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Tag Archives: whistleblower

Legal19

HEALTHCARE WITH A SIDE OF HAIRCARE: IMPROPER INCENTIVES TO MEDICARE PATIENTS

By McCabe Rabin, P.A. |

Offering free gifts with purchase is not a new marketing concept. Many businesses use it as an effective tool for customer retention and soliciting new customers. When the customers are paying with government funds, however, free gifts can be a big no-no. Especially when the free gifts offered to Medicare beneficiaries have no relation… Read More »

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Lit3

Medicare Advantage Audit Shows $197 Million in Over-Payments

By McCabe Rabin, P.A. |

In April 2021, the Department of Health and Human Services, Office of Inspector General (HHS-OIG) released a report regarding a Medicare Advantage Compliance Audit of one of the country’s major Medicare Advantage Organizations, Humana, Inc.   The audit covered only one year, 2015, and one particular contract.  The audit selected a random sampling of 200… Read More »

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Legal17

Blowing the Whistle on Money Laundering

By McCabe Rabin, P.A. |

South Florida is the money laundering capital of the world.  Each year, crooked banks, bankers and criminal enterprises move millions of dollars of illicit funds through South Florida banks.   In the process, they convert unusable criminal proceeds into seemingly “clean” laundered cash. As whistleblower lawyers, we have received numerous calls over the years from… Read More »

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Lawyer6

Government Issues Preliminary Report on Coronavirus Relief Fraud

By McCabe Rabin, P.A. |

On September 1, 2020, the Congressional Select Subcommittee on the Coronavirus Crisis released a preliminary analysis of potential waste, fraud and abuse issues in the Paycheck Protection Program (PPP), which was implemented as part of the massive Coronavirus Aid, Relief and Economic Security (CARES) Act.  Under the PPP Program, the federal government provided more… Read More »

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Lit4

CARES Act Fraud – the Paycheck Protection Program

By McCabe Rabin, P.A. |

On March 27, 2020, Congress passed the Coronavirus Aid, Relief and Economic Security Act of 2020, also known as the CARES Act.  In total, the CARES Act will provide approximately $2 trillion in economic aid in the wake of the Coronavirus (COVID19). This is the largest economic aid package in the history of the… Read More »

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Litigation3

What is a Reverse False Claim?

By McCabe Rabin, P.A. |

Most qui tam whistleblower lawsuits under the False Claims Act involve a Defendant who has made a fraudulent “claim” for money upon the government.  For example, when a hospital sends a bill to Medicare for a medical procedure that was never performed, the hospital has made a “claim” for money upon the government.  If… Read More »

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What is Risk Adjustment Fraud?

By McCabe Rabin, P.A. |

In 1997, Congress decided that traditional Medicare was way too expensive.  At the time, Medicare operated under a traditional fee-for-service model.  Under this model, if a doctor delivered services to Mrs. Jones, the government paid the doctor a fee for his or her services, i.e, fee-for-services. Congress thought it found a better way.  Rather… Read More »

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