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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.

Medicare Risk Adjustment Fraud is Not Victimless

Posted  06/18/20
By Edward Baker
medicare dollars
Implicit in the arguments made by many Medicare Advantage Organizations (MAOs), health plans, hospital networks and other defendants in response to whistleblower and government False Claims Act complaints is that the alleged misconduct—falsifying diagnosis data so that CMS overpays for patients enrolled in an MA plan—involves just a technical record-keeping or administrative dispute with CMS and no actual...

Tagged in: FCA Federal, Healthcare Fraud, Medicare, Provider Fraud, Risk Adjustment Fraud,

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Catch of the Week — Tacoma foundry pays 10.8M settlement over deficient steel parts destined for U.S. Navy submarines, falsified tests

Posted  06/18/20
US-Navy-ships-in-the-middle-of-the-ocean
The latest in our Catch of the Week series features Bradken Inc.’s $10.8 million payment to resolve allegations that its Tacoma foundry violated the False Claims Act (“FCA”) when it produced and sold substandard steel parts for U.S. Navy submarines and falsified test results to hide the failures. Bradken and its former lab director Elaine Thomas also face criminal charges. The company accepted responsibility and...

Tagged in: Catch of the Week, Contract Non-Compliance, Criminal Proceedings, Defense Contract Fraud, FCA Federal, Government Procurement Fraud,

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A Win-Win Solution: Italy Proposes a Legislative Hack for COVID-Related Whistleblowers

Posted  06/12/20
Flag of Italy
As part of Constantine Cannon’s participation in the Financial Times Global Legal Hackathon, Partner Mary Inman collaborated with a multidisciplinary team to develop a hack to empower and protect COVID19 whistleblowers in Italy. Contributors include: Nicoletta Parisi, a professor of International Law at Universita degli Studi di Catania; Priscilla Robledo, a former IP attorney who now works as a campaigner on behalf...

Tagged in: CC Lawyers, COVID-19, Importance of Whistleblowers, International Whistleblowers, Whistleblower Protection Laws,

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DOJ Charges Healthcare CEO with Criminal Securities and Healthcare Fraud

Posted  06/12/20
Hands in handcuffs behind back of white man in business suit
In 2008, Rahm Emanuel, then-President Obama’s chief of staff, famously said, “You never want a serious crisis to go to waste.  I mean, it’s an opportunity to do things that you think you could not do before.”  However poorly phrased, generations of political and business leaders have understood the kernel of truth in his admonition. So have scammers and rip-off artists. We have been following the...

Tagged in: Catch of the Week, COVID-19, Criminal Proceedings, Financial and Investment Fraud, Healthcare Fraud, Laboratory and IDTF, Lack of Medical Necessity, Market Manipulation and Trading Violations, Misrepresentations, Securities Fraud,

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Work-From-Home Brings Increase in SEC Whistleblower Tips, Demonstrating Need for Whistleblower Protection and Support

Posted  06/10/20
By Ronny Valdes
silver whistle with Securities Exchange Commission logo
This month, the Wall Street Journal reported that the SEC has been receiving a “surge” in whistleblower reports under the SEC Whistleblower Program. The article, Tips to SEC Surge as Working From Home Emboldens Whistleblowers, states that the SEC received approximately 4,000 tips between mid-March and mid-May – in the heart of the pandemic – which represented a 35% increase over the equivalent period in 2019....

Tagged in: Anonymity, Importance of Whistleblowers, Retaliation,

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Integra Med Analytics Loses Battle to Establish New Breed of Corporate Whistleblower Outsiders, Write Mary Inman and Max Voldman in RACMonitor

Posted  06/10/20
attorney headshots of Mary Inman and Max Voldman
Constantine Cannon whistleblower attorneys Mary Inman and Max Voldman updated their earlier reporting in RAC Monitor regarding the False Claims Act case brought by Integra Med Analytics against Texas-based hospital chain Baylor Scott & White.  At the end of May, the Fifth Circuit Court of Appeals upheld a Texas district court opinion dismissing the case. As we have earlier written, Integra alleged that the...

Tagged in: CC Lawyers, FCA Federal, Healthcare Fraud, Hospital Fraud, Medical Billing Fraud, Public Disclosure and Public Information, Upcoding, Whistleblower Eligibility,

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Increased Federal Funds, Incentives, and Requirements for Nursing Homes Brings Worrisome Opportunities for Fraud

Posted  06/5/20
By Jessica T. Moore
wheelchair in the hospital lobby
The pandemic has exposed the razor thin margin for error by which our most vulnerable are cared for in nursing homes. New aggregate federal data reveal the appalling toll on facility residents and staff: over 31,700 deaths as of June 4, 2020 (an undercounted 1/3 of all US COVID-19 deaths), according to the federal government’s Nursing Home Compare.  Responsive federal funding for nursing homes, requirements for...

Tagged in: CC Lawyers, COVID-19, FCA Federal, Healthcare Fraud, Importance of Whistleblowers, Provider Fraud,

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A COVID-19 Pesticide, Unproven Treatments, and Splashing Out On SBA’s Dime

Posted  06/5/20
statue of liberty spraying disinfectant with a mask over her mouth
The US DOJ continued its efforts to combat the sale of unproven and unregistered COVID-19 treatments and preventatives and charged purported “business owners” for CARES and PPP funds fraud this week. A Georgia woman pleaded guilty to selling an unregistered pesticide, in violation of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA). Rong “Vicky” Sun, 34, of Fayetteville, Georgia, will be...

Tagged in: Catch of the Week, COVID-19, Government Programs Fraud,

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Protests Turn a Glaring Spotlight on the Big Business of Outfitting the Police

Posted  06/4/20
By Sarah “Poppy” Alexander
local police badges scattered around
The groundswell of protest against police brutality after George Floyd’s murder has rightly turned the world’s attention to the harsh tactics employed by police departments and the racist biases in how those tactics are applied.  Shocking images have emerged from around the U.S. of police officers ready to respond to protesters, outfitted like military, looking like they are going into battle.  How did we get...

Tagged in: FCA Federal, FCA State,

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SEC Makes $50M Whistleblower Reward: LARGEST AWARD TO DATE

Posted  06/4/20
SEC Whistleblower Attorneys
The SEC today announced a $50 million whistleblower award, the largest award to date to a single individual whistleblower under the SEC Whistleblower Program.  This tops the $54 million award to two whistleblowers in September 2018 and the $50 million award to two whistleblowers in March 2018.  It brings the total amount of awards under the program to more that a half-billion dollars.  And it is just the latest in...

Tagged in: Importance of Whistleblowers, SEC Whistleblower Reward Program, Whistleblower Case, Whistleblower Eligibility, Whistleblower Rewards,

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