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Whistleblower Insider Blog

					
Whistleblower Insider is written by the Constantine Cannon law firm team of experienced qui tam and whistleblower lawyers. It is updated regularly to provide the latest whistleblower and fraud news and developments.

				

			

			
						
					
			

	
		
		

			

				
				
Two Plead Guilty to $68M Brooklyn Adult Day Care and Home Healthcare Fraud Scheme

				
Posted  01/28/26
								

				 
				
adult daycare
				 				By the Constantine Cannon Whistleblower Team

On January 15, Elaine Antao and Manal Wasef pleaded guilty to conspiring to defraud Medicaid by offering kickbacks for services not rendered at two Brooklyn social adult day cares and a home healthcare company. The proceedings took place before United States District Judge Natasha C. Merle in federal court in Brooklyn. Each defendant faces up to 10 years in...				 
				 					 

						
Tagged in:
													  Anti-Kickback and Stark, 
													  Medicaid, 
													  Medicaid fraud, 
												
						

					
	
								
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Whistleblower-Initiated Case: DOJ Files FCA Complaint Against Priority Hospital Group and Three LTCHs

				
Posted  01/28/26
								

				 
				
medical professionals walking down hallway
				 				By the Constantine Cannon Whistleblower Team

On January 16, the government filed a False Claims Act complaint against Priority Hospital Group LLC (PHG), a Louisiana-based hospital management company, three PHG-managed long term care hospitals, and a doctor alleging they submitted false claims for medically unnecessary care and engaged in improper patient referrals in violation of the Anti-Kickback and Stark Law.				 
				 					 

						
Tagged in:
													  Anti-Kickback and Stark, 
													  False Claims Act, 
													  Medicare, 
													  qui tam, 
												
						

					
	
								
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Traditions Health Pays $34M to Settle False Claims Act Charges of Medically Unnecessary Home Health Services

				
Posted  01/28/26
								

				 
				
medical equipment with phone and notepad
				 				By the Constantine Cannon Whistleblower Team

Last Thursday (January 22), the Department of Justice (DOJ) announced that Tennessee-based Traditions Health agreed to pay $34 million to settle allegations it violated the False Claims Act and Anti-Kickback Statute and Stark Law by billing Medicare for medically unnecessary home health services and paying kickbacks to physicians in exchange for referrals.[1] ...				 
				 					 

						
Tagged in:
													  Anti-Kickback and Stark, 
													  False Claims Act, 
													  qui tam, 
												
						

					
	
								
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Florida Ophthalmology Practices Agree to Pay Nearly $6M in Whistleblower Case Involving Transcranial Doppler Ultrasounds

				
Posted  01/22/26
								

				 
				
Ophthalmology clinic
				 				By the Constantine Cannon Whistleblower Team

Five Florida ophthalmology practices, Clay Eye Holdings LLC, Retina Macula Specialists of Miami LLC, Florida Eye Institute P.A., Miami Eye LLC, and Kendall Eye Institute Inc., agreed to pay roughly $6 million to settle allegations that they submitted fraudulent claims to Medicare and Medicaid in violation of the False Claims Act. [1]

According to the government, the...				 
				 					 

						
Tagged in:
													  Anti-Kickback and Stark, 
													  False Claims Act, 
												
						

					
	
								
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Healthcare Employees Sentenced to Prison for Multimillion Dollar Adult Daycare Fraud Scheme

				
Posted  01/22/26
								

				 
				
healthcare facility
				 				By the Constantine Cannon Whistleblower Team

A Texas physician and a clinic employee have been sentenced to prison for their roles in a multimillion dollar healthcare fraud and kickback scheme involving unnecessary lab tests and prescriptions.

Dr. Osama Nahas, owner and physician at Crosspoint Medical Clinic, and medical assistant Isabel Pruneda were convicted on March 1, 2024 by a federal jury of conspiracy to...				 
				 					 

						
Tagged in:
													  False Claims Act, 
													  Healthcare Fraud, 
													  Medicare, 
													  qui tam, 
												
						

					
	
								
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DOJ's Annual False Claims Act Roundup For 2025 -- Another Record Year for Whistleblower-Initiated Fraud Enforcement

				
Posted  01/21/26
								

				 
				
DOJ's Annual FCA Roundup for 2025
				 				By the Constantine Cannon Whistleblower Team

Last Friday (January 16), the Department of Justice released its Annual Report of False Claims Act enforcement for the fiscal year ending September 30, 2025.[1]  By all accounts, it was another record year for fraud enforcement with the Government recovering roughly $6.9 billion, the largest single-year haul ever under the statute.  As usual, the bulk of that amount --...				 
				 					 

						
Tagged in:
													  False Claims Act, 
													  qui tam, 
												
						

					
	
								
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Kaiser Pays Record $556M to Settle Medicare Advantage False Claims Act Case -- Constantine Cannon Represented One of the Originating Whistleblowers

				
Posted  01/20/26
								

				 
				
Kaiser Pays Record $556M to Settle Medicare Advantage False Claims Act Case
				 				By the Constantine Cannon Whistleblower Team

Last Wednesday (January 14), the Department of Justice (DOJ) announced that several affiliates of Oakland-based Kaiser Permanente agreed to pay $556 million to settle allegations they violated the False Claims Act by submitting invalid diagnosis codes for their Medicare Advantage patients to secure inflated payments from the Government.[1]

It is the largest False...				 
				 					 

						
Tagged in:
													  False Claims Act, 
													  Medicare Advantage Fraud, 
													  qui tam, 
												
						

					
	
								
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Key Figure in Chinese Money Laundering Network Charged with Laundering Tens of Millions of Dollars in Drug Proceeds

				
Posted  01/14/26
								

				 
				
money
				 				By the Constantine Cannon Whistleblower Team

On January 8, California resident Yan Lin, 41, made his initial appearance in Cincinnati federal court on charges of conspiracy to launder tens of millions of dollars obtained from drug trafficking proceeds.[1]

The Indictment

The unsealed indictment reveals that from March 2022 to October 2024, Mexico-based drug traffickers hired Lin to transfer tens of millions of...				 
				 					 

						
Tagged in:
													  Money Laundering, 
												
						

					
	
								
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South Carolina Lab Pleads Guilty and Will Pay At Least $6.8M to Resolve Kickback Allegations Involving Doctors

				
Posted  01/13/26
								

				 
				
money in pocket
				 				By the Constantine Cannon Whistleblower Team

Clinical laboratory LTD Holding LLC (previously Labtech Diagnostics LLC) based in Anderson, South Carolina, and its founder and CEO Joseph Labash, agreed to pay roughly $6.8 million to settle False Claims Act allegations that they paid illegal kickbacks to doctors from August 2018 to November 2021. This settlement brings the DOJ’s total civil False Claims Act...				 
				 					 

						
Tagged in:
													  Anti-Kickback and Stark, 
													  False Claims Act, 
												
						

					
	
								
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Former TD Bank Employee Wilfredo Aquino Pleaded Guilty to Facilitating Money Laundering Network

				
Posted  01/13/26
								

				 
				
money inside blue washing machine
				 				By the Constantine Cannon Whistleblower Team

On January 7, the government announced that New York-based former TD Bank N.A. assistant branch manager, Wilfredo Aquino, 47, pleaded guilty to facilitating a money laundering network to move hundreds of millions of dollars through TD Bank accounts from 2019 through February 2021.[1]

David and His Co-Conspirators’ Scheme

The network’s leader, Da Ying Sze (aka...				 
				 					 

						
Tagged in:
													  Money Laundering, 
												
						

					
	
								
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