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October 1, 2013
Healthcare Fraud
Third-Party Diagnostic Service Provider Found Engaging in Billing Fraud
Medical billing fraud occurs when a healthcare provider submits invoices to federal healthcare reimbursement programs, such as Medicare or Medicaid, for services either never rendered or for more costly services than those actually rendered. Sometimes, as in the case described below, a medical facility outsources part of its processes to […]
September 30, 2013
Uncategorized
More Details Emerge in Trial Against Bank of America
As we reported earlier last week, the trial has begun against Bank of America regarding allegations of impropriety surrounding the underwriting and approval processes for sub-prime loans – the processes that contributed to the massive housing market meltdown. On Thursday of last week, a former Bank of America executive testified […]
September 27, 2013
Uncategorized
Proposed Bill Could Potentially Weaken Healthcare Fraud-Based Whistleblower Claims
Federal and state officials have uncovered billions of dollars in healthcare fraud under the False Claims Act. This statute allows for private citizens, known as qui tam plaintiffs, to sue as whistleblowers on behalf of the federal government. A qui tam a action is designed to not only help the […]
September 26, 2013
False Claims Act Legal News
Wells Fargo Unsuccessful in its Attempt to Dismiss the DOJ’s Fraud Claims
In terms of market value, Wells Fargo is currently the largest financial institution in the world. In light of its size and the great number of people it serves, it becomes especially alarming when allegations of wrongdoing arise. U.S. District Judge Jesse Furman of Manhattan issued an order allowing the […]
September 25, 2013
Healthcare Fraud
Oncologist Accused of Shocking Acts of Medical Fraud
In one of the most shocking cases of Medicaid and Medicare fraud to date, a Michigan-area cancer doctor is accused of a $35 million billing scheme involving claims of intentional misdiagnoses, unnecessary cancer treatments and violations of the naturalization process. In its original August 6th filing, the Department of Justice […]
September 24, 2013
Healthcare Fraud
Renowned Hospital Group to Pay $26 Million in Penalties
Shands HealthCare, located in Florida and connected with the University of Florida’s College of Medicine, will reportedly pay over $26 million in fines and penalties to the United States government pursuant to its recent settlement of claims under the False Claims Act. Shands is comprised of six prominent hospitals in […]
September 23, 2013
Healthcare Fraud
District Court Holds Medical Billing Company Liable for Fraudulent Compensation Claims
Many of our recent posts relating to fraudulent billing practices have involved claims against healthcare institutions accused of perpetuating fraud in Medicare and Medicaid billing. However, a recent case out of Northern California highlights a growing trend in workers’ compensation fraud – or, the submission of invoices and bills to […]
September 20, 2013
False Claims Act Legal News
U.S. District Court Decides to Overrule Fraudulent Mortgagor’s Motion to Dismiss….In Part
The aftermath of America’s 2008 housing crisis is wrought with allegations against banks and financial institutions that haveengaged in risky and fraudulent lending practices. In one whistleblower case filed in 2011, a former employee of Allied Home Mortgage Capital Corporation alleged that the company engaged in the fraudulent sale of […]
September 19, 2013
False Claims Act Legal News
Whistleblower Asks Ninth Circuit to Reinstate Him as Relator
We reported earlier this month about a $19 million settlement in a case involving the submission of fraudulent overtime work hours under a contract for environmental clean-up. The settlement covered both the civil and criminal sanctions against CH2M Hill Hanford Group Inc. As explained in further detail in this article, […]
September 17, 2013
False Claims Act Legal News
Dismissal by the Fifth Circuit Court of Appeals Shows Need for Strong Qui Tam Attorney
When reporting a case of potential fraud against the United States by private contractors, the following report showcases the importance of choosing an experienced whistleblower attorney like those of Berger and Montague. Moreover, working with a competent whistleblower attorney through the pleadings process can significantly reduce your chances of facing […]
September 11, 2013
False Claims Act Legal News
Emory University to Repay $1.5 Million Following Exposure of Fraudulent Billing Practices
In whistleblower lawsuits, individuals often reveal the dark underworld of billing schemes, theft and deceit – frequently involving organizations appearing on the surface to focus on good works and helping others. As we see more and more healthcare fraud, so comes the exposure of places like university teaching hospitals engaging […]
September 10, 2013
Healthcare Fraud
Wyeth Pharmaceuticals Ordered to Pay Whopping Half-Billion Dollar Settlement
The U.S. Food and Drug Administration (FDA) is tasked with regulating the tens of thousands prescription and over-the-counter drugs we consume each year. Unfortunately, drug manufacturers illegally markets its drug for uses outside its approved use in an attempt to boost sales and pad the bottom line. Such is the […]
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