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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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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 […]
September 27, 2013
Uncategorized
Proposed Bill Could Potentially Weaken Healthcare Fraud-Based Whistleblower Claims
Federal and state officials have uncovered billions of dollars in healthcare fraud under the False Claims Act. This statute allows for private citizens, known as qui tam plaintiffs, to sue as whistleblowers on behalf of the federal government. A qui tam a action is designed to not only help the […]
September 26, 2013
False Claims Act Legal News
Wells Fargo Unsuccessful in its Attempt to Dismiss the DOJ’s Fraud Claims
In terms of market value, Wells Fargo is currently the largest financial institution in the world. In light of its size and the great number of people it serves, it becomes especially alarming when allegations of wrongdoing arise. U.S. District Judge Jesse Furman of Manhattan issued an order allowing the […]
September 25, 2013
Healthcare Fraud
Oncologist Accused of Shocking Acts of Medical Fraud
In one of the most shocking cases of Medicaid and Medicare fraud to date, a Michigan-area cancer doctor is accused of a $35 million billing scheme involving claims of intentional misdiagnoses, unnecessary cancer treatments and violations of the naturalization process. In its original August 6th filing, the Department of Justice […]
September 24, 2013
Healthcare Fraud
Renowned Hospital Group to Pay $26 Million in Penalties
Shands HealthCare, located in Florida and connected with the University of Florida’s College of Medicine, will reportedly pay over $26 million in fines and penalties to the United States government pursuant to its recent settlement of claims under the False Claims Act. Shands is comprised of six prominent hospitals in […]
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