In July 2022, the Department of Justice (DOJ) announced criminal charges against 36 defendants for committing a variety of alleged schemes to defraud Medicare using telehealth. According to the DOJ, the alleged actions of the defendants led to $1.2 billion in medical fraud, with much of that coming from fraudulent telehealth claims for cardiovascular and …
Continue reading “Rise of Telehealth Fraud in the Healthcare Industry”
Fraud in the healthcare sector continues to be a major concern in the United States. According to the Health Care Fraud and Abuse Control Program Annual Report, healthcare fraud was by far the leading source of the False Claims Act settlements and judgments in 2021. In fact, more than $5 billion of the $5.6 billion …
Continue reading “Top Three Healthcare Fraud and False Claims Recoveries of 2021”
Pharmaceutical fraud exists in many ways. However, one of the most common tactics used in the industry is illegal kickbacks. Kickbacks are anything of value either directly or indirectly offered to a patient or physician that influences their medical decision to use a certain company or product. This action constitutes fraud because it undermines the …
Continue reading “Pharmaceutical Fraud: Reporting Illegal Kickbacks”
Healthcare fraud is a costly crime that affects both individuals and businesses alike. Unfortunately, scams like upcoding, double billing, and kickbacks are significant in the industry, costing the nation billions of dollars each year. It can increase taxes, expose people to unnecessary medical procedures and raise insurance premiums. The best way to fight fraud is …
Continue reading “Blowing the Whistle on Healthcare Fraud: What You Need to Know”
