A recent report by the Association of Certified Fraud Examiners, “Report to the Nations: 2018 Global Study on Occupational Fraud and Abuse,” offers insights into who most often reports fraud, how they do it and whether they are effective.
Upcoding – the practice of submitting a bill to Medicare or insurance companies using codes for procedures that were more expensive than the ones actually performed – faces growing scrutiny.
A recent report by the Pentagon’s inspector general shows that the Defense Department, especially the Pentagon, harbors a culture that punishes whistleblowers.
If you work for an organization that contracts with the federal government, you may have observed questionable or even fraudulent activity. Did you know you could earn a substantial reward by blowing the whistle on fraud, waste or abuse of a federal contract or program? The reward could be between 15 and 30 percent of any money recovered on behalf of the government.
"By bringing allegations of fraud to light, whistleblowers play an important role in protecting the integrity of our healthcare system," says the U.S. Attorney for the Western District of Pennsylvania.
The False Claims Act invites private-citizen whistleblowers to file lawsuits against companies that they believe are engaging in fraud, waste or abuse in government contracting. When these lawsuits are successful, the whistleblower can receive a substantial portion of the money recovered as a reward for their service. Sometimes, the federal government intervenes in these lawsuits, which does not affect the whistleblower's rights but sometimes improves the lawsuit's chances for success.
Vascular Access Centers L.P., along with 23 subsidiaries and related corporations, has been accused of Medicare fraud, violating the False Claims Act, and violating the Anti-Kickback Statute and have agreed to pay at least $3,825 million to resolve the allegations. If certain contingencies arise, additional payments up to $18,360,794 could be triggered.
A group known as “Freedom From Facebook” is launching a new advertisement campaign that will ask whistleblowers inside Facebook to share concerns about the company. Freedom From Facebook is comprised of a group of nonprofits that share fears about Facebook’s growing power and the lack of user privacy.
The Hunters Point Naval Shipyard in San Francisco is being redeveloped into housing and commercial space. Between 1946 and 1969, however, the former Navy shipyard was involved in activities that created significant amounts of radioactive waste. First, the facility was the location of top-secret nuclear tests. Second, it was where ships were decontaminated after returning from hydrogen bomb tests. Cleaning up the radioactive waste is expected to cost at least $1 billion.
Whistleblowers serve a key role in our society. By bringing corporate wrongdoing to light, they open the door for justice to be served and for companies to go onto a better path. Whistleblowers can help with putting a stop to Medicare/Medicaid fraud and other types of fraud against the government.