The IRS recently issued an urgent bulletin warning of the dangers of so-called “W-2 phishing" scams. In these cons, fraudsters use phony emails to fool someone in the company into handing over employees’ W-2 records and other personally identifying information and then use the data for all manner of identity theft. While phishing is as old as the internet, the current wave of W-2 scams—often coupled with an old-school wire transfer scam—has reached an unprecedented level. And the consequences … [Read more...]
Hospice Fraud: Five Ways Providers Use Terminally Ill Patients to Rip Off Taxpayers
Hospice care is the provision of specialized palliative treatment for terminally ill patients, focused not on curing them but making their last days as comfortable as possible. Hospice has gone from a grassroots movement on the outskirts of the U.S. medical establishment to a massive, multibillion-dollar industry. And as it has come of age, it has increasingly attracted the same type of fraud, waste, and abuse that plagues U.S. healthcare at large. Hospice treatment has been covered by … [Read more...]
Healthcare Fraud Whistleblowers: Attorney General Nominee Affirms Commitment to Fighting Fraud
In confirmation hearings this week, the Trump administration's nominee for attorney general, Jeff Sessions, vowed this week that he would use his position as America's "top cop" to continue to fight fraud against taxpayers. "[T]his government must improve its ability to protect the United States Treasury from waste, fraud, and abuse," Sessions told the Senate Judiciary Committee Tuesday. "We cannot afford to lose a single dollar to corruption and you can be sure that if I am confirmed, I will … [Read more...]
Nursing Home Fraud: How Whistleblowers Stop It With the False Claims Act
Healthcare fraud puts patients’ lives at risk and costs billions of dollars every year, and nursing home fraud is among its most damaging forms. Nursing homes, which house vulnerable patients away from loved ones and the outside world, are especially fertile breeding grounds for healthcare fraud schemes. While government agencies have stepped up their enforcement efforts, nursing home workers who witness fraud are in the best position to put it to a stop—and thanks to federal and state … [Read more...]
Statistical Sampling in False Claims Act Cases: Court Embraces Statistics to Hold Healthcare Providers Accountable
Healthcare fraud costs Americans as much as $300 billion a year. But uncovering fraud in a healthcare system as sprawling and complex as ours—Medicare alone processes over 1 billion claims annually from over 1 million providers—is like digging for needles in a breathtakingly huge haystack. That's why the federal government relies heavily on the False Claims Act’s qui tam provisions to encourage ordinary people to blow the whistle on fraud by filing private civil lawsuits. False Claims Act … [Read more...]
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