Unproven Promotion and Performance of Stem Cell Treatments
In October 2015 the FDA issued the following fraud warning on stem cell therapies: FDA has not approved any stem cell-based products for use, other…
Read More »Medicare Fraud 101
Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective
Contact FormIndependent Diagnostic Testing Facilities Fraud
An Independent Diagnostic Testing Facilities (IDTF) is a facility that is separate and independent from a hospital or physician office, where patients go to obtain…
Read More »Hospitals’ Stark Law Violations Typically Involve Multiple Medical Groups and Specialties
The physician self-referral law, or Stark Law, generally forbids a hospital from billing Medicare for certain services referred by physicians who have a financial relationship…
Read More »Relators Receive Nearly $24 Million Reward for Exposing Alleged Kindred Healthcare Fraud
In January 2016, Kindred Healthcare and its subsidy Rehab Group agreed to pay the federal government $125 million to resolve allegations that they knowingly causing…
Read More »Our Reflection on 2015
Our law firm desires to positively impact patient care through our courageous clients, expose wrongdoing and recover tax monies for the citizens of our country.…
Read More »Are Compounding Pharmacies Bribing Their Way Into Our Service Members’ Medicine Cabinets?
According to the Defense Department, Tricare paid $1.75 billion for compounded drugs during its 2015 fiscal year—an astounding 18 times the amount paid in 2012.…
Read More »False Claims Act Scrutiny Increases When Patients are in Hospice for Years
Medicare typically only pays for hospice care when patients are in a terminal condition and are expected to live for less than six months. Given…
Read More »Are Lab Companies Back to Their Old Tricks of Bundling Medically Unnecessary Tests?
Millennium Health, formerly known as Millennium Laboratories, grew to be the largest Medicare Part B biller in the country, receiving $630 million from Medicare for…
Read More »Medicare Paid Close to $60 Billion in Improper Payments in FY 2014
Senate Finance Committee Chairman Orrin Hatch (R-Utah) recently delivered an opening statement at the Senate Committee of Finance hearing examining how improper payments (including overpayments…
Read More »Are Nursing Home Pharmacists Recommending Drugs Based on Pharma Kickbacks?
Medicare regulations require long-term care nursing facilities to contract with a consultant pharmacist to review the propriety of resident medications on a monthly basis. Given…
Read More »