In a decision that shows the courts take whistleblower allegations very seriously, the Ninth Circuit Court of Appeals (the “Ninth Circuit”) has revived a whistleblower lawsuit that was dismissed at the district level in 2015. The suit, U.S. ex. rel. Campie…
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False Claims Act, Fraud, Medicaid, Medicare, Qui Tam, qui tam lawsuit, whistleblower lawsuit
Medicaid fraud is widespread and instances of Utah Medicaid fraud are, unfortunately, not uncommon. Through the federal False Claims Act (“FCA”), the government has put a structure in place to help federal authorities and states, like Utah, uncover Medicaid fraud…
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False Claims Act, Medicaid, Utah, Utah medicaid Fraud, Whistleblower
A health care lawsuit brought by two whistleblowers against a hospice company has settled for $2.4 million. The lawsuit alleged that the company had paid kickbacks to doctors for patient referrals and had also falsely billed Medicaid and Medicare. According…
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health care lawsuit, Healthcare Fraud, Medicaid, medical fraud, Medicare, Qui Tam, qui tam lawsuit, Whistleblower
In any industry, there are unscrupulous people who try to defraud companies and individuals – and healthcare fraud is no exception. Medicare and Medicaid fraud is particularly troublesome because this type of healthcare fraud can cost Federal health care programs…
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Healthcare Fraud, Medicaid, medical fraud, Medicare, Whistleblower, whistleblower attorney
The U.S. Justice Department recovered over $4.7 billion in 2016 from cases brought under the False Claims Act (FCA). Of that amount, $2.9 billion – 60% – was recovered through cases begun by whistleblowers. These results show how successful an…
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False Claims Act, Fraud, Healthcare Fraud, Medicaid, Medicare, Whistleblower, whistleblower attorney
The Department of Justice (“DOJ”) announced yesterday that “[a] major U.S. hospital chain, Tenet Healthcare Corporation, and two of its Atlanta-area subsidiaries will pay over $513 million to resolve criminal charges and civil claims relating to a scheme to defraud…
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False Claims Act, Healthcare Fraud, Medicaid, Medicare, Qui Tam, Whistleblower, whistleblower attorney, Whistleblower award
Medicaid fraud is not a victimless crime: it costs states billions of dollars every year, siphoning off taxpayer monies that could be used to provide legitimate health care services to people who need those services. Some types of Medicaid fraud…
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As health care enrollments under the Affordable Care Act increase each year, the potential for healthcare waste, fraud and abuse has also increased. To deter heathcare fraud, the government has whistleblower laws to protect individuals who reveal wrongdoing, especially within…
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False Claims Act, Medicaid, medical fraud, Medicare, Qui Tam, Whistleblower, whistleblower attorney, Whistleblower protection