One of the most common practices occurring within the context of healthcare fraud involves a process known as upcoding. When a doctor or nurse performs a medical service, that service corresponds to a universal set of codes used to prepare the patient’s bill. These codes are derived from a compilation […]
In yet another case involving unlawful patient referrals, Tenet Healthcare Corp. and four of its Southeast-area hospitals are facing allegations of misconduct under the False Claims Act. The False Claims Act has been extremely pivotal in bringing kickback schemes to light and continues to hold doctors, hospitals, and pharmaceutical professionals […]
When it comes to whistleblower provisions, the False Claims Act undoubtedly reigns as the most well-known, highly-publicized piece of legislation on the books today. However, there are several other industries enjoying similar anti-fraud protections and whistleblower provisions, including the commodities futures trading industry, protected by the lesser-known commodities futures trading […]
Two recent settlements under the False Claims Act reveal that not much has changed since the FCA got its start during the Civil War. Unethical defense contractors continue to exploit the U.S. defense budget by knowingly and intentionally billing for services, products, and goods that were either never delivered or […]
The False Claims Act was encacted during the Civil War era and has been used countless times over the years to combat fraud in military and defense contracts. Defense contractors are required to only submit invoices for payment or reimbursement for services actually rendered. If a contractor inflates, exaggerates, or […]