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October 18, 2013 Healthcare Fraud

Case Against C.R. Bard Intensifies as Judge to Consider Whistleblower’s New Complaint

The False Claims Act bars, among other things, unlawful kickbacks to physicians pertaining to any patient interaction to be subsequently billed to Medicare or Medicaid. The FCA also prohibits drug manufacturers from marketing or selling products in ways other than those approved by the FDA. Any deviation from the approved […]
October 15, 2013 SEC Fraud

Are Contractors and Sub-Contractors Protected From Retaliation Under Sarbanes-Oxley?

The Sarbanes-Oxley Act is a federal statute enacted in 2002 in order to promote accountability for public companies. The statute contains a whistleblower protection clause stating that no officer, employee, contractor, sub-contractor or agent may be fired or otherwise face retaliation for reporting unlawful conduct. The legislative intent of the […]
October 14, 2013 Tax Fraud

Overview of Tax Fraud, How it is Prosecuted, and Whistleblower Benefits

Many of our reports center on fraudulent billing practices against Medicare and Medicaid. However, the IRS also maintains a whistleblower program designed to incentivize those with first-hand knowledge of tax fraud to come forward, report their information, and collect a sizable percentage of any money recovered. In the paragraphs that […]
October 11, 2013 Uncategorized

U.S. Supreme Court to Consider Specificity Requirements Under False Claims Act

Earlier this week, the U.S. Supreme Court engaged the U.S. Solicitor General to provide additional information and background about the pleading requirements contained within the False Claims Act. The Court is particularly interested in the level of factual background necessary in a whistleblower’s initial Complaint in order for the case […]
October 10, 2013 Healthcare Fraud

Tuomey Health Care Ordered to Pay Over a Quarter Billion Dollars for Health Care Fraud

The case against Tuomey Health Care began when a whistleblower physician refused to do business with the company under the terms of its standard contract, which included anticipated physician referrals as part of the computation of the physician’s compensation. Kickbacks and referral fees are prohibited under the FCA and the […]
October 9, 2013 False Claims Act Legal News

Attorney and Judge Facing Allegations of Fraud Against the Social Security Administration

In October 2013, a prominent Social Security disability attorney and an equally well-known administrative law judge faced a flurry of questioning before the U.S. Senate pertaining to allegations of fraud and deceit in the pursuit of disability benefits. The duo refused to testify, with attorney Eric C. Conn citing his constitutional […]
October 8, 2013 False Claims Act Legal News

Department of Justice Joins Whistleblower Lawsuit Against Pinnacle Bank

We are proud to announce the Department of Justice has decided to intervene in one of our whistleblower cases recently filed against Pinnacle Bank. The facts of U.S. ex rel. Hospitality Management, Inc. v. Pinnacle Bank, which originates in Wyoming, reveal a systematic protocol of fraud and misrepresentation with regard […]
October 7, 2013 SEC Fraud

Anonymous Whistleblower Takes Record Qui Tam Award

Under the False Claims Act (FCA) and various other federal and state anti-fraud statutes, whistleblowers may recover a certain percentage of any money recovered by the government as a result of the relator’s willingness to come forward. In many cases, whistleblowers choose to remain anonymous for fear of retaliation or […]
October 4, 2013 Uncategorized

False Claim Cases Beyond the False Claims Act

We regularly report about cases involving false claims for reimbursement under the False Claims Act. But did you know there are several other statutes providing for whistleblower causes of action? The following article explores some other areas of fraud, including tax, securities and commodities trading fraud. Each of these statutes […]
October 3, 2013 False Claims Act Legal News

Recently Unsealed Qui Tam Cases Reveal Surge in Health Care Fraud

Under the provisions of the False Claims Act, all lawsuits alleging fraud against the government are filed under seal. The information contained in the complaint is strictly confidential and may only be discussed with government officials directly involved in the litigation. In fact, the defendants are usually not aware the […]
October 1, 2013 Healthcare Fraud

Third-Party Diagnostic Service Provider Found Engaging in Billing Fraud

Medical billing fraud occurs when a healthcare provider submits invoices to federal healthcare reimbursement programs, such as Medicare or Medicaid, for services either never rendered or for more costly services than those actually rendered. Sometimes, as in the case described below, a medical facility outsources part of its processes to […]
September 30, 2013 Uncategorized

More Details Emerge in Trial Against Bank of America

As we reported earlier last week, the trial has begun against Bank of America regarding allegations of impropriety surrounding the underwriting and approval processes for sub-prime loans – the processes that contributed to the massive housing market meltdown. On Thursday of last week, a former Bank of America executive testified […]
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