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January 27, 2014 Healthcare Fraud

False Claims Act Allegations Result in Settlement Involving Ambulance Provider

According to statistics, the False Claims Act is integral in punishing healthcare fraud involving Medicare and Medicaid. While these cases often involve fraud by physicians’ offices or pharmaceutical companies, the FCA covers any situation involving reimbursement of a claim through a federal healthcare agency. If any person or entity submits […]
January 23, 2014 Healthcare Fraud

Novartis Pharmaceuticals Facing Healthcare Fraud Claims

As we have discussed in previous posts, the U.S. government has taken a hardline approach against unlawful kickback schemes within the healthcare industry. The government continues to prosecute companies found to be engaging in these schemes and continually reiterates its position that “[i]nvestigations such as these are a high priority […]
January 22, 2014 Healthcare Fraud

Highest-Grossing False Claims Act Cases of 2013

In Fiscal Year 2013, the False Claims Act recovered $3.8 billion in judgments and settlements – the highest amount ever in a single year. Many of these cases involved healthcare fraud; however, some interesting cases revealed that fraud can abound in virtually any area or industry. The following lists the […]
January 21, 2014 Healthcare Fraud

Whistleblower Wins $3.26 Million After Pursuing Kickback Fraud Case

At the heart of medical ethics lies the presumption that patients should be able to choose their doctor, course of treatment, and medical care without outside influence by self-interested parties. This ethic guides an important policy prohibiting unlawful kickbacks between doctors and pharmaceutical companies, which is enforced under the False […]
January 20, 2014 Healthcare Fraud

South Florida Clinic to Pay for Using Unqualified Medical Personnel

The False Claims Act is drafted to prevent unlawful advancements of money from the federal government to contractors or entities doing business on behalf of federal programs. In recent years, one of the most frequent victims of fraud under the FCA is the Medicare program, which provides healthcare coverage for […]
January 17, 2014 Healthcare Fraud

Hospital Settles False Claims Act Case Alleging Improper Physician Salary Guarantees

Historically, the False Claims Act came about in response to improper claims for reimbursement under wartime defense contracts. However, the modern FCA is most often used to recover funds disbursed pursuant to unlawful invoices for healthcare services submitted to Medicare and Medicaid. In fact, healthcare fraud recovery is the largest […]
January 16, 2014 False Claims Act Information

Top Five Areas of Fraud Against the Government

We regularly report on various breaking news stories covering settlements and verdicts under the False Claims Act. The FCA has consistently proven to be a pivotal tool for the U.S. government in tracking down the fraudulent misuse and waste of taxpayer dollars. Under the FCA, an individual may commence a […]
January 15, 2014 Healthcare Fraud

Florida Care Center Runs Afoul of Medicare Hospice Eligibility Rules

The Medicare and Medicaid system is administered through the payment of invoices submitted by healthcare providers. When submitting a claim to a government healthcare agency, it must be an honest amount for services actually rendered. The patient care cannot be the result of an unlawful kickback scheme and all care […]
January 14, 2014 Mortgage Fraud

Federal Court Considers Bank of America’s Motion to Dismiss in Mortgage Insurance Fraud

Bank of America is facing yet another potential whistleblower lawsuit, and recently motioned the federal district court in California to dismiss the case. Many of Bank of America’s struggles stem from the 2008 economic crisis caused by the housing bubble burst. At the center of it all, along with a […]
January 13, 2014 False Claims Act Legal News

Abbott Laboratories Settles Yet Another Set of False Claims Act Allegations

Abbott Laboratories is a well-known, repeat offender of rules and regulations enforced by the federal False Claims Act (“FCA”). The FCA prohibits those in the medical industry from submitting claims to any government healthcare agency if those claims were derived improperly. Improper claims could include those from patients retained through […]
January 10, 2014 False Claims Act Legal News

Atlanta-Based Mortgage Loan Fraud Case Finally Settles After Seven Years

The ripple effect of the 2008  housing bubble burst continues to reveal the true gravity of the extent to which mortgage lenders were involved in fraudulent dealings with borrowers and the government. Mortgage loan fraud is an enormous problem, hurting the poor and the braoder economy.  The False Claims Act […]
January 8, 2014 Military Contractor Fraud

Federal Judge Forces Parties in Nine-Year Military Contractor Fraud Case to Move Forward

In some cases involving the False Claims Act (“FCA”), extensive discovery requests, procedural strategy and legal maneuvering cause unnecessary delays often resulting in years of litigation. While this is not necessarily the norm in every FCA case, it was certainly true in the government’s FCA case against Science International Applications […]
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