Whistleblower Group

SEC Awards $98 Million To Two Whistleblowers

Radiology Group and Founder to Pay $9M in Kickback Settlement Involving PAD Patients

National Interventional Radiology Partners PLLC (NIRP) and its founder, Dr. Andrew Gomes, have agreed to pay nearly $9 million to resolve kickback allegations under the False Claims Act (FCA) and the Anti-Kickback Statute(AKS). NIRP and Dr. Gomes prioritized their profits over patient care by paying kickbacks for Medicare referrals. In 2018, a whistleblower exposed the misconduct, triggering the government...

Not-So-Sweet Deal for Brazilian and Swiss Sugar Companies as CFTC Orders $750,000 Fine for Wash Sales  

Orange Medical Agrees to Pay $600,000 to Resolve FCA Violations Involving Billing for Services Rendered by Non-Credentialed Providers

Today the U.S. Attorney for the Southern District of New York announced a $600,000 settlement to resolve False Claims Act violations with Orange Medical Care, P.C., a family medicine practice based in Newburgh, New York. Orange Medical Care and its owners, Drs. Ashikkumar A. Raval and Manish A. Raval, admitted to submitting claims for primary care services that were not rendered or supervised by the physician...

California Law Firm Settle False Claims Act Allegations Regarding Misuse of PPP Loan

It has been a very busy week for the DOJ tackling COVID-19 fraud. On August 15, DOJ announced that The Bloom Firm, a California-based law firm, along with senior management members Lisa Bloom and Braden Pollock, reached a settlement over government allegations of violating the False Claims Act by misusing Paycheck Protection Program (PPP) loan funds.

The PPP was established in March 2020 under the CARES Act to offer...

A College-Aged Kid Pleads Guilty to Defrauding Medicare of $39.5 Million

The Ongoing Effects of COVID-19 Fraud

The legal world continues to navigate the lingering effects posed by the COVID-19 pandemic. Fraud related to relief efforts and financial aid programs remains a significant concern. The DOJ has been cracking down on investigations, and we’re seeing more and more settlements this year.

Yesterday, August 13, DOJ reaffirmed its commitment to combating COVID-19 fraud, emphasizing the need for vigilance and public...

SO-CAL Dental Offices Pay $6.3 Million Settlement for Misuse of COVID-19 Relief Loans

Not looking so sunny for one Southern California Dental company. Yesterday (August 8) it was announced that West Coast Dental Administrative Services LLC (previously known as West Coast Dental Services Inc.), along with its former founders and owners, have agreed to pay $6.3 million to resolve allegations of violating the False Claims Act.

This will settle accusations related to the improper acquisition of Paycheck...

CFTC Awards Over $1 Million to Whistleblower in Digital Assets Case

Yesterday, August 8, 2024, the Commodity Futures Trading Commission (CFTC) announced an award of over $1 million to a whistleblower. This individual provided critical information that led to an enforcement action targeting unlawful activities in digital asset markets.

The CFTC's Director of Enforcement, Ian McGinley, emphasized the growing importance of addressing misconduct in digital asset spaces, noting that...

Eye Doctor Accused of Kickback Scheme, Double Billing, and More...

Burlington County Eye Physicians (BCEP), an eye care practice based in New Jersey and Pennsylvania, along with Dr. Gregory H. Scimeca, agreed to pay $469,232 to resolve accusations of submitting false claims for medically unnecessary tests to Medicare and the Federal Employee Health Benefit (FEHB) Program. The resolution includes claims that were brought under the qui tam or whistleblower provisions of the False...