» Medicare Fraud
Fraudulent Off-Label Marketing of Prescription Drugs
December 17th, 2018
The Department of Justice and qui tam plaintiffs have settled cases involving “off-label marketing” of prescription drugs for billions of dollars. In such fraud cases, companies seek to increase their revenue using various off-label marketing met…
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Medical Equipment Supplier Agrees to Pay United States $898,523.08 to Resolve Fraud Claims Brought by Whistleblower Represented by Brady & Associates
June 20th, 2017
Mark Kistler and Michael Brady of the law firm Brady & Associates represented whistleblower Jeremy Novak in a case involving a medical equipment supplier overcharging federal health care programs. O’Connor Medical Supply, Inc. and its owner, Ja…
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Insurers Accused of Medicare Advantage Fraud
June 1st, 2017
Most people understand that spending in the medical industry is out of control. Health care spending represents an astonishing figure, something like 17% of the value of the U.S. economy, an amount almost impossible to comprehend. With so much money…
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Federal Appeals Decision Could Signal Change for Medicare Advantage Fraud Cases
October 18th, 2016
Contributor: Michael F. Brady
An August 2016 decision by the Ninth Circuit Court of Appeals revived a Medicare Advantage Fraud case that had been pronounced dead by a California district court in 2013. In 2013, a central California district court dismissed a federal whistleblower…
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Whistleblower Reward - Medical Device Cold Calling
September 13th, 2016
The False Claims Act (the FCA) provides for rewards to private citizens for filing a lawsuit as a whistleblower with information that results in the federal government recovering ill-gotten gains from unscrupulous companies at taxpayer expense. If th…
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Medicare and Medicaid Fraud Prevention Saved Taxpayers $42 Billion from 2012-14
August 17th, 2016
Contributor: Michael F. Brady
Medicare and Medicaid fraud is rampant, costing U.S. taxpayers billions of dollars a year. In an effort to combat fraudulent billing practices, CMS (the Centers for Medicare and Medicaid Services) has instituted efforts to prevent medical billing fra…
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Whistleblowers Expose Michigan Oncologist Convicted of Fraud Involving Hundreds of Cancer Patients
July 16th, 2015
In a tragic discovery, a Michigan oncologist has been convicted of fraud after taking advantage of hundreds of his patients in the suburbs of Detroit. The scam, which involved both cancer patients, as well as those who were allegedly misled into beli…
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Senator Grassley to Go After Medicare Advantage Overbilling
June 8th, 2015
Medicare Advantage insurance coverage has long relied on a subjective standard when assessing the condition of patients for billing purposes. To be sure, under Medicare Advantage, a program enacted by Congress in 2003, insurance providers must rate p…
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Federal Government Made $100 Billion In Improper Payments Last Year
July 10th, 2014
Waste often comes to mind when discussing government spending. People intuitively realize that it costs a lot of money to operate a government as sprawling as ours, and that money is bound to get lost somewhere along the way. Turns out the level of w…
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Hope Cancer Institute and Oncologist Agree to Pay United States $2.9 Million to Resolve Fraud Claims Brought by Whistleblowers
April 14th, 2014
Hope Cancer Institute, Inc., and its owner, oncologist Dr. Raj Sadasivan, have agreed to pay the United States over $2.9 million to settle claims that they defrauded federally-funded medical insurance programs. Dr. Sadasivan founded Hope Cancer Insti…
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