‘Qui Tam Whistleblower’ Category
January 6, 2015 January 6, 2015 — State and federal False Claims Act statutes exist in part to give health care insiders the means to bring a whistleblower lawsuit. The government relies on tipsters to protect the integrity of our Medicare and Medicaid healthcare programs. When medical providers cheat the system by overbilling Medicare for hospice care services that are unnecessary, they put the continued...
January 6, 2015 Kaplan College to refund over $1 million in financial aid amid allegations of unqualified instructors teaching class
SAN ANTONIO – January 6, 2015 – Kaplan Inc. (Kaplan), a leading and national for-profit education company with campuses across Texas, has reached a $1.3 million civil settlement with the U.S. Department of Justice (DOJ). This agreement resolves...
December 17, 2014 December 17, 2014 — To counter corruption in the securities market and protect investors, the U.S. Congress initiated a whistleblower program as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act. The program authorizes awards for informants who notify the Securities and Exchange Commission (SEC) about an impending or ongoing fraudulent scheme. Broker-dealer insiders...
December 16, 2014 December 16, 2014 — Dental Medicaid fraud rarely goes unnoticed by dental clinic insiders. But many just keep their heads down and try to hold onto their jobs — until they are asked to participate. That’s when many whistleblowers seek out legal advice to stop billing fraud schemes against the government. When tipsters file a lawsuit against unethical dental practices under the qui tam...
December 15, 2014 December 15, 2014 — The False Claims Act empowers health care insiders to file a whistleblower lawsuit on the government’s behalf. Courageous whistleblowers help to protect the integrity of our federal healthcare programs, like Medicare or Medicaid, by notifying the government when unscrupulous health care providers engage in upcoding and other billing violations. Upcoding is the practice...
December 12, 2014 December 12, 2014 — A federal anti-kickback statute makes it a crime for a medical device maker to pay doctors to use the company’s medical devices in procedures that are reimbursed by federal healthcare programs such as Medicare and Medicaid. Since the Anti-Kickback Statute was amended in 2010, violations of this statute automatically violate the federal False Claims Act. When medical...
December 11, 2014 December 11, 2014 — The Foreign Corrupt Practices Act (FCPA) is a powerful weapon to stop corporations from attempting to win or retain business abroad by making bribe payments to or bestowing lavish gifts on foreign government officials or their family members. Aimed at the problem of foreign bribery, the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 allows for substantial...
December 8, 2014 December 8, 2014 — It is a violation of the False Claims Act for military contractors to deceive the government during contract negotiations about the contractor’s cost in supplying products or services. Military contracts are highly coveted and can be extremely profitable for many government contractors. But contractors must deal in good faith with the government. When they cheat the...
December 5, 2014 December 5, 2014 — The IRS Whistleblower Office was established as part of the Tax Relief and Health Care Act of 2006. The whistleblower program gives tipsters with information about tax fraud a way to notify the IRS and receive compensation. The Act provides informants with a percentage of 15 to 30 percent of the funds the IRS recoups based on the whistleblower’s unique information. To be...
December 1, 2014 December 1, 2014 — A medical treatment provider is prohibited by law from billing government programs for services to patients referred by doctors who have a financial interest in the medical facility. The U.S. Justice Department uses the False Claims Act to reclaim millions of dollars each year that would otherwise be lost to Medicare fraud involving illegal kickback schemes. Under the qui...