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January 21, 2014 General

Whistleblower Wins $3.26 Million After Pursuing Kickback Fraud Case

At the heart of medical ethics lies the presumption that patients should be able to choose their doctor, course of treatment, and medical care without outside influence by self-interested parties. This ethic guides an important policy prohibiting unlawful kickbacks between doctors and pharmaceutical companies, which is enforced under the False […]
January 20, 2014 General

South Florida Clinic to Pay for Using Unqualified Medical Personnel

The False Claims Act is drafted to prevent unlawful advancements of money from the federal government to contractors or entities doing business on behalf of federal programs. In recent years, one of the most frequent victims of fraud under the FCA is the Medicare program, which provides healthcare coverage for […]
January 17, 2014 General

Hospital Settles False Claims Act Case Alleging Improper Physician Salary Guarantees

Historically, the False Claims Act came about in response to improper claims for reimbursement under wartime defense contracts. However, the modern FCA is most often used to recover funds disbursed pursuant to unlawful invoices for healthcare services submitted to Medicare and Medicaid. In fact, healthcare fraud recovery is the largest […]
January 16, 2014 General

Top Five Areas of Fraud Against the Government

We regularly report on various breaking news stories covering settlements and verdicts under the False Claims Act. The FCA has consistently proven to be a pivotal tool for the U.S. government in tracking down the fraudulent misuse and waste of taxpayer dollars. Under the FCA, an individual may commence a […]
January 15, 2014 General

Florida Care Center Runs Afoul of Medicare Hospice Eligibility Rules

The Medicare and Medicaid system is administered through the payment of invoices submitted by healthcare providers. When submitting a claim to a government healthcare agency, it must be an honest amount for services actually rendered. The patient care cannot be the result of an unlawful kickback scheme and all care […]