False Claims Act

  • Want to Become a Whistleblower in Texas? Consider This First.

    Though the United States government has a set of laws that protect and reward whistleblowers, each state has their own set of unique statutes under which a claim must be filed. A Texas whistleblower must be wary of these laws, as they affect several aspects of any case they choose to file. Among these, the […]

  • What Makes a Good Whistleblower Lawyer

    Once you’ve established that you have a whistleblower case, the next step is perhaps the most vital to ensuring it is brought to action: finding a knowledgeable whistleblower lawyer. This can be a formidable task, and not one to be taken lightly. A good lawyer for any qui tam suit must possess a certain amount […]

  • Ex-Employee Blows Whistle on California’s Largest Nursing Home Provider

     Following an investigation that arose from a whistleblower suit, the corporate owner of four San Diego-area nursing homes has agreed to pay $6.9 million to resolve multiple fraud allegations. The sister facilities, owned by Los-Angeles based Brius Management Co., purportedly paid illegal kickbacks to cultivate patient referrals and subsequently file numerous false claims to Medicare […]

  • Registered Nurse Defrauds Medicare for $17M in Home Healthcare Scheme

     A registered nurse based out of Texas was found to have utilized two separate home healthcare clinics to swindle the federal Medicare program for $17 million over the course of the seven-year scheme. The nurse, a resident of Fort Bend, Texas, owned and operated Preferred Health Services Inc. and Deligent Health Services Inc., both based […]

  • Massachusetts Home Health Facilities Pay Out $14M for False Claims

     A multi-facility home healthcare chain has reached a $14 million settlement to resolve claims which assert their role in a large-scale scheme to defraud MassHealth, Massachusetts’s Medicaid program. From 2010 to 2016, Centrus Premium Home Care Inc. was found to have submitted an array of improper claims regarding medically unnecessary services that are not covered […]

  • Nation’s Largest Healthcare Fraud Settlement Doesn’t Stop Medical Behemoth

    Even fifteen years after their colossal 2002 payout, which is still recognized as the largest fraud settlement in United States history, Hospital Corporation of America (HCA) remains a frequent topic of discussion at the Department of Justice. Surely, it’s not hard to see why; HCA owns and operates 162 hospitals and 113 surgery facilities, the […]

  • Four Hospitals Pay $8.6M to Settle Allegations of Kickbacks, Ambulance Fraud

    In a case brought to light by three whistleblowers, four Texas-based hospitals were alleged to have been paid a substantial amount of kickbacks from an array of emergency transportation providers in exchange for Medicare and Medicaid referrals. This practice, a direct violation of the Anti-Kickback Statute, resulted in the four hospitals paying $8.6 million to […]

  • Texas Company’s Blatant Fraud: The $51,952 Ambulance Ride That Wasn’t

    A team of brothers based out of Houston, Texas were recently found to have committed multiple counts of fraud by using their healthcare company to submit over $6 million in false claims to Medicare, Medicaid, and TRICARE. The pair billed the three government programs for services that were not provided, utilizing fraudulent certifications from physicians […]

  • Texas Doctor Bilks Medicare for Nearly $400 Million in Large-Scale Fraud, Forgery Scheme

    In an exceptionally heinous example of home healthcare fraud, seven doctors have been apprehended for their roles in a conspiracy to defraud both Medicare and Medicaid alike. Altogether, they have been ordered to pay over $342 million in restitution to recover the money bilked by the extensive false claims submitted over the course of the […]