Fraud against Private Insurers

What potential whistleblowers need to know about reporting fraud against private insurance companies. Fraud against private insurance companies has negative consequences for all consumers, as those facing rising premium rates know. Insurance fraud is widespread and many states have taken steps to combat it. Whistleblower Rewards for Reporting Insurance Fraud California and Illinois have gone further than other states  by enacting insurance fraud prevention acts that allow whistleblowers to bring...

COVID-19 Fraud

What potential whistleblowers need to know about reporting fraud related to the Coronavirus (COVID-19) pandemic COVID-19 Fraud & the Role of Whistleblowers The government is rolling out massive spending programs and regulatory changes to fight the COVID-19 pandemic and ease its economic fallout.  Meanwhile, businesses of all kinds are adjusting to sudden new economic realities. With this historical government spending, and the material changes in the regulatory and economic environment,...

Contract Set-Aside Fraud

Fraud in government contract preference and set-aside programs for small businesses and disadvantaged businesses can be reported by whistleblowers, who may be eligible to receive a reward Contract set-aside fraud is an abuse of programs designed to help small businesses and disadvantaged businesses.  While the government generally requires “full and open competition” for contracts, regulations under the Small Business Act and other laws permit, or even require, some procurements to...

Healthcare & Pharmaceutical Fraud

What potential whistleblowers need to know about reporting fraud in the healthcare industry [caption id="attachment_44193" align="alignright" width="400"] Click for full size image[/caption] Fraud in the healthcare, pharmaceutical, and durable medical equipment industries is significant and contributes substantially to rising healthcare costs. And sadly, it can be pervasive during a national or worldwide health crisis. The federal and state governments collectively spend hundreds of billions of dollars every year on healthcare...

Education Fraud

Fraud in federal and state education programs, including federal student aid fraud, can be reported by whistleblowers, who may be eligible to receive a reward Every year, federal, state, and local governments spend hundreds of billions of dollars on education. These funds provide financial aid to post-secondary students, maintain a vast network of primary and secondary schools, provide critical support for children with disabilities, and finance cutting-edge research at universities...

Whistleblower Representation

We help whistleblowers do what’s right. Tell us your story. We represent whistleblowers for the same reasons that courageous men and women come forward to expose wrongdoing, injustice, or cheating: we believe in accountability, justice, and fairness, whether that’s for taxpayers, investors, consumers, competitors, or the government. Trusted Whistleblower Lawyers: Advocating for Justice and Accountability Whistleblowing can be a stressful process stretching over many years. Our clients often work for...

Grant Fraud

The United States Government awards more than $500 billion in annual grants and state governments award billions more on top of that. These grants support infrastructure projects, invest in healthcare, fund university research, and make public art more sustainable. These grants are also susceptible to fraud. Fraudulently obtaining or executing a federal grant can run afoul of the False Claims Act, and doing the same under a state grant can...

Pharmaceutical Fraud

Understanding the most common types of pharmaceutical industry fraud reported by whistleblowers. The pharmaceutical industry is regularly found to be engaging in fraud of many types, and whistleblowers are uniquely positioned to report this fraud to the government under the False Claims Act. Common Fraud in the Pharmaceutical Industry Includes: Unlawful Kickbacks Compounded drug fraud Illegal drug-switching Misuse of the 340B drug discount program Medicaid best price fraud Medicare Part...

Medical Devices and DME Fraud

Government healthcare programs are susceptible to losses through the fraudulent prescription and dispensing of medical devices and durable medical equipment and supplies (DME). Medical devices include a wide variety of equipment—everything from bedpans to x-ray machines—used to prevent, diagnose, or treat diseases or other conditions. DME encompasses devices used in patient homes, such as: Wheelchairs and walkers, Oxygen supplies, Blood glucose monitors, and test strips, Devices to treat sleep apnea,...

Home Health and Hospice

Home health care has long been recognized as vulnerable to fraud, waste, and abuse. In 2015, Medicare reimbursed more than 11,000 home health care agencies approximately $18.4 billion for their services. The Centers for Medicare & Medicaid Services (CMS) has estimated that $10 billion of those payments—more than half of the total reimbursement—were improper or fraudulent. The potential for home health care and hospice fraud is so high that since...