Insulating your healthcare practice from fraud takedowns

Takedowns are a practice used by federal prosecutors to send a deterrent message to certain industries where the incidence of fraud and criminal activity may be widespread. When federal law enforcement conducts takedowns, they work with law enforcement nationwide and execute the takedowns at the same time. When these takedowns occur simultaneously, there is little […]

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The Illinois Department of Financial and Professional Responsibility investigates cases that can lead to discipline.

Medicare fraud bust in Illinois leads to 6 and ½ year sentence

The biggest problem facing Medicare fraud might be the arrogance of people who get away with bad acts for too long. Meanwhile, with the cooperation of law enforcement agencies using technology and skill, fraud schemes are frequently shut down and bad actors are prosecuted. In some cases, someone on the inside is the whistleblower who […]

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Experience matters: Hiring the best healthcare licensing lawyer

How much did it cost you to become a licensed and practicing healthcare professional? While doing the math, in addition to the hard cost of tuition for many years of school, remember to include the opportunity cost of all else you may have done to earn money while you dedicated your life and career path […]

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Rock Island, Illinois home health supplier faces vendor fraud charges for submitting false billing invoices.

How you can stop home health fraud, Whistleblowers may share in recovery

Home health companies are increasingly popular among families who want their loved one to receive care in their own home or another residential location with others receiving care. Home health options are appealing to those who do not favor the traditional nursing home facilities and find them to seem institutional. One advantage of a traditional […]

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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 […]

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Be proactive and avoid exposure to home healthcare fraud investigations and convictions

The rising cost of healthcare and nursing facilities caused an increase in the popularity of home healthcare facilities, where disabled and elderly patients can receive appropriate levels of care. While many people benefit from the home healthcare option, many may also find ways to defraud the system. Billions of dollars a year lost to home […]

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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. […]

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Home health supply vendor charged with fraud in Rock Island, facing up to 15 years

Outreach Medical, Inc., the Rock Island, Illinois, vendor for home health supplies, medical equipment, diabetic supplies, hospital beds, wheelchairs and more, is charged with vendor fraud. The Illinois Attorney General Lisa Madigan’s office charged Outreach with a Class 1 felony, alleging they tendered fraudulent billing invoices to the State of Illinois for reimbursement from the […]

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Chicago doctor charged in cash kickback for Medicare and Medicaid patient referrals

A Chicago doctor was recently charged in a kick back case. Medicare and Medicaid patients can be valuable to individuals looking to make money from sending referrals to doctors and hospitals in exchange for kickbacks. There are several layers of the health care industry from patient consultants and group service providers to the doctors and […]

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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 […]

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