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Whistleblower Case

This archive displays posts tagged as involving a whistleblower case or claim. You may also be interested in our pages:

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August 15, 2019

Alabama-based Baldwin Bone & Joint, P.C. (BB&J) has settled a False Claims Act action for $1.2 million.  According to the whistleblower who initiated the action, former BB&J employee John Seddon, BB&J submitted claims to Medicare and TRICARE for physical therapy services performed by unauthorized providers, and compensated shareholder physicians based on the volume of physicians’ internal referrals.  As part of the settlement, Seddon will receive a $200,000 relator’s share.  USAO SDAL

Whistleblower Suit Revived by Third Circuit Despite Settlement in Related State Court Action

Posted  08/13/19
Judge's bench with empty chair and gavel
In United States ex rel. Jean Charte v. American Tutor, Inc., the Court of Appeals for the Third Circuit reversed dismissal of a whistleblower’s qui tam action under the False Claims Act, giving the whistleblower the right to pursue her claims. The district court had dismissed the action under state law res judicata principals, because the relator had settled a defamation action brought in state court against her by...

Constantine Cannon Client’s Historic False Claims Act Settlement Against Cisco for Cybersecurity Fraud Makes Headlines

Posted  08/9/19
Numbers One and Zero for Coding with Word Hacked
If you’ve ever seen a heist movie, you likely know the scene. The technology-savvy member of a motley crew of criminals is huddled in a van or in a secret lair, surrounded by monitors. After a tense few minutes of maniacal typing, he or she yells “I’m in!” and hacks into the video surveillance system of the target hotel/casino/museum. In an instant, the cameras switch off or go to a pre-taped reel, and the...

DOJ Catch of the Week — Beaver Medical Group

Posted  08/9/19
Yesterday, California-based Beaver Medical Group and one of its physicians, Dr. Sherif Khalil, agreed to pay roughly $5 million to resolve allegations they violated the False Claims Act by reporting invalid diagnoses to Medicare Advantage plans causing those plans to receive inflated payments from Medicare.  It is the latest example of what has become a strong government commitment to pursuing fraud in the Medicare...

August 8, 2019

California-based Beaver Medical Group LP and one of its physicians, Dr. Sherif Khalil, have agreed to pay $5 million to resolve allegations of violating the False Claims Act.  According to another physician formerly employed at Beaver, the defendants allegedly submitted false diagnoses to Medicare Advantage Organizations (MAOs) for the Medicare beneficiaries under its care, which caused Medicare to pay a needlessly inflated rate of reimbursement.  The whistleblower, Dr. David Nutter, will receive a relator’s share of $850,000 from the settlement proceeds.  DOJ

August 5, 2019

Nagan Construction, Inc. of New York has agreed to pay $435,000 to resolve a civil fraud suit filed by an unnamed whistleblower, alleging that Nagan underpaid 20 employees working on two projects for the U.S. Merchant Marine Academy and the Department of Labor.  Nagan also allegedly violated the False Claims Act and the Davis-Bacon Act by misclassifying the skilled workers as unskilled workers in required certifications to the government.  As part of the settlement, $242,376 will be distributed to current and former employees.  USAO SDNY

August 1, 2019

The United States has settled with Cisco Systems, Inc. for $8.6 million in the first cybersecurity whistleblower case ever successfully brought under the False Claims Act.  Cisco was accused of selling a video surveillance software to the U.S. government – including the military, FEMA, Homeland Security, and the Secret Service -- that could be easily exploited by hackers, and doing nothing to resolve or report the issue for years after the vulnerability was identified.  AG NY; AG VA

August 1, 2019

Tennessee-based telemarketer Scott Roix and his companies have agreed to pay $2.5 million to settle two whistleblowers’ False Claims suit alleging the submission of false claims to Medicare, TRICARE, and other federal health benefit programs.  Roix and his companies allegedly procured fraudulent insurance information from patients around the country in order to arrange prescriptions for medically unnecessary pain creams; they then sold these prescriptions to pharmacies, labeling proceeds as earned through marketing services.  The whistleblowers in this case, Jennifer Silva and Jessica Robertson, will receive $287,500 for revealing the fraudulent scheme.  USAO MDFL

Cisco Whistleblower Represented by Constantine Cannon Wins First-Ever False Claims Act Settlement for Cybersecurity Fraud

Posted  07/31/19
Cisco company sign
In the first cybersecurity whistleblower case ever successfully litigated under the False Claims Act, Cisco Systems, Inc. has agreed to an $8.6 million settlement to resolve allegations it knowingly sold vulnerable video surveillance software to federal, state and local government agencies, exposing government systems to the risk of unauthorized access and the manipulation of vital information. This qui tam...

Catch of the Week — Comprehensive Pain Specialists Targeted for Urine Drug Testing Fraud

Posted  07/26/19
Laboratory sample vial lying on procedure coding form
Our Catch of the Week goes to Comprehensive Pain Specialists (CPS), a now-shuttered pain-management chain that was once one of the largest in the nation, treating as many as 48,000 pain patients a month at about 60 clinics across 11 states.  CPS shut down in 2018 with little warning to patients and employees. On Monday, July 22, the United States and the State of Tennessee announced their partial intervention in...
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