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Whistle-Blower Claims Archives

ER doctors blow the whistle on health care fraud

The legal journey began when two emergency room doctors became aware of a scheme by a major hospital chain and a pair of physicians groups to defraud taxpayers of millions of dollars. Though it is never easy to buck the system, the two doctors listened to their consciences and filed a whistleblower lawsuit against the physicians groups.

Social Security fraudster captured in Honduras

Social Security Disability is one of the nation's most important safety nets, offering financial assistance and medical care to workers who are prevented from continuing their careers by injury or illness. When someone defrauds the Social Security Disability benefits system, it hurts all of us, but most especially taxpayers and those with disabilities.

Company Faces Whistleblower Suit Over Medical Billing Software

We have reported previously about the enormous drain that health care fraud places on tax dollars and the adverse impact fraud may have on healthcare costs. Whistleblowers are a vital resource in discovering fraud in government contracts. The False Claims Act allows individuals to file a lawsuit in federal court to help recover taxpayer money. For their involvement, whistleblowers are entitled to a percentage of any money recovered through settlement or verdict in court. Whistleblowers often work in mid-level jobs and notice some kind of anomaly that may involve fraud.

DOJ says mom and pop health care company committed Medicare fraud

Companies of all sizes may engage in business connected to government contracts. It is not only large, multi-national corporations that seek reimbursements for providing health care services or goods. The Department of Justice announced earlier this month that it is joining a lawsuit filed against a husband and wife team who allegedly ran a dramatic scheme to overbill Medicare for services through a process commonly referred to as "upcoding," according to the Chicago Tribune.

Whistleblower To Receive More Than $1M In Opioid Scheme Lawsuit

The opioid epidemic has attracted nationwide attention. The Wisconsin Department of Health says that opioid overdoses took more lives than car accidents in 2015. While public officials in Wisconsin and nationwide continue to look for ways to get control over opioid abuse, the Department of Justice recently reached a partial settlement in a whistleblower lawsuit that centered around promoting opioid use. The overall lawsuit remains under seal as other defendants were not part of the recent settlement, according to the DOJ.

The sound of justice: A whistleblower lawsuit

Millions of Americans depend on Medicaid for health coverage. Benefits help eligible low-income adults, children, the elderly, pregnant women and people with disabilities. Unfortunately, the joint federal and state program is often targeted by unscrupulous operators eager for a slice of Medicaid's more than $300 billion budget.

Laser eye surgery company settles whistleblower lawsuit

Dog and pony shows are not the only corporate form of seeking new business. Corporate events may go beyond generic glad-handing to attract new business. A former executive of an international medical device and medical service organization brought forward evidence that the eye care company was offering doctors lavish vacations to entice them to direct traffic to the business, according to The National Law Review.

Whistleblower's reward for stopping fraud: $2.9 million

When he filed his whistleblower lawsuit, Vladimir Trakhter was not a high-powered executive privy to inside information about former employer Olympia Therapy Inc. He was a physical therapist assistant at the Ohio health care company back in 2008 when he began noticing disturbing behavior: the company was submitting claims to Medicare for rehabilitation therapy services that patients did not need.

Hospice Firm Settles Medicare Fraud Lawsuit Founded on Kickbacks

Since 1983, Medicare has provided benefits for eligible terminally ill patients under The Medicare Hospice Benefit program, according to the National Hospice and Palliative Care Organization. The use of these services has increased in recent years, with Medicare reimbursements for hospice care exceeding $15 billion in 2015.

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