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Articles Posted in health care fraud law firm

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More Physicians Suspended From California’s Workers’ Comp System

In January 2018, the California Division of Workers’ Compensation (DWC) suspended 18 medical providers. These providers, many of whom are physicians, can no longer work in the state’s workers’ compensation system due to the loss of their medical license, criminal conduct, or fraud. DWC Require to Suspend Certain Providers AB…

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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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Medicare Fraud Spotlight: False Claims Act Lawyer on the Threat of Hospice Care Fraud

Anyone who has ever watched a loved one fight through the final stages of a terminal illness knows how important kindness is during these times.  Some of the kindest and most caring people in the world work with terminal patients and their families in hospice care settings.  On behalf of…

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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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Massive Settlement in Series of Cases Started by a Whistleblower Concerned About Health Care Fraud

As concerned citizens and as a health care fraud law firm, our team continues to be pleased with the terrific successes whistleblowers are having using the False Claims Act, Anti-Kickback Statute and related federal and state statutes to fight fraud in the medical field.   A major settlement announced this month…

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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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Looking at the State Side of Government Fraud Claims: Washington Examines its Medicaid Fraud False Claims Act

Last week, we looked at the recoveries made on behalf of the federal government using the False Claims Act (“FCA”) in 2015.  While informative, those numbers don’t tell the whole story.  Many states have their own versions of the FCA.  These statutes are particularly important in the Medicaid fraud arena…

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Health Care Fraud Attorney on the Importance of Treating Patients as Individuals with Individual Needs

It’s something you learn in preschool, but sometimes it seems like a lesson modern medicine has forgotten – Everybody is unique (and that’s a good thing!).  Medicine should be tailored to individual patient’s needs; after all, that’s why we go to the doctor individually rather than showing up with thirty…

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