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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 26, 2018 False Claims Act Information

Chicago False Claims Act

The Chicago False Claims Act allows whistleblowers to bring a qui tam lawsuit in the name of the City of Chicago if he or she has information related to fraud, waste, and abuse being perpetrated on the local government.  Chicago False Claims Act Liability Under the Chicago False Claims Act, […]
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 19, 2018 False Claims Act Information

The California Insurance Fraud Prevention Act

The California Insurance Fraud Prevention Act is a very unique and powerful law that qui tam whistleblowers can use to recover substantial funds for fraud committed against insurance companies in California. It is unique because it allows private whistleblowers to recover funds for fraud committed against private insurers. It is […]
June 18, 2018 False Claims Act Information

Delaware False Claims Act

Reporting Fraud Under the Delaware False Claims Act Before July 16, 2009, only an “affected person” could bring a False Claims Act action under the Delaware False Claims Act (“Delaware FCA”). The Delaware FCA defined “affected person” as a labor organization or a current or former employee of a person […]
June 18, 2018 False Claims Act Information

Rhode Island False Claims Act

What is the Rhode Island False Claims Act? The Rhode Island False Claims Act is modeled after the federal False Claims Act and allows individuals with information related to fraud, waste, and abuse being perpetrated on the Rhode Island government to file a lawsuit on behalf of the government. Rhode Island False […]
June 15, 2018 False Claims Act Information

Georgia Taxpayer Protection False Claims Act

In 2012, the State of Georgia adopted the Georgia Taxpayer Protection False Claims Act (“Georgia Taxpayer Protection FCA”), its own version of the federal False Claims Act (“FCA”). The Georgia Taxpayer Protection FCA allows private individuals, known as qui tam whistleblowers, who know about fraud to bring a lawsuit against a […]
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 […]
June 15, 2018 False Claims Act Information

Iowa False Claims Act

In 2010, the State of Iowa passed the Iowa False Claims Act (“Iowa FCA”), its own version of the federal False Claims Act (“FCA”). The Iowa FCA allows people who know about fraud to bring a qui tam case against a person or entity for submitting or causing the submission of false […]
June 14, 2018 False Claims Act Information

Louisiana False Claims Act

The Louisiana Medical Assistance Programs Integrity Law (“Louisiana FCA”) is the State of Louisiana’s version of the federal False Claims Act (“FCA”). The Louisiana FCA allows private individuals who know about fraud against Louisiana’s medical assistance programs to bring a qui tam case against a person or entity for submitting or causing […]
June 14, 2018 False Claims Act Information

Colorado Medicaid False Claims Act

In 2010, the State of Colorado adopted the Colorado Medicaid False Claims Act (“Colorado Medicaid FCA”), its own version of the federal False Claims Act (“FCA”). The Colorado Medicaid FCA allows private individuals who know about Medicaid fraud to bring a qui tam case against a person or entity for submitting or […]
June 14, 2018 False Claims Act Information

Connecticut False Claims Act

In 2009, the State of Connecticut adopted the Connecticut False Claims Act (“Connecticut FCA”), its own version of the federal False Claims Act (“FCA”). The Connecticut FCA allows private individuals who know about fraud to bring a qui tam case against a person or entity for submitting or causing the submission of […]
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