Whistleblower Insider Blog

Tailor to the Stars Settles New York State Tax Fraud Claims for $5.5 Million

Posted 03/8/13

By Marlene Koury Mohanbhai "Mohan" Ramchandani, a sharply-dressed, self-marketed tailor to the stars, pled guilty to felony tax fraud charges involving a ten-year scheme to evade paying New York State sales and income taxes. Mohan underreported his retail earnings and falsified his taxes to comport with his faith in numerology – the belief that numbers have a special significance or symbolism. Rather than...

Tagged in: Tax Fraud,

Buying Blind – New Study Shows Continued Lack of Transparency in Healthcare Pricing

Posted 02/28/13

By Gordon Schnell It has been talked about for years as a way to rein in the runaway costs of healthcare in this country -- making price matter to the consumer. That is how it is with every other kind of purchase. Whether it is a car, a house, a college education, a new pair of sneakers, or even a quart of milk, virtually everyone weighs heavily into their purchase decision what it is ultimately going to...

Tagged in: Bundling and Unbundling, Healthcare Fraud,

A Hot Year for Health Care Fraud Recoveries

Posted 02/25/13

By Marlene Koury The coordinated efforts of the Departments of Justice (DOJ) and Health and Human Services (HHS) have resulted in a record breaking $4.2 billion in health care fraud recoveries in fiscal year 2012. The agencies are required to collaborate under the Health Care Fraud and Abuse Program, which is a joint DOJ/HHS effort to coordinate federal, state and local law enforcement activities to crack down on...

Tagged in: Healthcare Fraud,

Justice Throwing Its Weight Behind Fraud Case Against Lance Armstrong

Posted 02/25/13

By Jason Enzler The Department of Justice announced in a press release late last Friday that it has elected to join a fraud lawsuit filed against the beleaguered former American-darling and cyclist Lance Armstrong. The lawsuit, brought by another disgraced cyclist, former Armstrong teammate Floyd Landis, essentially alleges that Armstrong and others ripped-off the government to the tune of $30 million when they...

Tagged in: Government Decision,

Blaming the Whistleblower – Court Rejects Novel Defense to False Claims Act Charges

Posted 02/21/13

By Gordon Schnell It would seem on its face to be a rather brazen approach to defending a False Claims Act lawsuit. A healthcare company is charged with defrauding Medicare by billing it for medications the company never provided its patients. The company not only denies the wrongdoing. It goes one step further by arguing that, if there were any such misconduct, it was the whistleblower's fault by not...

Tagged in: Court Decision, Healthcare Fraud,

Electronic Medical Records – Still Waiting for the Big Returns

Posted 02/13/13

By Gordon Schnell The Obama administration is spending billions of dollars to push hospitals and doctors to go digital with their medical and billing records. It is supposed to revolutionize the industry, improving efficiency and patient safety and drastically reducing the cost of healthcare in this country. Unfortunately, the move to electronic health records (EHRs) has fallen far short of these hoped-for...

Tagged in: Electronic Health Records,

Fired For a Job Well Done – Former Global Fund IG Appeals His Termination

Posted 02/8/13

By Marlene Koury John Parsons, the Inspector General of the Global Fund to Fight AIDS, Tuberculosis and Malaria since 2008, was recently fired allegedly for “unsatisfactory performance,” despite receiving industry-wide praise for rooting out waste, fraud and abuse in the Global Fund’s programs. The Global Fund is a $20 billion dollar fund set up to provide assistance to countries that lack the resources to...

Federal Judge Joins Growing Chorus Calling for Stiffer Penalties for Corporate Fraud

Posted 01/30/13

By Gordon Schnell It happens all the time these days. After a lengthy investigation of reported misconduct, the government enters into a hefty settlement with the company, secures from it a mea culpa and promise to change its ways, and trumpets the resolution as another success story in the government's continuing crusade against corporate fraud. And no question, the settlements are getting larger and the...

Lance Armstrong’s Legal Woes Mount as Justice Department Considers Joining Fraud Case

Posted 01/25/13

By Jason Enzler A False Claims Act complaint filed against Lance Armstrong by former teammate Floyd Landis has leaked, despite the fact that it was filed under seal and the Department of Justice has not publically decided whether it will intervene. Although the DOJ was expected to make that decision last Thursday, there have been widespread reports that the decision would be postponed because DOJ officials are...

Tagged in: Confidentiality and The Seal, FCA Federal,

Scooter Store Caught Cheating the Government Out of Millions

Posted 01/24/13

By Marlene Koury It seems like such a wholesome company. They have those nice commercials where elderly folks are scooting to and fro on their power-mobility devices. It would seem that only an honest and trustworthy company would dedicate itself to caring for the needs of the elderly in this way. But, according to an independent auditor, The Scooter Store – the purveyor of these fine commercials and the...

Tagged in: Lack of Medical Necessity, Provider Fraud,

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Tailor to the Stars Settles New York State Tax Fraud Claims for $5.5 Million

Buying Blind – New Study Shows Continued Lack of Transparency in Healthcare Pricing

A Hot Year for Health Care Fraud Recoveries

Justice Throwing Its Weight Behind Fraud Case Against Lance Armstrong

Blaming the Whistleblower – Court Rejects Novel Defense to False Claims Act Charges

Electronic Medical Records – Still Waiting for the Big Returns

Fired For a Job Well Done – Former Global Fund IG Appeals His Termination

Federal Judge Joins Growing Chorus Calling for Stiffer Penalties for Corporate Fraud

Lance Armstrong’s Legal Woes Mount as Justice Department Considers Joining Fraud Case

Scooter Store Caught Cheating the Government Out of Millions

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Tailor to the Stars Settles New York State Tax Fraud Claims for $5.5 Million

Buying Blind – New Study Shows Continued Lack of Transparency in Healthcare Pricing

A Hot Year for Health Care Fraud Recoveries

Justice Throwing Its Weight Behind Fraud Case Against Lance Armstrong

Blaming the Whistleblower – Court Rejects Novel Defense to False Claims Act Charges

Electronic Medical Records – Still Waiting for the Big Returns

Fired For a Job Well Done – Former Global Fund IG Appeals His Termination

Federal Judge Joins Growing Chorus Calling for Stiffer Penalties for Corporate Fraud

Lance Armstrong’s Legal Woes Mount as Justice Department Considers Joining Fraud Case

Scooter Store Caught Cheating the Government Out of Millions

Learn about Whistleblower Rewards Programs

Newsletter

Subscribe to receive email updates from the Constantine Cannon blogs

Sign up for: