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Catch of the Week

This archive includes posts from our “Catch of the Week” series, in which the Whistleblower Insider blog highlights particular government enforcement actions.  Return to:

Page 15 of 31

Catch of the Week — Universal American Mortgage Company

Posted  10/19/18
Universal American Mortgage Company (UAMC), a Miami-based mortgage company, agreed on October 19 to a $13.2 million settlement to resolve allegations that it violated the False Claims Act (FCA) by falsely certifying that it complied with Federal Housing Administration (FHA) mortgage-insurance requirements in connection with certain loans. UAMC is part of Lennar, one of America’s leading homebuilders. The...

Tagged in: Catch of the Week, Contract Non-Compliance, FCA Federal, Financial Institution Fraud, Housing and Mortgage Fraud, Whistleblower Case, Whistleblower Rewards,

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Catch of the Week – AmerisourceBergen Corporation

Posted  10/12/18
Last Monday, one of the largest drug wholesalers in the country agreed to pay $625 million to settle allegations that it put cancer patients at risk by illegally repackaging and distributing millions of vials of oncology drugs. The federal government and forty-four states claimed that AmerisourceBergen Corp. (“ABC”) and one of its subsidiaries, Medical Initiatives, Inc. (“MII”) engaged in a thirteen-year-long...

Tagged in: Catch of the Week, FCA Federal, Healthcare Fraud, Pharma Fraud, Whistleblower Case,

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Catch of the Week — Health Management Associates

Posted  09/27/18
Health Management Associates, LLC (“HMA”), a former hospital chain now part of Community Health Systems, agreed on September 25th to a $260 million settlement to resolve allegations of false billing and kickbacks alleged in eight qui tam cases under the False Claims Act (“FCA”). HMA was a hospital chain headquartered in Tampa, Florida that was acquired by Community Health Systems Inc., a major U.S. hospital...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal, Healthcare Fraud, Hospital Fraud, Upcoding, Whistleblower Case, Whistleblower Rewards,

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Catch of the Week — United Technologies

Posted  09/14/18
United Technologies
This week’s Catch of the Week goes to the SEC for securing a nearly $14-million settlement with United Technologies, a Connecticut-based building systems and aerospace company, for violations of the Foreign Corrupt Practices Act (FCPA). The settlement resolves allegations that United Technologies, through various subsidiaries, paid bribes across the globe to advance its elevator and aircraft-engine...

Tagged in: Catch of the Week, FCPA,

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Catch of the Week — SEC Hands Two Whistleblowers $54 Million

Posted  09/7/18
SEC
The SEC announced late this week that it had issued two whistleblower rewards totaling $54 million. Of the total reward, one tipster received $39 million-the second-largest reward the SEC has ever granted-while a second received $15 million, the eighth-largest award yet granted. The SEC commended both whistleblowers for providing “critical information and continued assistance” that “helped the agency bring an...

Tagged in: Anonymity, Catch of the Week, SEC Whistleblower Reward Program,

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Catch of the Week — Ambulance Company and Clients Busted for Illegal Kickbacks and Cozy Financial Relationships

Posted  08/31/18
Ambulance
Here’s a question you shouldn’t have to ask when you’re in an ambulance: Did a bribe put me here? Our Catch of the Week goes to a $21 million settlement of a case against several ambulance-industry companies for allegedly paying kickbacks to secure lucrative exclusive contracts. Paramedics Plus, the East Texas Medical Center, the Emergency Medical Services Authority (EMSA), and EMSA’s president and CEO Herbert...

Tagged in: Ambulance, Anti-Kickback and Stark, Catch of the Week, FCA Federal, Healthcare Fraud, Whistleblower Case, Whistleblower Rewards,

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Catch of the Week — Former Swiss Bank Executive Helped Launder $1.2 Billion Dollars

Posted  08/27/18
Although the conviction of Paul Manafort and plea of Michael Cohen are certainly the highest profile fraud news of late, our Catch of the Week goes to a guilty plea that captured fewer headlines but involved much higher dollars: Matthias Krull, former executive of Swiss bank Julius Baer Group Ltd., pleaded guilty to conspiracy for his involvement in an international scheme to launder more than a billion dollars. At...

Tagged in: Catch of the Week, Financial and Investment Fraud, Money Laundering,

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Catch of the Week: RBS Agrees to Pay $4.9 Billion

Posted  08/17/18
This week’s Department of Justice “Catch of the Week” goes to The Royal Bank of Scotland Group plc (RBS), who agreed to pay $4.9 billion to settle claims that RBS misled investors in the underwriting and issuing of residential mortgage-backed securities (RMBS) between 2005 and 2008.   See DOJ Press Release. The settlement’s statement of facts details how RBS routinely made misrepresentations and omissions...

Tagged in: Catch of the Week, Financial and Investment Fraud, Financial Institution Fraud, FIRREA, Housing and Mortgage Fraud,

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Catch of the Week -- Prime Healthcare

Posted  08/9/18
upcoding
Prime Healthcare, a nationwide healthcare provider that operates 45 hospitals and employs over 40,000 people, has settled allegations under the False Claims Act that 14 of its California hospitals improperly billed Medicare for admitting patients who only required outpatient care, and billed Medicare for treating more severe diagnoses than patients actually had. The company will pay just under $62 million to settle...

Tagged in: Catch of the Week, Damages and Penalties, Defendants, FCA Federal, Healthcare Fraud, Hospital Fraud, Upcoding, Whistleblower Case, Whistleblower Rewards,

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Catch of the Week -- William Beaumont Hospital

Posted  08/3/18
This week’s Department of Justice “Catch of the Week” goes to William Beaumont Hospital, a regional hospital system based in the Detroit area. On Thursday, the company agreed to pay $84.5 million to resolve allegations under the False Claims Act of improper relationships with eight referring physicians, resulting in the submission of false claims to the Medicare, Medicaid and TRICARE programs. The settlement...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal, Healthcare Fraud, Hospital Fraud, Whistleblower Case, Whistleblower Rewards,

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