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Lessons from a False Claims Act Ruling on Medicare Pricing and the “Usual and Customary” Price

We pride ourselves on our work helping whistleblowers bring claims pursuant to the False Claims Act.  As a False Claims Act law firm, we have specialized knowledge of this complex piece of legislation that empowers individuals to bring fraud claims on behalf of the government.  A ruling from a federal…

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Charges in an Allegedly Massive Scheme Highlight the Danger of Medicare Fraud

Is Medicare fraud really that big of a problem?  After all, doesn’t fraud exist in almost every sector of the economy?  Why focus so much energy on one issue?  As recently filed charges in one case show, Medicare fraud is an enormous problem that costs our government billions of dollars…

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Trends in False Claims Act Litigation: Individual Liability

Regular readers of this blog know that part of what makes the False Claims Act such a powerful tool is its qui tam provision which allows individuals to bring claims for repayment on the government’s behalf.  This is important because the government cannot police every single claim it pays and…

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Using the False Claims Act to Protect Funds for Cancer Patients

Cancer.  Rarely can one word strike so much fear.  We have come so far in both cancer prevention and cancer treatment; yet we also have so much farther to go before we can truly say we’ve triumphed over this massive beast.  One major challenge is the cost of treating cancer. …

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Another Major Settlement in a Pharmaceutical Industry Health Care Fraud Case

We can tell you that the False Claims Act is a powerful tool for fighting the growing epidemic of health care fraud in the United States.  We prefer, however, to show you by citing some of the biggest verdicts and settlements in the field.  This week, we highlight a settlement…

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The Implied Certification Debate: A Major Issue in False Claims Act Litigation Pending Before the U.S. Supreme Court

Last year, our health care fraud whistleblowers’ law firm reported on an important issue in the False Claims Act arena: implied certification.  The implied certification theory has the potential to be a powerful tool in the fight against fraud and, when we last discussed the topic, the Fourth Circuit Court…

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The False Claims Act and the Health Care Fraud Fight in 2016

The False Claims Act (“FCA” or “the Act”) is one of the most important tools we have in the fight against health care fraud and other frauds on the federal government. When an organization or individual knowingly takes more money from the government than the law allows or otherwise submits…

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False Claims FAQ, Part One: Coverage and the Qui Tam Provision

On a regular basis, we use this blog to discuss health care fraud, government contracts fraud, and a range of related issues that fall under the False Claims Act and similar pieces of legislation.  In a two-part post, our government fraud whistleblower’s law firm is taking a step back to…

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Cheat the System, Pay the Price: Pursuing Those Who Knowingly Violate Medicare Rules

There are few topics that will get people talking (and, inevitably, complaining) like health insurance.  The truth of the matter is that, in order to function efficiently and provide the best possible care to the largest possible audience, health insurance companies must have rules and guidelines.  Perhaps the context where…

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Using the False Claims Act to Hold Financial Institutions Accountable for the Mortgage Crisis

Mortgage lending may not be in the spotlight in 2015 to the same degree it was a few years ago, but it remains an important element of our economy and mortgage fraud was partially responsible for the recession that rocked the globe in the first decade of the millennium.  Although…

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