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  • Types of Fraud
    • Healthcare Fraud
    • Respiratory Fraud
    • Podiatry Fraud
    • Financial ​Fraud
    • FCPA Fraud
    • Managed Care Insurance Fraud
    • Nursing Home Fraud
    • Pharmaceutical Fraud
    • Procurement Fraud
    • Sponsored Genetic Testing Fraud
  • Laws & Programs
    • FCA
    • CDI
    • SEC
    • CFTC​
    • FCPA
  • About Us
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Billing and Coding Fraud in Managed Care Organizations

Billing and Upcoding: How Physicians Can Stand Up to Managed Care Organizations

April 28, 2023 No Comments

As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)

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Expose Medicare Advantage Fraud

Managed Care: Exposing Medicare Advantage Fraud and Abuse

January 11, 2023 No Comments

Medicare Advantage is a type of health insurance plan offered by private companies contracted by the government. Also known as Medicare Part C, Medicare Advantage

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Lawyer sitting at a desk signing a document.

Securing Your Healthcare Fraud Claim: How to Be First to File

July 9, 2024 No Comments

Has healthcare fraud crossed your path at work and made you want to take action? Understanding the “first to file” rule can be critical to

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Young female nurse, assisted living, in-home carer or doctor visit old senior citizen at home talk about result follow up checklist, health care advice or prescription online on tablet computer.

The Financial Ripple Effect: How Whistleblowing Reduces Healthcare Costs and Rewards Integrity

June 17, 2024 No Comments

Whistleblowing in the healthcare sector goes beyond a moral choice; it acts as a catalyst for substantial positive changes, promoting cost savings and enhanced integrity.

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Electronic medical record with patient data and health care information in tablet. Doctor using digital smart device to read report online. Modern technology in hospital.

The Role of Technology, Innovation, and AI in Detecting and Preventing Healthcare Fraud

June 3, 2024 No Comments

As the healthcare sector continues to evolve, so do the challenges it faces, with healthcare fraud being a significant concern. With billions of dollars lost

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Lawyer working

Maximizing Your Reward: Why Whistleblower Attorneys are the Key to Potential Compensation

May 21, 2024 No Comments

When you’re faced with a crucial decision on whether or not to expose healthcare fraud, your path forward may be filled with many questions. Luckily,

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Giving Compensation to a person

The Whistleblower’s Guide to Compensation: Understanding Your Financial Rewards

May 7, 2024 No Comments

Have you ever wondered about the financial rewards whistleblowers earn when they report healthcare fraud? These rewards are more than just a token of appreciation.

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Facts Myths written on a chalkboard

5 Common Myths Debunked: The Truth About Healthcare Fraud Whistleblowing

April 16, 2024 No Comments

Blowing the whistle on healthcare fraud often comes with its own set of misconceptions, causing unnecessary hesitation among those who witness wrongdoing. It’s time to

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Compliance with laws and regulations.

The Role of Whistleblower Attorneys in Simplifying the Reporting Process

April 1, 2024 No Comments

In navigating the complexities of healthcare, where intricate billing systems meet the essential care for individuals, one might come across practices that don’t quite align

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Scientist pipetting sample into a vial for DNA testing

Exploring Sponsored Genetic Testing Fraud & Its Red Flags

March 13, 2024 No Comments

Genetic testing, once heralded for its promise in healthcare innovation, is now confronted with a disconcerting reality – the rise of sponsored genetic testing fraud.

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Understanding Fraudulent Kickbacks in Healthcare Referrals

January 25, 2024 No Comments

Navigating the complexities of healthcare referrals is crucial for maintaining the integrity of patient care. Understanding the concept of kickbacks is an essential part of

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