In Their Own Words -- Hart
Posted 06/27/15
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 Part C: Fighting Back Against Risk Adjustment Fraud
Posted 06/26/15
Health insurance companies that participate in the Medicare Managed Care program (also known as Medicare Advantage or Medicare “Part C”) routinely complain about cuts to their reimbursement rates – even in years, like this one, where the reimbursement rates are actually increased. At the same time, reports indicate that insurers are “leaning heavily on their Medicare business” and “signal[ing their]...
In Their Own Words — Lugembe
Posted 06/26/15
-- “IF THIS LAW HAD BEEN PASSED TWO YEARS AGO, I WOULDN’T BE HERE SELLING CHARCOAL AND MY FAMILY WOULD PROBABLY NOT SUFFER.”
Tanzanian whistleblower John Lugembe, who lost his office job for blowing the whistle on corruption, commenting on Tanzania’s proposed Whistleblower and Witness Protection Act. Click here for more.Whistleblower News From The Inside — June 26, 2015
Posted 06/26/15
By the C|C Whistleblower Lawyer Team
Doctors accused of fraud were top earners -- Most of the doctors swept up in last week's national Medicare fraud takedown collected a lot more from Medicare than others in the same specialty, according to Medicare physician payment data for 2013. Modern Healthcare
Nurse pleads guilty to kickbacks -- A Connecticut pain clinic nurse has pleaded guilty to federal charges...
DOJ Catch Of The Week -- Education Affiliates
Posted 06/26/15
By the C|C Whistleblower Lawyer Team
This week's Department of Justice "catch of the week" goes to Education Affiliates. On Wednesday, the for-profit education company agreed to pay $13 million to settle charges it violated the False Claims Act by submitting false claims to the Department of Education for federal student aid. The Maryland-based company operates 50 campuses in the US under various trade names,...
DOJ Gives Major Shoutout To Whistleblowers In $450M DaVita False Claims Act Settlement
Posted 06/26/15
By Gordon Schnell
On Wednesday, Denver-based provider of dialysis services DaVita Healthcare Partners, Inc. agreed to pay $450 million to resolve charges it violated the False Claims Act by purposely creating and then billing the government for unnecessary waste in administering the drugs Zemplar and Venofer to dialysis patients. DaVita is the largest provider of dialysis services in the US with dialysis clinics...
In Their Own Words -- John Horn
Posted 06/25/15
-- “Through personal sacrifice and courage, two whistleblowers exposed knowingly wasteful dosing practices designed simply to increase profits and improperly drain the government’s resources,” said Acting U.S. Attorney John Horn of the Northern District of Georgia. “This settlement returns hundreds of millions of dollars to the treasury that had been improperly obtained by DaVita through these wasteful...
Whistleblower News From The Inside -- June 25, 2015
Posted 06/25/15
By the C|C Whistleblower Lawyer Team
DOJ Announces DaVita to Pay $450 Million to Resolve Allegations That it Sought Reimbursement for Unnecessary Drug Wastage - DaVita Healthcare Partners, Inc., the largest provider of dialysis services in the United States, has agreed to pay $450 million to resolve claims that it violated the False Claims Act by knowingly creating unnecessary waste in administering the drugs...
Whistleblower News From The Inside — June 24, 2015
Posted 06/24/15
By the C|C Whistleblower Lawyer Team
DaVita Healthcare hit with subpoena for Medicare coding – The subpoena follows on the heels of an agreement by the company last month to pay hundreds of millions of dollars to settle a False Claims Act lawsuit that it was billing Medicare for wasted medication. Bloomberg
Wikileaks alleges U.S. spied on France’s presidents – The whistleblower group has released...
In Their Own Words -- Leahy
Posted 06/24/15