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.
Whistleblowers could bring in money for Kansas — Why did lawmakers say no?
So here is a question for the powers that be in Topeka. If you could reduce the amount of fraud against the state and its municipalities, recover tens of millions of dollars a year in the process and better protect the health and welfare of all Kansans, would you do it? It seems like a no-brainer by any account. Especially these days, with Kansas -- like most states and municipalities around the country -- at...
COVID Frauds of the Week: Price Gouging, Unapproved Treatments, and a Dead CEO
COVID-19 fraudsters really delivered this week, wherein we saw price gouging on masks, peddling of unproven “treatments” for COVID-19, and fraudulently-obtained PPP money spent on real estate, luxury goods, and personal—sometimes very personal—entertainment.
Starting in Pennsylvania, the Attorney General announced this week that two medical supply companies—American Surgical Supply and Keystone Medical...
New Settlement Shows the Power of Whistleblowers to Root out Fraud against Private Insurers
The nation’s biggest insurers, Medicare, Medicaid, and TRICARE already incentivize whistleblowers to report fraud. Because those programs are federally-funded, a whistleblower can bring suit under the False Claims Act and share in 15-30% of the recovery. The FCA is a law that allows private individuals alleging fraud against the government to bring a lawsuit in the name of the United States. The law leads to about...
COVID Frauds of the Week: Fraud on Stimulus Programs and Consumers
Like the virus itself, fraud that exploits the COVID-19 pandemic just will not go away, so we are back with another installment of our continuing series highlighting related government enforcement actions. This week, we saw a continued enforcement focus in two areas: fraud on stimulus programs and consumers.
Three charges this week highlighted the government’s ongoing efforts to expose and bring...
This week marks the eighth year in a row that Congress has designated July 30thNational Whistleblower Day, honoring the occasion, on July 30, 1778, when the Continental Congress unanimously enacted the first whistleblower protection law in the United States. The celebration this year is particularly poignant in light of the recent mistreatment of government whistleblowers, notably Lt. Colonel Alexander...
Catch of the Week: Indivior Agrees to Pay $600 Million to Settle Opioid Fraud Case
The latest in our Catch of the Week series features Indivior Solutions’ (“Indivior”) agreement to pay $600 million to resolve criminal and civil liability associated with the marketing of the opioid-addiction-treatment drug Suboxone. This is in addition to the $1.4 billion resolution with Indivior’s former parent, Reckitt Benckiser Group PLC (“RB Group”) that was previously announced in 2019. Suboxone is a...
OIG Audit Suggests Home Health Agencies Submit Unsupported Visits to Trigger Higher Medicare Reimbursement
OIG released results from its targeted audit of certain home health care claims submitted for payment and found $191.8 million of overpayments in 2017 alone. OIG's objective was to determine whether payments for home health services with five to seven visits in a payment episode complied with Medicare requirements.
During the 2017 audit period, under Medicare's home health prospective payment system, home health...
CFTC Whistleblower Hot Streak Continues with $9 Million Award
This week, the Commodity Futures Trading Commission (CFTC) announced a new whistleblower award of approximately $9 million, one of the five largest awards ever paid by the agency. It is the latest in a wave of awards—four over the last three months, all over $1 million—demonstrating the CFTC’s strong commitment to its whistleblowers.
These awards make good on CFTC Enforcement Director James McDonald’s...
COVID Fraud of the Week: Washington State Man Charged with Attempting to Launder COVID-19 Relief Money
On July 23rd, the Department of Justice announced that Mukund Mohan, a Washington state tech company executive, was taken into custody for allegedly laundering money he fraudulently received through the COVID-19 related Paycheck Protection Program (“PPP”). After receiving funds through the program, Mohan allegedly transferred over $230,000 to his personal brokerage account. These charges mark another instance of...