Pharmaceutical Fraud

Understanding the most common types of pharmaceutical industry fraud reported by whistleblowers. The pharmaceutical industry is regularly found to be engaging in fraud of many types, and whistleblowers are uniquely positioned to report this fraud to the government under the False Claims Act. Common Fraud in the Pharmaceutical Industry Includes: Unlawful Kickbacks Compounded drug fraud Illegal drug-switching Misuse of the 340B drug discount program Medicaid best price fraud Medicare Part...

Medically Unnecessary Services

Government-funded healthcare programs will only pay for services, supplies or equipment that are reasonable and necessary for the diagnosis or treatment of illness or injury. It can be a violation of the False Claims Act for a provider to bill the Government for healthcare services, supplies or equipment that are not medically reasonable or necessary. Types of Billing Fraud for Unnecessary Medical Services or Procedures Examples of billing for unnecessary...