A former manager of the New Jersey Traumatic Brain Injury Fund (TBI Fund) and a conspirator recently admitted that they spent several years defrauding the publicly funded healthcare benefit program. Residents of New Jersey, the defendants were each charged with the...
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Supreme Court to hear Medicaid and Medicare fraud case
The United States Supreme Court recently agreed to review two cases where the defendants were accused of knowingly making false claims or statements to the U.S. government. The defendants in separate cases U.S. ex rel. Schutte v. SuperValu, Inc. and U.S. ex rel....
Lab owner convicted in $463 million scam
A Southern District of Florida jury convicted a Georgia man for a $463 million scheme to defraud Medicare by submitting unnecessary tests conducted by his lab. According to the Department of Justice, the defendant arranged unnecessary genetic tests using kickbacks to...
U.S. whistleblower law doesn’t protect overseas workers
A three-judge panel at the D.C. Circuit Court of Appeals rejected an appeal by a former Morgan Stanley lawyer based in Asia who claims he was forced to resign. The judges again determined that whistleblower protections enjoyed in the U.S. do not apply to employees...
Owners of diagnostic testing facilities are sentenced
Two co-owners of several New York area diagnostic testing facilities were sentenced on December 1 to three years in prison each for their roles in an $18.5 million healthcare fraud scheme. The two owners, who are married, paid kickbacks for referrals if the...
Nominee for IRS Commissioner supports whistleblower incentives
Earlier this month, the White House announced the President's intent to nominate Danny Werfel as Commissioner of the Internal Revenue Service (IRS), calling him a "public and private sector leader who has served both Democratic and Republican administrations." Werfel...
Government settles with Native American victims abused by doctor
Despite numerous complaints of inappropriate behavior, Dr. Stanley Patrick Weber worked for decades at federal Indian Health Service (HIS) hospitals, mainly in Montana and South Dakota. The government agreed to pay $14.5 million to eight sexual abuse victims, each...
IRS triples its initial award to whistleblowers
The IRS announced on September 8 that two whistleblowers received a reward of $8.8 million for their information in collecting $35 million in corporate income taxes. This amount triples the amount initially awarded to the two. As we wrote earlier this year, the IRS’s...
Health and Human Services expects to recoup $3 billion
In its semiannual report to Congress, the House of Human Services and Office of Inspector General (HHS-OIG) announced that its audits and investigations would likely yield about $3 billion in recoveries. The report covers 320 criminal enforcement actions between...
DOJ recovers funds from a medical kickback scheme
A doctor was found liable for violating the False Claims Act by accepting millions in kickbacks. He agreed to repay $2.3 million to settle a civil lawsuit that alleged that the transfers violated the Federal Debt Collections Procedures Act. The doctor was not guilty...
