The United States Department of Justice opted to intervene in a whistleblower case, filed in 2011, alleging faulty background checks performed by a private government contractor, United States Investigations Services, LLC (USIS). In the original whistleblower complaint, filed by former USIS employee Blake Percival, allegations suggest that USIS failed to […]
The False Claims Act is designed, in part, to protect taxpayers from paying for services reimbursed by Medicare or Medicaid that either did not take place or did not conform to Medicaid and Medicare guidelines. One common example of non-conformation involves submission of claims for medical services performed by a […]
When a medical services provider agrees to work with patients receiving Medicare or Medicaid, it must abide by certain guidelines and rules with regard to the services offered to that patient. Of course, medical services must meet industry standards and be performed by a licensed physician. In addition, Medicare or […]
In recent years, Congress expressed interest in mimicking the federal False Claims Act in an effort to identify, punish, and deter acts of fraud against taxpayers, investors, and the federal government as a whole in other areas. As a result, the 2010 Dodd Frank Act, which was drafted to implement […]
According to statistics, the False Claims Act is integral in punishing healthcare fraud involving Medicare and Medicaid. While these cases often involve fraud by physicians’ offices or pharmaceutical companies, the FCA covers any situation involving reimbursement of a claim through a federal healthcare agency. If any person or entity submits […]