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February 12, 2014 Healthcare Fraud

Proposed Rule Centers on Medicare Overpayment

We often report on the widespread epidemic of healthcare fraud within the United States, particularly occurring in conjunction with Medicare and Medicaid patients. These cases often involve healthcare facilities that engage in unethical kickback or referral schemes in order to increase profits and incentivize doctors to use a certain lab […]
February 11, 2014 Military Contractor Fraud

U.S. Government Intervenes in Military False Claims Case

The United States government has opted to intervene in a controversial case involving several defense contractors. The case was originally filed under the whistleblower provisions of the False Claims Act and, after an intense review, the government has stepped in and filed its own complaint. By intervening in this case, […]
February 10, 2014 Pension Fraud

Pension Scam in New York Results in Several Indictments Against Former NYPD Officers

As we have reported in the past, many states maintain legislation on the books to combat false claims for state money, akin to the False Claims Act, which combats false claims for federal money. With regard to healthcare fraud, these cases often invoke both federal and state laws as programs […]
February 7, 2014 Environmental Fraud

GE Hitachi Settles False Claims Act Case Involving Nuclear Energy

The False Claims Act has proven useful in helping to promote honesty across several industries. While most often used within the healthcare fraud context, the FCA was recently employed against technology and energy giant GE Hitachi with regard to false statements and misrepresentations made pursuant to securing a grant from […]
February 6, 2014 Healthcare Fraud

Department of Justice to Intervene in Eight False Claims Act Lawsuits

For those who may be unfamiliar with the procedural jumpstart of a False Claims Act lawsuit, these cases are filed by an individual plaintiff who has firsthand, original knowledge of facts tending to suggest fraud. Plaintiffs are usually current or former employees, but can also be customers, clients, or patients […]
February 5, 2014 Military Contractor Fraud

Fourth Circuit Orders $24 Million False Claims Act Verdict Despite No Damages Proven

The U.S. Constitution prohibits the imposition of excessive civil fines and penalties. In general, the civil side of the law is concerned with making plaintiffs “whole” again and restoring the (financially) damaged party to the place it would have been in but for the defendant’s action or inaction. Civil verdicts […]
February 4, 2014 False Claims Act Information

The False Claims Act: A State Perspective

The federal False Claims Act, which has been around since the Civil War era, receives plentiful coverage through the media and blogosphere. However, few people realize that a majority of U.S. states have enacted similar or identical legislation to protect their citizens from fraud on the local level. It is […]
February 3, 2014 Healthcare Fraud

South Florida Senior Citizens Work to Stop Medicare Fraud

Fraud against Medicare and Medicaid is a growing problem that cost U.S. taxpayers over $68 billion last year. Amid growing concerns about this crime, Florida’s senior population has decided to band together in order to patrol and deter this type of misconduct. The False Claims Act is routinely implemented in […]
January 31, 2014 False Claims Act Legal News

United States Intervenes in Whistleblower Lawsuit Alleging Improper Background Checks

The United States Department of Justice opted to intervene in a whistleblower case, filed in 2011, alleging faulty background checks performed by a private government contractor, United States Investigations Services, LLC (USIS). In the original whistleblower complaint, filed by former USIS employee Blake Percival, allegations suggest that USIS failed to […]
January 30, 2014 False Claims Act Legal News

New York City Settles Medicaid Fraud Allegations

The False Claims Act is designed, in part, to protect taxpayers from paying for services reimbursed by Medicare or Medicaid that either did not take place or did not conform to Medicaid and Medicare guidelines. One common example of non-conformation involves submission of claims for medical services performed by a […]
January 29, 2014 Healthcare Fraud

Nationwide Physical Therapy Providers Found to Be in Violation of the False Claims Act

When a medical services provider agrees to work with patients receiving Medicare or Medicaid, it must abide by certain guidelines and rules with regard to the services offered to that patient. Of course, medical services must meet industry standards and be performed by a licensed physician. In addition, Medicare or […]
January 28, 2014 SEC Fraud

The Threat of Securities Fraud: A Global Perspective

In recent years, Congress expressed interest in mimicking the federal False Claims Act in an effort to identify, punish, and deter acts of fraud against taxpayers, investors, and the federal government as a whole in other areas. As a result, the 2010 Dodd Frank Act, which was drafted to implement […]
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