Articles Tagged with bay area fraud

david-kennedy-412640-unsplash-copy-240x300Nearly every lawsuit or legal action has a statute of limitations. A statute of limitations is the time limit within which the plaintiff, or person filing the lawsuit, can file a claim. Personal injury lawsuits in California have a statute of limitations of two years. Even criminal cases have a statute of limitations, although these will vary depending on the type of crime committed.

When a whistleblower learns of wrongdoing, he or she also has the right to file a lawsuit, although these are different from personal injury or criminal lawsuits, even though criminal charges and damages could result from them. This has many wondering whether or not there is a statute of limitations on qui tam lawsuits. If there is, has that statute already run out?

The Federal False Claims Act

Health Care Fraud is commonly known by other names such as health insurance fraud, medical billing fraud, health insurance fraud and Medi-Cal Fraud. The complicated and confusing bureaucracy associated with the payment process has lead to authorities accusing innocent providers and beneficiaries of health care fraud. In many instances these are just the result of honest mistakes.

Common Examples of Fraudulent Conduct

Health Care Fraud is an intentional attempt by some providers, and in some cases beneficiaries, to receive unauthorized payments or benefits from the program. This fraud can take many forms, but the most common instances involve knowingly billing for services not performed, billing for more expensive services than the ones the patient actually received (known as “upcoding”), providers billing for the care of more beneficiaries than they can actually serve, and submitting a second duplicate claim for services already paid for. ecoli