On its website, Bayada Home Health Care urges its employees to “do the right thing.” Three former employees believe they’ve done just that by filing a whistleblower lawsuit that accuses Bayada of fraudulent Medicare billing.Though all three signed...
Month: September 2018
Whistleblower says pharmacy engaged in wrongful ‘swapping’
There is a difference in how government health care programs reimburse health care providers for Medicare Part A services as compared to Part B and Part D Medicare services. Some commentators believe that the different arrangements tempt some health care providers to...
Judge rules Wisconsin’s transgender care denial is sex discrimination
A federal judge recently ruled that Wisconsin’s exclusion of health insurance coverage for medically necessary gender reassignment surgery violates the federal Civil Rights Act. U.S. District Judge William Conley said the denial of coverage for two University of...
Rehab services provider settles whistleblower suit over kickbacks
Creating unfair incentives to bring in business in the health industry may be the basis for a claim under the False Claims Act. Improper contracts may come in a variety of forms. Kickback schemes and similar inducements to increase revenues from Medicare or Medicaid...
Appeals court reinstates FMLA interference, retaliation case
If you go to the Department of Labor’s Milwaukee office and ask, you’ll find that when an employee returns from leave under the Family and Medical Leave Act, “he or she must be restored to the same job or to an ‘equivalent...
Dermatology Services Provider Settles Whistleblower Claim For $4M
Health care fraud costs taxpayers an exorbitant amount of money. The federal government, however, does not always detect fraudulent practices in processing Medicare, Medicaid, Tricare and similar reimbursement invoices from health care providers nationwide. Many...
Special Counsel: Interior Dept. whistleblower wrongfully fired
Six years ago, a Department of the Interior employee reported to his supervisors that the federal department had violated the National Environmental Policy Act in order to make it easier for Arctic Ocean oil exploration. When Jeffrey Missal's supervisors showed little...
Lawmakers across the nation accused of sexual misconduct
The problem has spread from coast to coast, across the heartland and from north to south. Sexual misconduct in the workplace is a nationwide problem that affects people of any age in any industry. Many expect that lawmakers will put new protections into place that...