False Claims Act Archives - Healthcare Fraud Defense Firm
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What Types of Activities Are Covered Under the False Claims Act?

The False Claims Act is a broad federal statute that covers a wide range of activities involving the submission of reimbursement claims under Medicare, Medicaid, Tricare, and other healthcare benefit programs. For this reason, it is one of the federal government's most potent weapons for prosecuting healthcare providers. It is...

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Why Substance Abuse Centers Have Become the Targets of Federal False Claims Act Investigations

Federal Prosecutors Investigate Billing Fraud in Connection with Modifier 01 (Hospital) The U.S. Attorney's Office has started to look into the billing practices of outpatient rehab facilities. Following several probes from the Office of Personnel Management and the Office of Inspector General (OIG), federal prosecutors have initiated False Claims Act...

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Investigating Healthcare Fraud Through A Civil Investigative Demand (CID)

A common approach federal authorities use to investigate healthcare fraud is through civil investigative demands (CID).  CIDs are requests for documentation that prosecutors issue in connection with a federal investigation.  Compliance with CIDs is required regardless of whether the recipient is charged with a violation or is personally under investigation. ...

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How to Dismiss a Whistleblower Case under the False Claims Act

Reliable Advice, Proven Results: 888-680-1745 Recently, attorney Dr. Nick Oberheiden and his team obtained two rare dismissal orders in federal False Claims Act lawsuits. The purpose of this brief article is to provide an overview of the False Claims Act concept, the liability risk, as well as effective ways to...

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5 Things To Do When You Become Aware Of Healthcare Fraud At Your Workplace

Leading Criminal Defense Attorneys Providing Whistleblower Protection in Healthcare Fraud Cases As an employee or independent contractor in the healthcare field, you know that healthcare is big business in the United States today.  However, you may not know that healthcare fraud is also big business.  The federal government is always...

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Defending Toxicology Labs in False Claims Act Cases

Dr. Nick Oberheiden, Esq. www.healthcare-fraud-defense.com 888-680-1745 Available on Weekends Toxicology laboratories have become prime targets of government investigations. Although many laboratories consciously segregate their commercial and their federal payors, federal authorities nonetheless more and more take the position that these labs violated federal law. This approach is not undisputed and...

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Defending Physicians against Kickback Charges in Connection with PGX Testing

Laboratory Kickback Prosecutions Since 2014, when the Department of Health and Human Services’ Office of the Inspector General released a Special Fraud Alert regarding improper payments by laboratories to referring physicians, federal investigators have increasingly focused on the relationships between laboratories and physicians.  Federal investigators are particularly on the lookout...

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Government Investigations

In recent years, the government has increased its enforcement efforts against physicians, accusing them of a variety of offenses. Most commonly, the federal or state government investigates physicians for alleged fraudulent billing practices, including looking into the number of patients seen, the types of tests ordered, and any upcoding or...

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