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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
After last month's takedown of some 400 medical professionals accused of $1.3 billion in false billings, the Justice Department intends to remain vigilant in its fight against healthcare fraud. It has just announced the creation of the nation's first Health Care Fraud...
The U.S. Supreme Court recently announced that it will review the application of the Dodd-Frank Act to whistleblowing activity in the financial sector. The vice president of a San Francisco-based company was fired when he told senior management at his firm that his...
The Justice Department has just announced what it calls the "largest health care fraud takedown operation in American history." 412 doctors, nurses, pharmacists and other licensed medical professionals have been charged with a massive kickback scheme involving the...
In a case quite similar to a case we settled, the Pacific Alliance Medical Center, a hospital in Los Angeles, has agreed to settle allegations that it paid illegal kickbacks to doctors and submitted false claims to Medicare and Medicaid. The hospital has agreed to pay...
Under the False Claims Act (FCA), the government and private parties alike have an opportunity to sue anyone who fraudulently has made a claim for government-regulated funds. Some examples of violations of the FCA include a company or individual filing a Medicare...
The University of Rochester's Medical Center (URMC) has agreed to reimburse both the state and federal governments the $113,722.10 that they are alleged to have illegally pocketed. URMC is alleged to have violated both the New York False Claims Act as well as federal...
Last time, we mentioned that some states are currently looking at New York's whistleblower statute as a possible model for prosecuting tax fraud. As we noted, there are currently nine states which allow whistleblowers to pursue Qui Tam cases based on tax fraud. Not...
What kind of person contemplates blowing the whistle on his (or her) organization? In the movies, whistleblowers are typically portrayed as heroic figures - risk-takers, with nerves of steel, ethical above all else. In real life, it's not so black and white. In our...
There are many different forms of fraud that involve billing Medicaid. In some cases, a doctor, billing specialist or medical business will intentionally bill for drugs, procedures or services that were never administered or performed. In other cases, doctors or...
As we've previously written on this blog, whistleblower or Qui Tam litigation is a means for those who have inside information regarding fraud to file a claim on behalf of the government. Qui Tam litigation allows whistleblowers to assist in holding the offending...