‘Qui Tam Whistleblower’ Category

A Detroit-area physician, the owner of a home health agency, and a patient recruiter have been convicted by a federal jury for participating in a $14.5 million scheme to defraud Medicare, according to the Justice Department. Dr. Pramod Raval was found guilty of conspiracy to commit healthcare fraud and conspiracy to solicit or receive healthcare kickbacks for referring patients to two Detroit...

The Justice Department has intervened in a whistleblower lawsuit against Texas-based Fluor Corp. and its subsidiary Fluor Hanford Inc. Fluor Hanford, Inc. provides various services to the government and to private customers. Whistleblower Loydene Rambo, a former Fluor employee, originally filed the False Claims Act lawsuit alleging that Fluor had committed fraud by failing to comply with the...

Connecticut-based Boehringer Ingelheim Pharmaceuticals Inc. will pay $95 million to resolve allegations by the Justice Department that the company engaged in the improper promotion of certain medications: Aggrenox, Atrovent, Combivent, and Micardis. The False Claims Act lawsuit against Boehringer was originally filed by a whistleblower, a former Boehringer sales representative. As part of...

A huge percentage of whistleblower cases filed under the federal False Claims Act involve some sort of Medicare fraud. In a $71 million Medicare fraud scheme in Brooklyn, New York, the Justice Department has criminally charged 16 individuals, 11 of whom have pleaded guilty to the conspiracy. The defendants include two physicians, nine individuals who either owned, operated or worked at the...

In Fort Lauderdale, Florida, a federal grand jury has returned an indictment against Paul F. Wrubleski for filing false tax claims seeking more than $1.5 million in federal refunds. The Justice Department has charged Wrubleski with corruption in four counts of filing false claims for federal tax refunds.

The indictment charges that Wrubleski impeded the Internal Revenue Service by...

Fraud in military contracting costs the American taxpayers millions of dollars each year. The Justice Department has reached a settlement in a recent instance of fraudulent procurement involving services provided to the U.S. Army in Fort Knox, Kentucky.

Lusk Mechanical Contractors and Commonwealth Technologies, along with the companies’ owners, Harry Lusk and Wendell Goodman, will...

Drug makers engage in Medicaid and Medicare fraud when they market unapproved drugs that have not been subjected to the FDA’s regulatory process. Such conduct places consumers at risk. Whistleblowers work with the government to end health care fraud and protect American consumers.

Healthpoint Ltd. and DFB Pharmaceuticals, defendants in a recent False Claims Act suit, have agreed to...

Whistleblower litigation under the False Claims Act often involves fraudulent Medicare and Medicaid claims for prescriptions drugs. Sometimes the false claims are made by the drug manufacturer that, for example, markets a drug for an off-label use. Other times, the false claims are made at the far end of the supply chain, by a pharmacy that finds a way to bilk the taxpayers out of millions...

Whistleblowers play a vital role in putting an end to Medicare fraud schemes like the one in New York for which a Brooklyn board-certified colorectal surgeon was recently sentenced to prison. Medicare fraud costs everyone money. Taxpayers foot the bill for the Medicare programs that are cheated in health care fraud scams.

Every year, whistleblowers report unscrupulous health care providers who cheat Medicare and the American taxpayers out of millions of dollars. Many providers simply bill Medicare for services they never provided. Some create elaborate phony records to back up their non-existent services. Others don’t even bother with that.