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You’ve seen something that doesn’t sit right — a pattern of billing for services never rendered, a diagnosis code that doesn’t match the chart, a supervisor who tells you to “just code it this way.” You’re not naive about what it means to raise your hand. You’re wondering whether raising it could cost you your…

You’ve made the decision to come forward. Your attorney has prepared the complaint, gathered your disclosure statement, and filed your case in federal court under the False Claims Act (31 U.S.C. §§ 3729–3733). And then — nothing happens. No hearing date. No defendant response. No public record you can point to. For many whistleblowers, this…

Szura & Delonis, PLC Two federal laws often get invoked in health care fraud cases, and they get confused constantly as well. The Stark Law and the Anti-Kickback Statute (AKS) both regulate financial relationships between physicians and the people or entities they refer patients to — but they work differently, require different proof, and carry…

Most Medicare and Medicaid fraud isn’t uncovered by a dramatic government raid. It’s uncovered because someone inside the organization — a coder, a biller, a nurse, a compliance auditor, an office manager — noticed that the numbers didn’t match reality, and eventually said something. If you’re staring at a billing pattern that feels wrong and…

You know something is wrong. Maybe you’ve seen billing codes that don’t match the chart, or a “consulting agreement” that only exists to reward referrals, or a hospice enrolling patients who plainly aren’t terminally ill. Before you take the leap of filing a qui tam lawsuit under the federal False Claims Act (31 U.S.C. §§…

Navigating HIPAA compliance doesn’t have to be overwhelming. At Szura & Delonis, PLC, we help Michigan healthcare practices determine when a Business Associate Agreement (BAA) is required to protect PHI and avoid penalties. What Triggers a BAA Requirement? Covered entities—such as health plans, clearinghouses, and providers transmitting health info electronically—must execute a BAA before sharing…

Michigan condominium rental restrictions have become one of the most talked about governance issues in Metro Detroit communities. Short-term rental platforms turned co-owner units into de facto hotel rooms almost overnight. Boards in Troy, Bloomfield Hills, Novi, Southfield, Dearborn, and communities throughout Oakland County and Wayne County are now trying to enforce rental caps, minimum…

You finished the work. You sent the invoice. The general contractor cashed the owner’s check — and then your payment never came. Meanwhile, you have workers waiting to get paid and material suppliers calling your office. What you may not know is that in Michigan, the GC who pocketed those funds may have exposed itself,…

Thirty days from substantial completion, the owner pulls out the contract and points to a clause you signed six months ago: $5,000 per day in liquidated damages for every day you run over schedule. You are already three weeks behind. That is $105,000 walking out the door before you even finish the punch list. This…

For condominium associations across Michigan, the governing documents that run the community do not age gracefully on their own. Serving on a Michigan condominium association’s board of directors is a genuine act of community service. Board members in Troy, Bloomfield Hills, Novi, Southfield, Dearborn, and condominium communities throughout Oakland County, Macomb County, and Wayne County…