Health Care Fraud Blog
Provides health care fraud legal news, resources and commentary.
Author: Robert David is a solo practitioner in Fort Lauderdale, Fla.
Blawg Related Categories: Criminal Justice • White Collar Crime • Health Law • Insurance Law • States • Florida • Solo / Small Firm
Recent Posts from Health Care Fraud Blog
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CMS Efforts To Use Software to Detect Fraud
CMS uses contractors to process claims, but also to use sophisticated software to detect fraud patterns and make referrals for claims denials, audits and criminal investigations. At one time the system was somewhat fragmented, given…
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FBI, OIG, HEAT How About SFO - “Serious Fraud Office?”
We have done posts on the various monikers given to task forces, including the most recent in healthcare fraud, HEAT (Healthcare Fraud Prevention and Enforcement Team) and the agencies in involved in those investigations; the…
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Are Large Corporations Treated Differently? Pfizer $2 Billion False Claims Act Settlement Is Its Second In Six Years
Often, we hear that white collar crime is treated differently than other types of crime. However, it is often who commits white collar crime that brings about different treatment. I had a client indicted for…
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Increased Penalties for Health Care Fraud Likely
Proposals to increase the criminal penalties for health care fraud are making their way into the Senate’s health care reform bill. The proposal, The Health Care Fraud Enforcement Act, involves significant increases in potential jail…
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Medicare Fraud Bumps Workers Comp Fraud Off The Radar?
Budget priorities and redirection of investigations at the state level, has led to a drop off in investigations of workers compensation fraud at a time when such fraud is increasing, according to investigators. The focus…
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Whistleblower Lawsuit Alleges Medicare Fraud by Fresenius North America
A Federal False Claims Act Case filed by an employee of a dialysis center owned by Fresenius North America, which has over 1500 clinics serving dialysis patients, alleges that a clinics in El Paso and…
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$60 Billion A Year In Medicare Fraud, Where Does That Number Come From?
In a Sixty Miutes piece on Medicare Fraud, reviewed by the HCFBlog here, Steve Kroft claimed the government loses $60 Billion to health care fraud. The piece, otherwise quite good, then goes on to describe…
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West Publishing to Release White Collar Crime: Health Care Fraud Practice Guide
After 15 long months of hard word work, West Publishing is almost ready to release my book. The book is expected to be released before the end of the month. In the mean while, the…
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Health Care Fraud Heads North, But Miami Is Still Home
Part of the Health Care Fraud Task Force initiative in Miami, Houston, Detroit and Los Angeles has met with some success, and not so coincidently some of the cases have Miami roots. The FBI press…
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Organized Crime and Medicare Fraud
The AP does an interesting story on the influence of organized crime on Medicare Fraud, including some violence associated with the schemes. Former drug dealers and mobsters are getting more involved in the fraud due…