Community Health Systems, one of the largest for-profit hospital chains in the country, agreed to pay the United States $98.15 million to resolve allegations in multiple lawsuits that the company deliberately billed the United States for inpatient health services that the company knew should have been billed as either outpatient services or observation. This firm […]
More than $2.6 billion recovered in 2023 under the False Claims Act: Based on recent data from the U.S. Department of Justice, 2023 was another solid year for recovering public funds under the federal False Claims Act (“FCA”). According to a a recent press release, FCA settlements and judgments this past year exceeded $2.68 billion, the vast majority of which
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The Growing Problem of Scammers Targeting Medicare Beneficiaries Scammers targeting American seniors is hardly a new phenomenon. Recent alerts from the Department of Justice and statements during recent Congressional testimony suggest that the problem has dramatically expanded in recent years. And the primary target now appears to be Medicare, rather than those seniors themselves. Early
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Whistleblowers Seeking Anonymity by Forming an LLC For individuals seeking to blow the whistle on fraud against the United States, one of the most common concerns is how filing a qui tam may damage their reputations or career prospects going forward. In the short term, the False Claims Act itself provides protection. Unlike almost all
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The False Claims Act is a useful, but imperfect tool for combatting COVID fraud – During the Coronavirus pandemic, the United States paid out more than a trillion dollars in aid to the American public, ranging from unemployment assistance, to extra payments to hospitals and other healthcare providers, to small business loans under the Paycheck
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