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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.

				

			

			
						
					
			

	
		
		

			

				
				
Genetic Testing Scheme Leads to Another Fraud Conviction

				
Posted  10/11/23
								

				 
				
Scientist Testing a Specimen
				 				The DOJ recently announced another fraud conviction in connection with genetic testing. This conviction from a federal jury in Florida is the latest word in a string of fraud actions against companies and individuals offering to provide genetic testing services.

According to the DOJ, Jose Goyos and others managed the “‘doctor chase’ division” of a call center, which “contacted the primary care physicians...				 
				 					 

						
Tagged in:
													  Healthcare Fraud, 
													  Laboratory and IDTF, 
													  Lack of Medical Necessity, 
													  Medicare, 
													  Provider Fraud, 
												
						

					
	
								
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Scoundrel Spotlight - COVID-19 Fraudster Lourdes Navarro

				
Posted  10/9/23
								

				 
				
Laboratory Worker Taking a Swab Test
				 				This week's Scoundrel in the Spotlight is Lourdes Navarro and her husband Imran Shams.  The married pair ran the LA County medical lab Clinical Laboratory Inc. (also called Health Care Providers Laboratory).  Their lab performed COVID-19 screening tests primarily for nursing homes and other facilities catering to the elderly population.  Last Thursday (October 5), Navarro pleaded guilty to fraudulently billing the...				 
				 					 

						
Tagged in:
													  COVID-19, 
													  Healthcare Fraud, 
													  Lack of Medical Necessity, 
													  Medical Billing Fraud, 
													  Medicare, 
													  Risk Adjustment Fraud, 
												
						

					
	
								
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SEC Charges yet Another Company for Violating Whistleblower Protection Rule

				
Posted  10/6/23
								

				 
				
silver whistle with Securities Exchange Commission logo
				 				On September 29, the Securities and Exchange Commission (SEC) announced that New York-based investment adviser D. E. Shaw & Co. agreed to pay $10 million to settle charges of violating the SEC's Whistleblower Protection Rule.  It is the third SEC settlement in September for violating the rule, which prohibits a company from taking any steps to interfere with a whistleblower's efforts or incentives to report potential...				 
				 					 

						
Tagged in:
													  Securities Fraud, 
													  Whistleblower Protection Laws, 
												
						

					
	
								
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Scoundrel Spotlight - Medicare Fraudster Jesus Virlar-Cadena

				
Posted  10/2/23
								

				 
				
hand holding hospice patients hand
				 				This week’s Scoundrel in the Spotlight is Jesus Virlar-Cadena, a former medical director of a Texas-based healthcare provider called Merida Group, who was recently sentenced to over four years in prison in connection with a fraudulent scheme involving over $150 million in false Medicare claims, according to a DOJ press release.

The Merida Group marketed hospice services to patients with long-term incurable...				 
				 					 

						
Tagged in:
													  Criminal Proceedings, 
													  Healthcare Fraud, 
													  Home Health and Hospice, 
													  Lack of Medical Necessity, 
													  Medicare, 
													  Provider Fraud, 
												
						

					
	
								
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Catch of the Week: The Boeing Company

				
Posted  10/2/23
								

				 
				
Aircraft in Blue Sky
				 				This week's Department of Justice (DOJ) Catch of the Week goes to the Boeing Company.  Yesterday (September 28), DOJ announced the Virginia-based aircraft maker agreed to pay $8.1 million to settle charges it violated the False Claims Act in connection with its Navy contracts to manufacture the V-22 Osprey military aircraft.

According to the government, for more than ten years Boeing violated contractual...				 
				 					 

						
Tagged in:
													  Catch of the Week, 
													  Contract Non-Compliance, 
													  FCA Federal, 
													  Government Procurement Fraud, 
													  Whistleblower Case, 
													  Whistleblower Rewards, 
												
						

					
	
								
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Nurse Practitioner Convicted in $200 Million Medicare Fraud Scheme

				
Posted  09/28/23
								

				 
				
Stethoscope Placed Down
				 				In a landmark healthcare fraud case, a federal jury in Miami has convicted a nurse practitioner $200 million for her central role in a massive Medicare fraud scheme in which she conspired with telemarketing companies to submit false claims for unnecessary genetic testing and medical equipment.

Evidence presented during trial outlined the scheme: telemarketers targeted Medicare beneficiaries, and pressured them to...				 
				 					 

						
Tagged in:
													  FCA Federal, 
													  Healthcare Fraud, 
													  Lack of Medical Necessity, 
													  Medical Devices and DME, 
													  Medicare, 
												
						

					
	
								
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SEC Takes Down Yet Another Company Trying to Silence Whistleblowers

				
Posted  09/28/23
								

				 
				
Red Whistle Zipped
				 				It was only a few weeks ago that the Securities and Exchange Commission (SEC) slapped down Monolith Resources for forcing departing employees to sign separation agreements making them waive their right to any whistleblower rewards for reporting fraud to the government.  In announcing that enforcement action, the SEC stressed the need for companies to appreciate that taking any steps to silence whistleblowers is...				 
				 					 

						
Tagged in:
													  Securities Fraud, 
												
						

					
	
								
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In Their Own Words. . . .Government Accountability Project Tom Devine and Joe Spielberger

				
Posted  09/28/23
								

				 
								 				"[Whistleblower] retaliation doesn’t just punish honest people, it scares others into silence, allowing corruption to continue threatening the health, safety, and welfare of Florida’s residents and honest contractors."

From their OpEd in today's Miami Herald calling on Florida Senator Rick Scott to support the Expanding Whistleblower Protections for Contractors Act, bipartisan legislation that "would update and...				 
				 					 

						
Tagged in:
													  In Their Own Words, 
												
						

					
	
								
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Catch of the Week: Gramercy Cardiac Diagnostic Services

				
Posted  09/26/23
								

				 
				
businessmen shaking hands and other placing money in others pocket
				 				This week's Department of Justice (DOJ) Catch of the Week goes to Gramercy Cardiac Diagnostic Services and its owner Klaus Peter Rentrop.  Gramercy provides cardiac diagnostic imaging services, previously operating out of four offices in New York City.  On Monday (September 18), the DOJ announced Rentrop and Gramercy will pay $6.5 million for violating the False Claims Act and Anti-Kickback Statute through their...				 
				 					 

						
Tagged in:
													  Anti-Kickback and Stark, 
													  FCA Federal, 
													  Healthcare Fraud, 
													  Provider Fraud, 
													  Whistleblower Case, 
												
						

					
	
								
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In Their Own Words. . . .Rice University Political Science Professor Mark Jones

				
Posted  09/22/23
								

				 
								 				"[T]he reality is that if you’re a whistleblower, at a very high level you saw a group of well-respected, conscientious whistleblowers go to the FBI only after they were unable to convince their boss that he was engaging in transgressions and the response of all this is that their names get dragged through the mud, they get fired.  The lesson they’re going to draw from it is, 'Why bother?'"

From the Texas...				 
				 					 

						
Tagged in:
													  In Their Own Words, 
												
						

					
	
								
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