“Took on the heavyweights in the health care industry and won.”
Unprecedented national results.
– Los Angeles Daily Journal
Specializing in Medicare fraud cases, Warren | Benson Law Group is known as one of the best qui tam law firms in the nation and has prosecuted some of the most complex qui tam whistleblower cases in history. Our firm represents physicians, nurses, technicians, billing personnel, compliance officers and pharmaceutical representatives throughout the country and has handled more than 100 Medicare fraud qui tam whistleblower cases. We have obtained hundreds of millions of dollars in whistleblower case recoveries and have represented Medicare fraud whistleblower clients in more than 30 states.
One of the first Medicare fraud cases our firm successfully prosecuted involved more than 100 hospitals nationwide engaging in fraud. In the 20-plus years that have followed that early case, our firm has achieved unmatched success in:
Recovering hundreds of millions of dollars in taxpayer funds. Some of our recoveries include:
- $51 million in Medicare fraud whistleblower recoveries against 33 research hospitals, including Mount Sinai in Florida, Scripps in California and Beth Israel in Massachusetts, for upcoding and mischarging Medicare and Tricare for the cost of experimental devices.
- $16.5 million False Claims Act Medicare fraud recovery for Stark Law and anti-kickback statute violations involving HCA hospitals.
Recovering millions of dollars in whistleblower rewards. Qui tam “relators” who participate in successful prosecutions can reap rewards of up to 30 percent of a total recovery. Our attorneys have won hundreds of millions of dollars for our clients’ cases.
Setting legal precedents through case law. Our advocacy has directly contributed to many significant changes in qui tam case law, including:
- Cedars Sinai Medical Center, et al, v. Shalala; and Qui Tam Relator, 125 F.3d 765 (9th Cir. 1997), the first case in the nation to hold that a challenge to the validity of Medicare Hospital Manual rules is not a defense to a False Claims Act case.
- In re Cardiac Devices Qui Tam Litigation, 221 FRD 318 (D. Conn. 2004), the first case in the nation to hold a false claim made in violation of a Medicare Manual provision regarding coverage under the Medicare Act’s “reasonable and necessary” services section, is a violation of the False Claims Act.
One of the two most experienced qui tam firms in the nation.
– Columbia Law Review
“Has The Firm Handled My Type of Medicare Fraud Case?“
Since its creation in 1966, Medicare has become one of the largest benefit programs in the United States. As recently as 2010, more than 48 million Americans — approximately 15 percent of the population — were covered by Medicare. Unfortunately, there are significant opportunities for fraud in such a large system.
Our firm has represented health care professionals in virtually every type of Medicare fraud case. We understand what it takes for a professional to come forward with evidence of fraud. You want an experienced firm you can trust. Examples of Medicare fraud cases we have prosecuted for clients include:
- Medical billing fraud
- Anti-Kickback and Stark Law
- Medical device fraud
- Hospital fraud
- Part D fraud
- CPT/HCPCS miscoding
- Pharmaceutical sales
- Average sales price (ASP)
- Disproportionate share hospital (DSH)
- Lab and pathology
- Research grants and NIH fraud
- Fiscal intermediary and carrier fraud
- Durable medical equipment
- Leasing arrangements
- Cost reports
- Unperformed services
- Lucentis dosing
- Home health care
- Lack of supervision for techs
- Unnecessary services and supplies
- Splitting single-use vials
- Adulterated drugs
Our attorneys have extensive expertise in the relevant statutes, Federal regulations and case law, including the anti-kickback statute and Stark Law, and during our years prosecuting qui tam claims have worked closely with the Federal Bureau of Investigation, Department of Justice and U.S. Attorneys’ offices nationwide in both civil and criminal prosecutions.
“How Can I Discuss My Information With A Lawyer?“
We recognize that it can be difficult for people to come forward with information on potentially far-reaching fraud. We offer a completely confidential consultation with one of our attorneys, during which we can assess whether fraud exists and, if so, what your legal options are.
Call toll free 800-844-4406 or send an email to arrange to speak with one of our attorneys. We will respond to your inquiry promptly.