Category: Qui Tam

ATTORNEY NEWSLETTER Former Call Center Employee Blew Whistle On Alleged Fraud  Allegations Of Kickbacks And Ineligible Recipients Waived Co-Pays Illegal  Healthcare providers of all sorts receive revenue from government reimbursements under government-sponsored health programs like Medicare, Medicaid, and the VA.  Health care spending in the U.S. reached $3.8 trillion in […]

ATTORNEY NEWSLETTER Overpaying Physicians As Form Of Illegal Kickback Internal Audit Director Blows Whistle Whistleblower Will Receive 15-30% of $21.25 Million Healthcare providers in the U.S., including hospitals and clinics, are subject to a number of statutes to prevent any fraudulent billing under government programs like Medicare and Medicaid.  When […]

ATTORNEY NEWSLETTER Accusations Of Unnecessary Rehabilitation Therapy Services 11 Skilled Nursing Facilities Involved Former Program Director Was Whistleblower  According to the Centers for Medicare & Medicaid Services improper payments for Medicare and Medicaid services totaled $25.74 billion in 2020 alone.  Often, the payments were made by the government for services […]

ATTORNEY NEWSLETTER Five-Year-Old Case Settles Defendant Sold Allegedly Faulty Defibrillators Manufacture Allegedly Made False Statements To FDA The submission of fraudulent claims for reimbursement under government healthcare programs such as Medicare, Medicaid, VA and health programs covering government workers like TRICARE, constitute the largest form of fraud against the federal […]

ATTORNEY NEWSLETTER Court Denies Summary Judgment For Defendants Private Equity Group’s Possible Liability For Portfolio Company Acts Positive Result For Whistleblowers Healthcare fraud is the largest kind of fraud against the government.  Increasingly, healthcare providers are owned by private equity groups.  The companies owned by private equity groups are often […]

ATTORNEY NEWSLETTER False Hospice Certifications And False Claims Blowing The Whistle On False Certifications Medicare Reimbursement For Ineligible Patients Hospitals, nursing homes, clinics, labs, drug and medical device manufacturers and physicians groups are each healthcare businesses that may defraud the government particularly for Medicare or Medicaid reimbursement for their services […]

ATTORNEY NEWSLETTER Individual Blows Whistle on Illegal Kickback Scheme Kickbacks Allegedly Included Foreign Vacations, Lavish Meals And Entertainment Individual To Receive Share Of Reward Private whistleblower suits (known as qui tam cases) under the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., are hands down the primary tool […]

ATTORNEY NEWSLETTER Software Developer’s Allegedly Illegal Kickback Scheme Fraudulent Incentive Payments Under Medicare Alleged Individual Whistleblower Will Receive $800,000  Private whistleblower suits (known as qui tam cases) under the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq., generate rewards for those individuals who bring the qui tam cases […]

ATTORNEY NEWSLETTER False Claims Case Alleged False Certification For Goods Supplier Allegedly Disguised Source Of Products Relators Will Receive $952,000 Reward Federal government contracts whether for goods or services are typically subject to very specific requirements and regulations. This is particularly true for defense contracts or U.S. government contracts with […]

ATTORNEY NEWSLETTER Three Large Recoveries Under False Claims Act Cases Brought By Individual Citizens As Whistleblowers Whistleblowers Rewarded  Three recent settlements[1] announced by the Department of Justice (DOJ) show how effective private whistleblower suits (known as qui tam cases) under the False Claims Act (FCA), 31 U.S.C. §§ 3729 et […]