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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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Top Ten Whistleblower Awards for 2020

Posted  01/22/21
2020 was another strong year for whistleblowers, who once again collectively recovered billions of dollars for the government and hundreds of millions of dollars in whistleblower rewards through their filing of lawsuits under the qui tam provisions of the False Claims Act.  Whistleblowers this past year also continued to secure financial rewards under the Dodd-Frank SEC Whistleblower and CFTC Whistleblower programs,...

Eleventh Circuit Revives VA Mortgage Fraud Whistleblower Case

Posted  01/22/21
By Leah Judge
mortgage papers with gavel, cash and magnifying glass
Last week, a three-judge panel on the Eleventh Circuit breathed new life into a fifteen-year-old mortgage fraud lawsuit brought by two whistleblowers under the False Claims Act.  The opinion, United States ex rel. Bibby v. Mortgage Investors Corporation adds another voice to the chorus of circuit courts applying the Supreme Court’s landmark 2016 ruling on the FCA’s “materiality” standard, Universal Health...

Top Ten Non-Healthcare False Claims Act Recoveries of 2020

Posted  01/14/21
Lincoln bill zoomed on his face
This year’s Top Ten Non-Healthcare False Claims Act Recoveries demonstrates the False Claims Act’s power to combat an array of corporate misconduct spanning diverse industries. In 2020, the United States recovered hundreds of millions in taxpayer funds obtained through claims rendered false by bribery and bid-rigging schemes, mortgage underwriting fraud, avoided import duties, fraudulent loan applications, and...

January 12, 2020

Boeing-owned drone maker Insitu Inc. has agreed to pay $25 million to resolve a whistleblower-brought suit alleging violations of the False Claims Act.  According to D.R. O’Hara, a former executive at Insitu, the company knowingly submitted cost and pricing data for new parts, but used recycled parts to build drones being supplied to the U.S. Navy and U.S. Special Operations Command on seven contracts.  The alleged misconduct ran from 2009 to 2017.  For exposing the fraudulent scheme, Mr. O’Hara will receive $4.6 million of the settlement proceeds.  USAO WDWA

Vote Here Now for the 2020 Whistleblower of the Year

Posted  01/8/21
Vote Now for 2020 Whistleblower of the Year Banner
Whistleblower Insider wants to hear from you on who should be honored as our 2020 Whistleblower of the Year. As in past years, we are especially interested in those individuals who best encapsulate the qualities of the typical whistleblower — courage, strength, integrity, selflessness and a deep concern for public health and safety. You can choose among the candidates listed below, or identify your own candidate....

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...

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...

December 21, 2020

DME provider Apria Healthcare Group, Inc. and April Healthcare LLC will pay $40.5 million to settle allegations brought in a qui tam action filed by three former Apria employees that they improperly billed government healthcare programs for beneficiary rentals of non-invasive ventilators (“NIVs”) that were not medically necessary or which were provided with improper waivers of patient co-payments.  Medicare pays as much as $1,400 a month for NIVs, and providers are required to monitor patient usage of NIVs and stop billing when the NIVs are no longer being used.  Apria respiratory therapists did not, however, failed to monitor patient NIV usage and even when Apria knew that patients were no longer using the NIVs, Apria often did not take steps to stop seeking payment.  In addition, April sales staff steered doctors and beneficiaries to use NIVs when less-expensive alternatives were available, and routinely waived co-payments for NIV patients without making an assessment of the patient’s financial need.  USAO SDNY

December 21, 2020

Substance abuse treatment provider A.R.E.B.A.-CASRIEL, Inc. d/b/a Addiction Care Interventions Chemical Dependency Treatment Centers (“ACI”) and its owner, Steven Yohay, agreed to pay a total of $6 million to resolve federal and New York state claims that they defrauded Medicaid including through the payment of kickbacks and other fraudulent conduct in connection with the enrollment of Medicaid beneficiaries into ACI’s inpatient treatment program.  Defendants allegedly employed drivers who were compensated in part based on the number of patients they recruited, to target homeless individuals to enroll in ACI’s inpatient treatment program by offering food, cash, and money to purchase drugs, and/or alcohol. In addition, ACI unlawfully paid a patient recruiter, and enrolled Medicaid patients who had not been evaluated by a qualified healthcare professional, including by copying a physician’s signature.  The government’s investigation was initiated by a whistleblower complaint filed by a former employee, who will receive an undisclosed amount of the settlement.  USAO SDNY; NY

December 18, 2020

Texas Heart Hospital of the Southwest LLP and its affiliate THHBP Management Company LLC will pay $48 million to resolve claims brought in a whistleblower suit by two of the hospitals’ physicians alleging that the defendants violated the False Claims Act, Stark Law, and Anti-Kickback Statute.  Agreements between the hospital and its physician-owners required the doctors to have 48 patient-contacts a year in order to maintain their ownership interests.  The U.S. did not intervene in the action; the whistleblowers, Dr. Mitchell Magee and Dr. Todd Dewey, will collectively receive $13.92 million, 29% of the total settlement, as a whistleblower reward.  DOJ
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