Dr. Whistleblower: Reporting $10 million in a Medicare billing fraud scheme, could share in recovery

Former CEO of a physician-hospital practice venture, Robert Dannenhoffer, MD, filed a lawsuit in federal court alleging his former employer terminated the doctor’s position in retaliation for Dannenhoffer reporting a $10 million Medicare fraud scheme. Dr. Dannenhoffer led investigators to discover a fraudulent payment scheme, by which doctors were being compensated more money in exchange […]

Read more...

Physicians must be careful when offering to waive co-pays or deductibles as a professional courtesy

The law is not new but it is always good to be reminded that enforcement of healthcare rules and regulations is a focus of the federal government and its aggressive approach to ensuring everything is billed correctly for any services paid in part or in full with federal funds and what is paid by insurance. […]

Read more...

A case of kickbacks and destruction of records in the healthcare industry

The case involving Halifax Health, based in Daytona Beach, Florida, highlights a few legal issues and concerns that cause significant problems for many. The two main issues in this case involved physician kickbacks and the destruction of billing records of alleged Medicare fraud. This past May the federal magistrate judge ordered sanctions to punish Halifax […]

Read more...

Medicare fraud and kickbacks: Chicago psychologist loses his medical license indefinitely

Chicago area psychologist, Michael Reinstein, recently lost his medical license following the Illinois Department of Financial and Professional Regulation (“IDFPR”) suspended his license for a minimum of  three years before Reinstein would be allowed to apply for reinstatement. When complaints of professional misconduct come to the attention of IDFPR, the licensing authority for many Illinois […]

Read more...

False Claims Act lawsuits and the whistleblowers who share in recoveries

The False Claims Act[i] is the federal law used to prosecute those who make fraudulent claims for payment through government programs. The majority of false claims are made by government contractors engaged in work connected with government spending programs such as health care and military programs. Also referred to as the “Lincoln Law” the False […]

Read more...