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February 28, 2013
Healthcare Fraud
Timing is Crucial for Dodd-Frank Act’s Whistleblower Program
Two and a half years after the Dodd-Frank Act’s whistleblower program passed and more than one year after key rules went into effect, the program has generated more than 3,000 tips, complaints, and referrals. It has also yielded the first Securities and Exchange Commission enforcement action this year. The program’s first […]
February 27, 2013
Healthcare Fraud
IRS Paid Out a Record $125 Million to Whistleblowers in 2012 According to New Report
The Internal Revenue Service released its Whistleblower Report for Fiscal Year 2012, which ended on Sept. 30. The report is required by Congress and shows the annual accounting for the IRS whistleblower program that pays rewards to those people who report or turn in tax frauds. The IRS whistleblowers office reported that […]
February 26, 2013
Healthcare Fraud
Qui Tam Suit Against Cooper Health System Finally Resolved
A False Claims Act lawsuit filed against Cooper Health System, a New Jersey hospital, by Delaware Valley cardiologist Nicholas L. DePace, M.D., set off what became a multi-year investigation by the United States Department of Justice and the New Jersey Attorney General’s Office. The qui tam suit was filed in federal […]
February 25, 2013
Healthcare Fraud
False Claims Act Case Filed Against Lance Armstrong by the Department of Justice
The federal government has sued Lance Armstrong, alleging the former cyclist committed fraud through cheating and false statements.
February 22, 2013
Healthcare Fraud
The Department of Defense Continued doing Business with Contractors Linked to Fraud Charges
In a shocking report prepared by the Department of Defense for Vermont Senator Bernie Sanders, it was revealed that hundreds of defense contractors who defrauded the U.S. military ended up receiving more than $1.1 trillion in Pentagon contracts during the past decade.
February 21, 2013
Healthcare Fraud
California Fights Back Against S&P – False Claims Act Suit Against Credit Rating Giant
One day after the United States government accused Wall Street’s biggest credit rating agency, Standard & Poor’s Financial Services LLC, of ratings inflation on mortgage-backed securities, the California Attorney General filed an additional suit claiming the credit ratings company violated the state’s False Claims Act (FCA). California joins twelve other states […]
February 20, 2013
Healthcare Fraud
Will Final Rule for Sunshine Act Decrease Medical Fraud?
On Friday, February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) published a long-delayed final rule for the Physician Payments Sunshine Act. The Sunshine Act requires all drug, medical device, and biological or medical supply manufacturers to carefully track and report all payments made to physicians and teaching hospitals. […]
February 18, 2013
Healthcare Fraud
Texas is Leading the Charge in Whistleblower Lawsuits
After cracking down on Medicaid fraud for over a decade, The Texas Attorney General’s Office recently reached two historic milestones. Since 2002, the Civil Medicaid Fraud Division’s recoveries in the State of Texas passed the $400 million mark, while total recoveries for the state and federal governments presently exceed $1 […]
February 18, 2013
Healthcare Fraud
Another Scandal for Orthofix as Former Employee Sentenced for Medicare Fraud
Yet another former manager with Orthofix pled guilty to forging former patient medical records in an attempt to justify reimbursement for procedures involving bone growth products.
February 14, 2013
SEC Fraud
The SEC Whistleblower Program
The Securities and Exchange Commission (“SEC”) is the federal agency responsible for regulating the securities industry and for enforcing federal securities laws. The SEC protects the public against fraudulent and manipulative practices in the securities markets. Congress created the SEC Whistleblower Program as a way to offer incentives to those people who have […]
February 13, 2013
Healthcare Fraud
HIPAA Security Rule: Stolen Laptop Brings $50,000 Settlement
The United States Department of Health and Human Services (HHS) announced on January 2, 2013 the first settlement involving potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule involving less than 500 patients. An Idaho-based hospice provider was found at fault due to the theft […]
February 7, 2013
Healthcare Fraud
Year of the Whistleblower: How the Department of Justice Recovered $4.9 Billion in 2012
On December 4, 2012, Acting Associate Attorney General Tony West announced that during the fiscal year 2012, The Department of Justice (DOJ) recovered a record $4.9 billion in settlements and judgments as a result of fraud prosecuted under the False Claims Act (FCA). During 2012, there were about 650 whistleblower, or qui […]
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