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July 12, 2018 Healthcare Fraud

How to Report a Clinic for Healthcare Fraud

The state and federal governments pay hundreds of billions of dollars each year for pharmaceutical drugs, medical devices, hospital care, outpatient services, physician visits, and nursing home care. In making payments for these services, the government relies on clinics, companies, and individuals to abide by the law and submit accurate […]
July 2, 2018 Healthcare Fraud

What is Physical Therapy Medicare Fraud?

Physical therapy Medicare fraud is when a provider fraudulently bills Medicare for physical therapy services. This fraud can also extend to other types of therapy services for Medicare beneficiaries, such as occupational or speech therapy. This particular fraud has been the subject of several successful qui tam lawsuits: in 2016, […]
June 20, 2018 Healthcare Fraud

What is the Difference Between Fraud and Abuse?

The qui tam statutes permit whistleblowers to report companies engaged in either “fraud” or “abuse” directed against the United States to the government. If this information leads to a successful qui tam lawsuit, the whistleblower is eligible to receive a portion of any monetary recovery the government receives. Many states […]
June 15, 2018 Healthcare Fraud

Off-Label Marketing & The False Claims Act If There Is No Exact Evidence

Can you bring a False Claims Act case based on a drug company’s off-label marketing, even if you don’t have evidence that a particular doctor wrote a prescription to a Medicare or Medicaid patient based on the drug company’s marketing? Many drug reps are very disturbed to realize that their […]
April 18, 2018 Healthcare Fraud

Sleep Labs and False Claims Act Violations

The American Academy of Sleep Medicine (“AASM”) recognizes a number of different sleep disorders which, taken together, affect millions of Americans. Some of the most common disorders are insomnia, narcolepsy/excessive daytime sleepiness, restless leg syndrome, REM behavior disorders, and obstructive sleep apnea (“OSA”). In particular, OSA is when a patient’s […]
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