There’s Billions in “Other” Frauds Outside of Healthcare and Defense Contracting
While healthcare and defense spending take up a large portion of the US budget, we're taking a look at the $4 trillion, or 55 percent of "Other" spending.
Whistleblowers Can Defeat Medicare Advantage Fraud
Whistleblowers, such as medical coders, providers, and employees of Medicare Advantage plans, have already had success in reporting fraud.
Explosion of Telehealth Usage Makes it a Target for Fraudsters
Telehealth usage exploded due to the COVID-19 pandemic, from fewer than 1 million services in 2019 to 52.7 million services. This large user base makes it susceptible to fraud
The Need for Whistleblowers in Combating COVID-19 Related Healthcare Fraud
While the DOJ coordinated efforts are continuing, whistleblowers remain crucial for reporting fraudulent activity.
While Healthcare Fraud Cases Grow, Defense Fraud Cases Decline
Although, the law was enacted and amended in order to address defense fraud, the numbers demonstrate that it has not been deployed often.
Why Whistleblowers Will Be Vital for the Inflation Reduction Act
Whether doling money out or bringing money in, one thing is clear, whistleblowers will be key to ensuring that the goals of the law are met.
COVID-19 Relief Funds Two Years Later: Which Are the Most Susceptible to Fraud
In healthcare, common fraud schemes include laboratory testing schemes through which COVID-19 testing was offered to obtain Medicare beneficiary information.
Whistleblowers are Key to Reining in Prescription Drug Costs
The Mallinckrodt case spotlights what some drug companies might be doing to avoid this Medicaid pricing proscription.
How Telehealth Became a Big Target for Fraudsters
Prior to the pandemic, Medicare imposed strict limitations on when telehealth services were covered.
Pharmaceutical Company Payments to Co-Pay Foundations Merit Continued Scrutiny
Employees of pharmaceutical companies and co-pay foundations are particularly well-situated to observe and identify behavior that is not purely charitable.
