The majority of U.S. states maintain a legislative tool for combatting fraud similar to the federal False Claims Act. State False Claims Acts may be nearly identical to the federal version, or they may contain more restrictive language. In New York, the state False Claims Act was recently pivotal in […]
The Department of Justice recently unsealed a False Claims Act lawsuit filed in the Southern District of New York alleging nine-figure fraud against the federal government pursuant to its Home Affordable Modification Program (HAMP). The program, which was implemented in 2009 to help struggling borrowers keep their homes, requires certain […]
Costly fraud against the U.S. government can occur in virtually any sector; however, it is being discovered within the medical and healthcare sector with increasing consistency. In a recent filing with the Securities and Exchange Commission, St. Jude’s Medical, Inc., a global medical device manufacturer, has revealed it is under […]
Power wheelchair claims are one of the most costly medical device codes submitted to Medicare and Medicaid each year. So much so, that the Office of Inspector General conducted a study in 2001 to determine whether these chairs are actually “medically necessary” in most cases and, if so, whether a […]
In 2012 alone, the False Claims Act (“FCA”) was responsible for recovering over $2 billion stolen through healthcare fraud, Medicare scams, and unlawful billing practices. Ending healthcare fraud has been a non-stop pursuit over the past several years due to the implementation of several programs and task forces aimed at […]