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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.

Top Ten State Healthcare and Financial Fraud Recoveries of 2020

Posted  01/8/21
person raising the U.S. flag
State and local governments are on the front lines of enforcing anti-fraud laws and play a critical role in ensuring that businesses and individuals are held accountable.  Whistleblowers with information about corporate misconduct involving healthcare, government procurement, financial regulation, and tax may find that state proceedings offer them the best option. More than 30 states have False Claims Acts that...

Tagged in: Auto Safety, Drug and DME Pricing, FCA State, Financial and Investment Fraud, Government Procurement Fraud, Government Programs Fraud, Healthcare Fraud, Medical Billing Fraud, Pharma Fraud, Provider Fraud, Tax Fraud, Top 10,

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2020 Whistleblower of the Year Candidate – Dr. Rick Bright

Posted  01/8/21
covid-virus
Scientists within federal agencies don’t normally have to put their jobs and reputation on the line in order to do what until recently we took for granted:  that the federal government would take action consistent with the best scientific methods and evidence when the country is faced with a grave and immediate public health threat.  But the last four years during the Trump administration have been anything but...

Tagged in: COVID-19, Importance of Whistleblowers, Whistleblower of the Year,

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2020 Whistleblower of the Year Candidate – Dr. Yasmine Motarjemi

Posted  01/8/21
tomatoes., carrots, lettuce and other produce
Despite its dominance as the world’s largest food and beverage company, Nestlé has nonetheless had a staggering number of controversies over its business practices. Child labor, unethical promotion, manipulating uneducated mothers, pollution, price fixing, and mislabeling are just a few of the many issues that have plagued Nestlé over the years. Dr. Yasmine Motajemi importantly has now added food safety and...

Tagged in: Importance of Whistleblowers, Whistleblower Case, Whistleblower of the Year,

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COVID Fraud: New York Pharmacy Owners Indicted on Charges Arising from their Abuse of Emergency Override Billing Codes

Posted  01/7/21
Flashing lights on top of police car
As we have previously written, regulatory changes designed to alleviate logistical and financial pressure on healthcare providers during the COVID-19 crisis, while necessary, can create opportunities for fraudsters.  Last month, an indictment in New York revealed a scheme by two pharmacy owners who took advantage of relaxed rules regarding prescription prior authorization and refill timing to overcharge Medicare and...

Tagged in: Catch of the Week, COVID-19, Criminal Proceedings, Healthcare Fraud, Medical Billing Fraud, Pharma Fraud,

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2020 Whistleblower of the Year Candidate – Dawn Wooten

Posted  01/5/21
barbed wired fence
Privately run immigration detention facilities have been a stain on our nation’s reputation for years now.  The refugees and other immigrants who are detained within their walls suffer family separation, inadequate medical care, lack of basic necessities, inedible food, psychological torture, and even death from easily treatable diseases due to flimsy infection controls.  The current pandemic crisis only amplifies...

Tagged in: Correctional Services Fraud, Human Rights, Importance of Whistleblowers, Improper Medical Facility, Whistleblower of the Year,

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Top Ten Healthcare Fraud Recoveries of 2020

Posted  01/5/21
Healthcare Fraud
Consistent with the trend in prior years, the bulk of the Justice Department’s fraud and false claims recoveries in 2019 stemmed from healthcare fraud matters, and with the Biden administration eyeing a bigger role for the federal government in our healthcare system, this trend is likely to accelerate. Most of the funds recovered arose from cases originated by whistleblowers under the qui tam provisions of the False...

Tagged in: Anti-Kickback and Stark, Electronic Health Records, FCA Federal, FCPA, Government Programs Fraud, Healthcare Fraud, Home Health and Hospice, Medicaid, Medicare, Pharma Fraud, Provider Fraud, Top 10,

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2020 Whistleblower of the Year Candidate – Sophie Zhang

Posted  01/4/21
screenshot of facebook login website
Facebook, the world’s largest social media platform, regularly has been criticized for its inaction when it comes to tackling foreign interference and disinformation campaigns. This year, Facebook came under fire yet again when employee Sophie Zhang recounted in a departing memo shared companywide, which later was leaked to the press, that Facebook ignored widespread global political manipulation on its platform and...

Tagged in: Cybersecurity and Data Breaches, Importance of Whistleblowers, International Whistleblowers, Whistleblower Case, Whistleblower of the Year,

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2020 Whistleblower of the Year Candidate – Rebekah Jones

Posted  12/28/20
We know her story all too well at this point.  Rebekah Jones is the geospatial scientist who designed and managed the COVID-19 tracking dashboard for Florida’s Department of Health.  This was the database reporting on the number of coronavirus cases and deaths in Florida.  It was a model for other states to follow, widely praised for its clarity and accessibility, and even championed by former White House...

Tagged in: COVID-19, Importance of Whistleblowers, Whistleblower of the Year,

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WANTED: A Corporate Crimebuster at the DOJ

Posted  12/23/20
By Gordon Schnell, Max Voldman
sculpture in front of doj building
Published in The Crime Report With Bill Barr’s much-anticipated resignation as Attorney General, all eyes are now turned to whom President-elect Joe Biden will pick to lead the Department of Justice (DOJ). It is an agency that many believe is in serious need of a reset, after Barr’s two-year run of submission and subservience to an administration run amok. One of the top contenders for the job appears to...

Tagged in: FCA Federal, Government Procurement Fraud,

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2020 Whistleblower of the Year Candidate – Xavier Justo

Posted  12/18/20
hundred dollar bills hanging from clothes line
In 2018, headlines circulated the globe when the election results in Malaysia saw the former Prime Minister Najib Razak’s fall from power, and the investigation into the 1MDB scandal was finally reopened. It is estimated that over $4.5 billion dollars was embezzled from a government-run strategic development fund. Vast sums were borrowed through government bonds and siphoned into bank accounts in the US,...

Tagged in: Criminal Proceedings, Financial and Investment Fraud, Importance of Whistleblowers, International Whistleblowers, Whistleblower Case, Whistleblower of the Year,

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