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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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August 11, 2015
General
Emerging Fraud Trends: The Rise of Balance Billing
At Berger Montague, we strive to keep on top of the latest emerging trends in the fraud landscape, particularly when the misconduct drives up the costs of healthcare for policyholders and taxpayers alike. Over the next two posts, we will examine an emerging fraud trend known as “balance billing,” which […]
August 10, 2015
General
Judge Orders Near-Maximum Whistleblower Reward; Cites ‘Indispensable Contribution’
One of the key components of the success of the False Claims Act is its ability to incentivize whistleblowers to come forward by offering up to 30 percent of the total settlement in some cases. In today’s post, we examine an interesting holding by the U.S. District Court for the […]
August 7, 2015
General
False Claims Act Lawsuit Settled Against South Carolina’s Covan World Wide Movers, Inc.
False claims occur in virtually every aspect of federal contract work. In today’s case, we look at a recent multi-faceted settlement, the details of which have been ongoing for most of 2015, involving relocation services for U.S. military members. The case was brought to light by several employees of the […]
August 6, 2015
General
OIG Raises Concerns Over Possible Abuse of Controlled Substances Within Medicare Part D
In yesterday’s post, we introduced a possible correlation between the growth of Medicare spending on highly-addictive prescription drugs and potential Medicare fraud by wayward retail pharmacies. As a bit of review, spending for Medicare Part D administration has increased 136 percent overall since 2006. However, spending for opioids – including […]
August 5, 2015
General
New Report Highlights Growing Trend of Medicare Part D Fraud & Opioid Abuse
Over the next two posts, we will examine a recent report published by the Office of Inspector General, along with the U.S. Department of Health and Human Services. In the report, which is entitled “Questionable Billing and Geographic Hotspots Point to Potential Fraud and Abuse in Medicare Part D,” authorities […]
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