Periodically, we review the Centers for Medicare & Medicaid Services enforcement action docket. There are literally tens of thousands of healthcare providers across the country. Most participate in the Medicare or Medicaid health programs. The government periodically audits a small percentage of these providers each year. When a significant problem is uncovered, the government can […]
Wisconsin Lawyer & Physician Sanctioned in Medicaid Fraud Case
A Wisconsin lawyer and physician have both been admonished for their actions in a Medicaid fraud case (whistleblower suit) pending in a Milwaukee federal court. The lawyer on the case, Rebecca Geitman, was ordered to pay attorneys fees of $26,000. Those sanctions and fee awards unfortunately threaten to overshadow the larger and important legal issues […]
Pharmacists Hit Whistleblower Lottery – Collects $597 Million!
The average Joe buys the occasional Powerball ticket hoping to win a few million bucks. T. Mark Jones, a pharmacist from Key West, decided to roll up his sleeves and become a whistleblower. His investigation of Big Pharma’s overbilling schemes saved taxpayers $3 billion dollars and earned $597,000,000.00 in whistleblower award money. Some say “crime […]
Heads on Beds – Assisted Living Facility Whistleblowers Post
[Post Updated through 2019] Whistleblowers play a critical role in the fight against rising healthcare costs. The biggest area of fraud – one that costs the government billions of dollars in fraud annually – is the Medicare program. Because Medicare is subsidized with tax dollars, healthcare providers that bill for unnecessary or poor quality services […]
No Show Doctor Convicted of Medicare Fraud – Whistleblower Post
New York physician Gustave Drivas was convicted of federal Medicare fraud following a trial in a Brooklyn federal court. He faces 20 years when sentenced later this summer. Medicare fraud costs taxpayers billions each year. Thankfully many of these crimes are solved by whistleblowers. According to court records, Drivas was affiliated with a clinic in […]
Nursing Homes – Next Wave Of Whistleblower Cases? (False Claims Act)
by Brian Mahany The front page headline of today’s Wall Street Journal says it all – “As America Ages, Shortage Of Help Hits Nursing Homes.” The fastest growing segment of America’s population are baby boomers and they are starting to hit their mid 60’s. As the demand for nursing home beds increases, the amount of […]