Category: False Claims California

ATTORNEY NEWSLETTER State Auditor Identifies Crisis Lack Of Oversight Leads To Fraud And Abuse Wave Of For-Profit Hospice Agencies Hospice agencies are paid to care for the dying.  Hospice care is for those persons who are terminally ill and for whom death is imminent.  Hospice care is not long-term; it […]

ATTORNEY NEWSLETTER Allegations of Unsupported Diagnosis Codes False Claims Allegedly Submitted In Federal Employee Health Insurance Programs Hearing Loss Diagnoses Allegedly Lacked Back-Up Documentation Year in and year out, individuals bring more enforcement efforts against companies defrauding the government than the government itself brings.   Many of the cases brought by […]

ATTORNEY NEWSLETTER AG Files Suit Against Urgent Care Provider Alleges Millions In Unclaimed Overpayments Alleged Violations Of Unclaimed Property And False Claims Acts California’s Attorney General Rob Bonta has made enforcement of consumer protection laws and consumer rights a major focus of attention of the California Department of Justice.  Sometimes, […]

ATTORNEY NEWSLETTER Sales Reps Allegedly Signed Up Ineligible Customers Carrier Failed To Supervise Compliance $462,500 Reward To Former Sales Rep Each year, individuals bring more enforcement efforts against companies defrauding the government than the government itself brings.  These cases brought by private citizens are actions under the False Claims Act, […]

ATTORNEY NEWSLETTER Three Former Patients Blows Whistle On False Billing Allegations Of Billing For Unnecessary Procedures Realtors Will Share $147,250 Reward Private citizens recover more money lost by the government to fraud every year than the government itself recovers through its own enforcement efforts.  Most of the private cases are […]

ATTORNEY NEWSLETTER Former Employee Blows Whistle On False Billing Allegations Of Overbilling And False Statements Realtor Will Receive $1.3 Million Reward The False Claims Act, 31 U.S.C. §§ 3729 et seq. (FCA) allows individuals with knowledge of fraud against the government to bring actions (known as “qui tams”) to recover […]

ATTORNEY NEWSLETTER Case Against Electronic Health Record Vendor Vendor Allegedly Paid Kickbacks For Client Referrals Judge Awards $390,000 To Whistleblower Under the Biden Administration, the federal government has accelerated fraud enforcement around the False Claims Act, (“FCA”), 31 U.S.C. § 3729 et seq. Enforcement is particularly focused on fraud in […]

ATTORNEY NEWSLETTER False Claims Act Whistleblower Protections Who And What Is Protected? What Acts Of Retaliation Are Prohibited And What Are An Employee’s Remedies? The False Claims Act (“FCA”), 31 U.S.C. § 3729 et seq., protects employees, contractors, and agents who engage in protected activity from retaliation in the form of their […]

ATTORNEY NEWSLETTER Allegations Of Kickbacks To Physicians For Drug Purchases Allegedly Paid Cash Bonuses To Physicians Realtors Will Share $2.6 Million Reward Kickbacks paid by drug manufacturers or distributors and pharmacies to physicians for prescribing drugs are against the law.  Anti-Kickback Statute, 42 U.S.C. § 1320a-7b. When the drugs are […]

ATTORNEY NEWSLETTER Largest Total Since 2014 Health Care Fraud Is Leading Source Of Judgments And Recoveries 598 Qui Tam Suits Filed In 2021 The U.S. Department of Justice (DOJ) obtained more than $5.6 billion in settlements and judgments from civil cases involving fraud and false claims against the government in […]