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Government Programs Fraud

This archive displays posts tagged as relevant to fraud in government programs. You may also be interested in the following pages:

Fraud in Government Programs
Whistleblower Home Page

Page 10 of 12

Tracking Medicaid Fraud: HHS OIG Releases MFCU Annual Report

Posted  04/2/20
Human Health Services Office of Inspector General Logo
The HHS OIG recently released the Medicaid Fraud Control Units (MFCUs) Fiscal Year 2019 Annual Report, providing a consolidated accounting of the program’s success. MFCUs investigate and prosecute Medicaid fraud and patient abuse or neglect. MFCUs receive referrals from other agencies, the public, or via data mining with OIG approval. The referral is reviewed, an investigation is conducted, and the decision is...

Tagged in: Criminal Proceedings, Government Programs Fraud, Healthcare Fraud, Lack of Medical Necessity, Medicaid, Medical Billing Fraud,

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The COVID-19 Crisis, Whistleblowers, and the Constantine Cannon Whistleblower Team

Posted  03/19/20
Soapy hands under running water faucet
As Constantine Cannon announced earlier this week, in response to the coronavirus (COVID-19) crisis, we have implemented contingency plans to work remotely.  While our work locations have changed, we remain dedicated to our whistleblower clients, and our team continues to provide whistleblowers with support and legal guidance. With offices in New York, D.C., San Francisco, and London, the Constantine Cannon...

Tagged in: CC Lawyers, COVID-19, Financial and Investment Fraud, Government Loan Programs, Government Procurement Fraud, Government Programs Fraud, Healthcare Fraud, Importance of Whistleblowers, Pharma Fraud,

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DOJ Discusses Its 2020 Healthcare Fraud Enforcement Priorities

Posted  03/6/20
DOJ Headquarters building seen from low angle
In comments at the 2020 FBA Qui Tam conference, the Department of Justice reaffirmed its strong commitment to pursuing fraud under the False Claims Act and emphasized its particular focus on rooting out healthcare fraud. Jody Hunt, Assistant Attorney General in the Civil Division of DOJ, was encouragingly forceful in his comments about the critical role of the FCA in protecting the public fisc—and the patient...

Tagged in: Electronic Health Records, FCA Federal, Government Programs Fraud, Healthcare Fraud, Risk Adjustment Fraud,

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Catch of the Week: Hybrid Tech pays $29 Million to Resolve Claims of Collusive Bidding on Sale of Energy Department Loan in Case Brought by Creditors

Posted  02/6/20
Gavel close-up
Our Catch of the Week arises out of misconduct in a corporate restructuring, features a unique whistleblower, and resulted in a $29 million recovery by the government. The defendants, Hybrid Tech Holdings, LLC and related entities, were alleged to have rigged bids in a government auction of a loan made to Fisker Automotive under the Department of Energy’s Advanced Technology Vehicles Manufacturing loan...

Tagged in: Bribery and Bid-Rigging, Catch of the Week, Government Loan Programs, Government Programs Fraud, Whistleblower Case, Whistleblower Eligibility,

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February 6, 2020

February 6, 2020 -- The successor to the Community Redevelopment Agency of the City of Los Angeles, CRA/LA, has agreed to pay $3.1 million to resolve allegations under the False Claims Act that the agency failed to comply with federal accessibility laws while distributing federal funds to help develop affordable housing.  Federal accessibility laws require that 5% of all units in certain federally-funded housing be accessible to people with mobility issues, and an additional 2% of all units be accessible for people with visual or auditory impairments.  However, according to whistleblower and wheelchair user Mei Ling, at least nine agency-affiliated properties lacked accessible parking spaces, appropriate ramp and height access for wheelchair users, or appropriate visual and tactile signs for people with visual or auditory impairments.  DOJ; USAO CDCA

Tagged in: Certifications, Defendants, FCA Federal, Government Programs Fraud, Whistleblower Case,

January 27, 2020

Florida Academy, a for-profit trade school, has agreed to pay $512,500 to the United States for making false certifications to the Department of Veterans Affairs (the VA) regarding its compliance with a Post-9/11 GI Bill program requirement called the 85%-15% Rule.  To ensure the VA is paying tuition rates at fair market value, the 85%-15% Rule requires participating schools to certify that at least 15% of their students are paying with private funds.   USAO MDFL

Tagged in: Certifications, Education Fraud, Government Programs Fraud,

Top Ten Non-Healthcare False Claims Act Recoveries of 2019

Posted  01/10/20
False Claims Act
This year, federal and state governments recovered hundreds of millions of dollars thanks to whistleblowers who came forward to report fraud under the federal False Claims Act and state False Claims Acts.  Whistleblowers reported a wide-range of misconduct involving government contracts, including fraud by defense contractors, airlines, and even a major research university.  Defendants’ deception ran the gamut...

Tagged in: Bribery and Bid-Rigging, Cybersecurity and Data Breaches, Defense Contract Fraud, FCA Federal, FCA State, Financial and Investment Fraud, Government Programs Fraud, Grant and Research Fraud, Importance of Whistleblowers, Price Fixing, Pricing Fraud, Top 10, Visa Fraud, Whistleblower Case,

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January 3, 2020

Following a qui tam lawsuit alleging fraud against the Post-9/11 GI Bill in violation of the False Claims Act, Caldwell University has agreed to pay more than $4.8 million to the United States.  The alleged misconduct occurred between 2011 and 2013 and involved falsely claiming to the Department of Veterans Affairs that classes were developed and taught by the university, when in fact they were developed and taught by an unapproved subcontractor.  Caldwell had also charged the Post-9/11 GI Bill up to 30 times the prices charged to others for the same courses, leading the government to pay over $24 million in tuition.  USAO NJ

Tagged in: Education Fraud, FCA Federal, Government Programs Fraud, Whistleblower Case, Whistleblower Rewards,

December 23, 2019

The Texas Health and Human Services Commission will pay $15.3 million to the U.S. to resolve allegations that it submitted false quality control data to the USDA’s Supplemental Nutrition Assistance Program (SNAP), thereby falsely receiving performance bonuses for fiscal years 2010, 2013, and 2014 to which it was not entitled.  THHSC had contracted with Julie Osnes Consulting LLC to provide advice and recommendations to lower its SNAP quality control error rate.  Advice provided by Osnes has previously led to settlements with three other states, as well as with Osnes, with total recoveries to the U.S. exceeding $32 million.  DOJ

Tagged in: Defendants, FCA Federal, Government Programs Fraud,

December 19, 2019

Michigan-based biomedical research organization the Van Andel Research Institute will pay $5.5 million to resolve allegations that it submitted false claims for National Institutes of Health funding when it failed to disclose that two of its researchers had received grants from the Chinese government, and took additional steps to conceal that funding, including making misrepresentations about that Chinese funding in response to the NIH.  USAO WD MI

Tagged in: FCA Federal, Government Programs Fraud, Grant and Research Fraud,

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