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How to Be a Whistleblower

Posted  07/19/19
How to be a whistleblower
You know about fraud, waste, abuse, or corruption by an individual or a company. Someone is getting by with cheating -- taking money from the government, taxpayers, or investors, or even harming others, such as patients. You are deeply troubled about it and want the proper authorities to stop it. You are worried whether you will be heard, taken seriously, and protected. You wonder if your information fits within a...

Healthcare Fraud also Harms Private Insurers - and Whistleblowers can Help

Posted  04/25/19
Health insurance forms, stethoscope, calculator and dollars
Whistleblowers with information about healthcare fraud look first to the False Claims Act, and the impact that healthcare fraud has on Medicare, Medicaid, and other government healthcare spending.  But, healthcare fraud that harms private insurance companies – as opposed to government payors – also attracts government enforcement attention.  Several recent criminal prosecutions in Texas and elsewhere illustrate...

Healthcare Fraud: it’s not just Medicare and Medicaid

Posted  10/17/18
Last year, the U.S. Department of Justice recovered $2.4 billion in settlements and judgments involving fraud in the healthcare industry perpetrated against government payors. But government programs like Medicare and Medicaid aren’t the only targets of massive healthcare fraud schemes. A recent Department of Justice press release announced the unsealing of a 32-count indictment containing charges against four...

Destruction from Recent Hurricanes Could Rain Down Fraud

Posted  09/28/17
By the C|C Whistleblower Lawyer Team Hurricane Irma has ripped through Florida and is expected to have caused about $50 billion of damage, with Harvey and Maria causing billions more. Most private insurance policies limit coverage to damage from fire, wind, and a variety of other catastrophic causes. However, almost no private insurers in the United States cover any damage caused to homes by flood waters. Flood...

Justice Department Announces Department-Wide Response to Disaster Fraud

Posted  09/27/17
By the C|C Whistleblower Lawyer Team Closely following a series of destructive hurricanes from which parts of the U.S. are only beginning the long road to recovery, the Justice Department issued a memorandum to each of the nation’s U.S. Attorney’s Offices and to law enforcement agencies setting department-wide policies for responding to disaster fraud. The memo, announced yesterday, provides guidance on...

Beware of Fraud in the Aftermath of Hurricane Harvey

Posted  09/5/17
By the C|C Whistleblower Lawyer Team As the floodwaters begin to recede in the aftermath of Hurricane Harvey and the torturous clean-up effort begins, there is a new threat emerging from this latest environmental disaster -- fraud. It is a concern not only for the victims of Harvey, but also for the volunteers trying to help with the relief effort. This from a recent NPR interview with Corey Amundson, the United...

Fraudster of the Week -- Monarch Medical Group

Posted  04/28/17
Last week, California state prosecutors charged 26 individuals, including 21 physicians and 2 pharmacists, in connection with a kickback scheme orchestrated by Tanya and Christopher King, the owners of a practice management company called Monarch Medical Group and other related companies.   If convicted, the involved physicians could face up to 25 years in prison and the pharmacists could face up to 28 years. ...

DOJ intervenes in $50 Million Healthcare Fraud Case

Posted  03/2/17
By the C|C Whistleblower Lawyer Team Preet Bharara, US Attorney for the Southern District of New York, announced a civil suit and criminal actions against several doctors and health care entities alleging over $50M in fraud through schemes that lasted over 12 years. Five of the six doctors charged in their personal capacity were arrested in the New York area on Wednesday. The allegations center around Asim...

A Big Friday for Whistleblowers

Posted  12/21/15
By the C|C Whistleblower Lawyer Team In what might be a first of its kind for whistleblowers and the government, this past Friday there were four significant government fraud recoveries all initiated by whistleblowers. In the midst of what is certainly an ever-expanding parade of whistleblower-prompted fraud settlements by the government, this may be the only time four major settlements were announced in a single...

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