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Fraud Against the Government and the False Claims Act: 5 Common Red Flags

The False Claims Act got its start in the Civil War era after dozens of wayward contractors acquired substantial sums of money from the government despite delivering subpar (or nonexistent) supplies to soldiers. Since then the Act has been applied to virtually every industry in the United States, resulting in […]

Georgia Optometrist Settles Allegations of False Billing and Upcoding for $275,000

State and federal guidelines impose strict billing requirements when it comes to routine eye care. Unlike many private insurance plans, coverage under Medicare or Medicaid generally provides reimbursement for vision services, provided the optometrist engages in medically necessary procedures. Today we’ll review a whistleblower case filed in 2014 against optometrist […]

Walter Investment Management Corporation Settles Mortgage Fraud Case for $29 Million

In yet another mortgage fraud case, Walter Investment Management Corporation (Walter Investment) has agreed to pay over $29 million to resolve allegations it falsely certified residential home mortgages under the Department of Housing and Urban Development’s (HUD) Home Equity Conversion Mortgage (HECM)[1] program. The alleged scheme was uncovered following a […]

Parsons Infrastructure & Technology Group Settles Allegations of Contractor Fraud for $3.8 Million

The Savannah River Site is a nuclear facility built in the 1950s and maintained by the federal government via several contracts with engineering and environmental firms. According to its mission statement, the site is “a key Department of Energy (DOE) industrial complex responsible for environmental stewardship, environmental cleanup, waste management […]

K-Mart Pharmacy Accused of Defrauding Medicare; Settles for $1.4 Million

Much like healthcare providers are prohibited from providing kickbacks to  doctors and patients, pharmacies are likewise prohibited from inducing potential customers by offering financial incentives to choose one dispensary over another. In essence, the government seeks to ensure Medicare enrollees are free to choose the pharmacy of their liking without […]