Berger Montague PC Investigating Claims on Behalf of...
Investigation Deadline:
September 21, 2026
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September 7, 2015
General
Quest Diagnostics to Pay $1.79 Million to Settle Fraud Claims
Under the guidelines of Medicare Part B, enrollees are entitled to coverage for medically necessary and essential diagnostic services, including bloodwork, x-rays, and similar imaging examinations. If a provider fails to adhere to the Medicare guidelines, it could quickly face liability under the False Claims Act for unlawfully billing the […]
September 4, 2015
General
New York Attorney General Announces $8 Million Settlement Over Unlicensed Detox Programs
Following a lengthy investigation by both the state of New York’s Medicaid Fraud Control Unit and the U.S. Attorney’s Office for the Eastern District of New York, several medical corporations operating in the state have agreed to pay $8 million to settle allegations of fraud against Medicaid and Medicare. The […]
September 3, 2015
General
Nuances of Liability: Conditions of Payment vs. Conditions of Participation Under the False Claims Act
In yesterday’s post, we reviewed two concepts that often serve as the basis of a whistleblower’s complaint under the False Claims Act. The first is known as a condition of payment violation, which occurs when a provider knowingly submits a claim for reimbursement to Medicare or Medicaid in violation of […]
September 2, 2015
General
Understanding Conditions of Payment vs. Conditions of Participation
The False Claims Act is a unique and nuanced law that has been in effect since the 1800s. Since then, it has undergone several amendments and become an integral part of the government’s fight against wasteful healthcare and defense fraud. One of the most highly-contested issues within False Claims Act […]
September 1, 2015
General
District Court Offers Interpretation of “Identification” in Reverse False Claims Act Cases
As we have discussed in the past on this blog, the concept of “reverse false claims” has become more and more prevalent among False Claims Act cases. In general, a reverse false claim occurs when a government contractor, often a healthcare provider, receives overpayment for an otherwise legitimate invoice. Under […]featured investigations
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