‘Qui Tam Whistleblower’ Category

Officials with a number of states have been investigating and building a case against the banks involved in the price-fixing Libor scandal. Determining and proving losses incurred by the states could be difficult, however.

Libor provides the benchmark for financial contracts around the world for everything...

Dr. John Natale, a 63-year-old vascular and thoracic surgeon, has been sentenced to 10 months in prison after his conviction for making false statements in his post-operative reports relating to the healthcare services provided to Medicare beneficiaries, according to the Chicago Tribune. He will also pay a fine of $40,000 and will perform community service during his post-release year of...

Medicare fraud has become a serious issue. According to Heartland Connection, $6.8 million is lost every hour to Medicare fraud. Seniors can be vulnerable to Medicare scams, and the Senior Medicare Patrol of Kansas City is working to educate seniors about the risk. The organization recently held a Medicare Summary Notice Workshop that taught seniors to interpret their Medicare Summary Notices...

Charles A. Davis has been sentenced to ten years in prison for tax fraud. According to the Justice Department, Mr. Davis has also been ordered to serve a year of supervised release after he is released from prison and to pay restitution to the Internal Revenue Service (IRS) totaling $538,569.

Karen T. Rayburn, a patient recruiter for a number of Louisiana durable medical equipment (DME) companies, pleaded guilty and will serve 18 months in prison for participating in a Medicare fraud scheme. Ms. Rayburn allegedly received illegal kickbacks for providing personal information about Medicare beneficiaries and prescriptions for DMEs.  Her work assisted the DME companies in filing...

Bradley C. Birkenfeld, a former UBS banker, provided information to authorities about UBS’s schemes to assist Americans in avoiding their taxes, and information supplied by Mr. Birkenfeld resulted in an investigation that significantly lowered Switzerland’s role as a secret haven for U.S. citizens seeking to evade their tax obligations. In addition, the U.S. Treasury recovered...

Bethany Lutheran Home in Council Bluffs, Iowa has been accused of engaging in Medicare fraud that cost the Medicare program $3 million. The nursing home, in turn, has sued the contractor it claims is responsible for the Medicare fraud, according to the Des Moines Register. The nursing home is suing Kindred Healthcare and its predecessor, RehabCare Group based on negligence and breach of...

A federal district court in Philadelphia has barred Deron O. Joe, Edmund G. Dassin, and James M. Tokpawhiea from preparing federal income tax returns for others, according to the Justice Department. The men consented to entry of the civil injunction order without admitting any wrongdoing.

Until...

Dr. Hicham Elhorr of the Detroit area has been charged with Medicare fraud involving home health services and physician home visits. Dr. Elhorr is accused of being the mastermind behind a $40 million Medicare fraud scheme in which Medicare was fraudulently billed for services that were medically unnecessary or that were never actually provided.

In December 2008, Geoffrey Willson, a former contract manager for Lucent Technologies World Services, Inc. (Lucent Tech), filed a whistleblower lawsuit against Lucent Tech alleging that the company violated the False Claims Act by submitting misleading testing certifications to the U.S. Army related to its work on Iraq’s emergency communications system. According to the Justice Department,...