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April 23, 2015
Healthcare Fraud
How Courts are Holding on ‘Worthless Services’ Allegations Under the False Claims Act
In yesterday’s post, we examined the emerging concept known as ‘worthless services’ within the context of the False Claims Act. Under the FCA, a defendant may face liability for intentionally submitting claims for reimbursement to Medicare or Medicaid that are known to be false or based on false information. On […]
April 22, 2015
Healthcare Fraud
Recognizing ‘Worthless Services’ Under the False Claims Act
When it comes to committing fraud against Medicare and Medicaid, there are a number of ways for doctors, hospitals, and medical companies to get around the rules. Some encourage billing specialists to “upcode” for higher reimbursement rates, essentially billing Medicare or Medicaid for services never rendered. Others, quite alarmingly, perform […]
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