False Claims Authorities Take Aim at Tennessee Mental Health Facility Caught Upcoding

One of the most common practices occurring within the context of healthcare fraud involves a process known as upcoding. When a doctor or nurse performs a medical service, that service corresponds to a universal set of codes used to prepare the patient’s bill. These codes are derived from a compilation […]

Teva Pharmaceuticals Reveals Potential False Claims Act Liability in FY 2013 Report

Teva Pharmaceuticals, an Israeli-based drug maker, is at the mercy of the U.S. Department of Justice after allegations of False Claims Act violations surfaced late last year. The company is highly-respected for its Multiple Sclerosis and Parkinson’s Disease drugs, but has unfortunately been met with a subpoena for records pertaining […]

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 […]

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 […]

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 […]