July 2, 2015
Healthcare Fraud
Florida is one of the top retirement havens in the United States. Accordingly, it is one of just a handful of areas specifically targeted by Medicare fraud task forces, as the potential for scams and misconduct is congruently heightened by the increasing elderly population. In today’s post, we review a […]
July 1, 2015
Healthcare Fraud
In a recent settlement between the Department of Justice and a Florida cosmetic surgeon, the latter has agreed to pay $4 million to settle expansive allegations of Medicare fraud.[1. Department of Justice Press Release, “Florida Physician Agrees to Pay $4 Million and To Accept a 5-Year Exclusion From Medicare to Resolve […]
June 30, 2015
Healthcare Fraud
When reimbursing for prescription medication, agencies like Medicare and Medicaid are only permitted to pay claims for drugs that are prescribed for their approved use. When a doctor or pharmaceutical company prescribes or promotes a drug for an unapproved use, subsequent invoices for reimbursement could trigger False Claims Act liability.
June 29, 2015
Healthcare Fraud
In a small but mighty settlement against an experienced Connecticut physician, the Department of Justice recently exposed significant fraud and upcoding schemes within a Ridgefield office specializing in geriatric care. The physician, who has been practicing medicine for over 40 years, is alleged to have instructed his staff and billing […]
June 24, 2015
Healthcare Fraud
Following a lengthy False Claims Act investigation by the Department of Justice and Department of Health and Human Services, a New Jersey health network has agreed to pay $3.6 million to settle allegations it unlawfully billed Medicare and Medicaid for various unnecessary or underperformed procedures. Healthcare providers are only permitted […]
June 23, 2015
Healthcare Fraud
The federal and state governments expend billions of dollars annually to ensure this nation’s older and impoverished citizens have access to proper and affordable medical care through Medicare and Medicaid. In return, the government relies upon practitioners and healthcare companies to offer the lowest possible rates and fairest prices for […]
June 22, 2015
Healthcare Fraud
Under the False Claims Act, it is considered unlawful for businesses or practitioners engaged in the healthcare field to engage in incentivized financial relationships with one another. The concept, often referred to as an illegal kickback, is considered unlawful due to the ‘taint’ it places on the doctor-patient or manufacturer-consumer […]
June 19, 2015
Contractor Fraud
Over the past several months, we have steadily reported on the plight of Texas-based Trinity Industries, manufacturer of – among other things – guardrails for installation on roadways across the United States. Pursuant to a lucrative contract with the National Highway Traffic Safety Administration (NHTSA), the company was tasked with […]
June 18, 2015
Medicaid Fraud
Healthcare fraud cases are not limited solely to medical doctors. Misconduct among dentists and oral surgeons is also a major issue plaguing government-funded healthcare programs. In today’s case, we review a recent instance of healthcare fraud involving an Atlanta-area dentist alleged to have submitted false claims to Medicaid for procedures […]
June 17, 2015
Military Contractor Fraud
In yesterday’s post, we reviewed the arguments presented to the U.S. Supreme Court both for and against the applicability of the Wartime Suspension of Limitations Act (WSLA), which works to extend statutes of limitations in times of war. The case involved allegations against Kellogg Brown & Root by a False […]
June 16, 2015
Military Contractor Fraud
Over the past two years, we have monitored the procedural milestones of a closely-watched False Claims Act case involving the global defense contractor Kellogg Brown & Root Services, Inc. Based in Houston, Texas, the firm provides logistical support and engineering services to both private companies and the federal government, including […]
June 15, 2015
Contractor Fraud
While healthcare fraud continues to remain one of the top issues facing the federal government’s H.E.A.T. task force, fraud involving technology and government contracting also sits atop the list of major affronts to taxpayers and government budgets. Just recently, the U.S. Department of Justice announced a $9 million settlement with […]