Common types of white collar crimes range in nature and scope. They all typically involve financially motivated crimes committed by businesses and government professionals. The penalties associated with white-collar crimes can be severe. Anyone the government accuses of a white-collar crime should immediately seek the help of an experienced white-collar criminal defense...
What Are Upcoding and Unbundling?
Health care fraud occurs when a medical provider intentionally submits false or misleading information for use in determining the amount of health care benefits payable. Upcoding and unbundling are forms of health care fraud. At times, innocent health care providers can be routinely accused of upcoding, unbundling, and other forms of health...
Penalties of Health Care Fraud
Penalties for health care fraud violations can range in type and severity. Over the last several years, the federal government has been aggressively cracking down on health care fraud. Health care fraud is a type of crime that involves the filing of dishonest health care claims. Anyone who is convicted of health...
Common Types of Health Care Fraud
Health care fraud can take many forms, but there are common types of health care fraud schemes frequently prosecuted by the Department of Justice (“DOJ”). It is also a frequent subject of False Claims Act (“FCA”) qui tam suits. FCA actions have resulted in the recovery of billions of dollars on...
Choosing a Health Care Fraud Defense Attorney
If you are a health care provider who has been accused of fraud, you need to hire an attorney—and quick. However, not just any attorney will do. You must find a health care fraud defense attorney who will give you the best shot at a successful outcome in your case. Picking the...
The FTCA and the Military
A common question we receive: can members of the military sue under the Federal Tort Claims Act ("FTCA")? Unfortunately, active-duty service members generally cannot sue under the FTCA. But, in 2019, Congress took steps to provide some help the servicemembers and their families through the passage of SFC Richard Stayskal Military Medical...
Who Leads Health Care Prosecutions?
Health care fraud prosecutions are led by three groups of prosecutors.
Most investigations will be handled by a local U.S. Attorney’s office. In U.S. Attorney’s offices across the country, each district has a designated health care fraud coordinator to handle criminal and civil investigations. Although they are based out...
How Do I File an FTCA Case?
Because the Federal Tort Claims Act ("FTCA") creates a different process than normal tort claims against a private party, those injured by the federal government should find an attorney with specialized experience and skills who can guide you through the various pitfalls to bringing a case. It is important to present a...
Opioid Diversion and Civil Enforcement
Over the past few years, government agencies and the Department of Justice have cracked down on medical professionals they suspect may be distributing controlled substances, particularly opioid diversion, outside of the parameters of the Controlled Substances Act (“CSA”). Government enforcement efforts can include multi-agency task forces focusing on physician “pill mills,” pharmacists,...
Federal Tort Claims Act 101
This article, Federal Tort Claims Act 101, will give you the basics of this important tool to protect the rights of you and your family. The Federal Tort Claims Act ("FTCA") is the primary legal tool to hold the U.S. government responsible for negligence committed by its employees or agents.