety, Number of Medicare Fraud Schemes Overwhelm Efforts to Collar Them
The federal government’s quest to stem the tide of fraud against Medicare has been overmatched by a flood of schemes that have been as widespread as they have been varied. For every case of Medicare fraud the government has cracked, it seems, there are many more that are go unpunished.…