Have a Claim?

Click here for a confidential contact or call:

1-212-350-2764

Whistleblower Rewards

This archive displays posts tagged as including whistleblower rewards. You may also be interested in the following pages:

Page 1 of 79

SEC makes its annual whistleblower report to Congress – SPOILER ALERT: BEST YEAR EVER!

Posted  11/20/20
SEC-building
We already know it has been a banner year for the Securities and Exchange Commission's Whistleblower Program (fiscal year ending September 30).  As we previously reported, the record-breaking year included roughly $175 million in awards to 39 whistleblowers, with 15 awards in the month of September alone.  And this does not even include the $114 million blockbuster award the Commission made just three weeks ago,...

SEC Makes Whistleblower Award to Company Outsider

Posted  11/19/20
Securities and Exchange Commission building with logo zoomed in
The Securities and Exchange Commission continues to demonstrate its strong commitment to the agency's whistleblower program.  This past year was a record-breaking year by every measure, not the least of which was the roughly $175 million in awards the SEC doled out to 39 whistleblowers.  And just three weeks ago, the SEC made its largest award ever of $114 million, shattering the previous record $50 million award...

Constantine Cannon settles with one defendant in case alleging bilking of the Medicare Advantage program. Kaiser Foundation Health Plan of Washington (formerly Group Health Cooperative) will pay $6.375M.

Posted  11/17/20
health insurance forms with stethoscope and calculator
Teresa Ross, a whistleblower represented by Constantine Cannon, and the Department of Justice have reached a settlement with Kaiser Foundation Health Plan of Washington (formerly Group Health Cooperative or GHC).  The Medicare Advantage Organization (MAO) has agreed to pay $6.375 million to resolve allegations that the insurance plan improperly collected money from the Medicare Advantage program by overstating how...

Group Health Cooperative (now a subsidiary of Kaiser Permanente) – Medicare Advantage Fraud ($6.375 million)

Constantine Cannon represents whistleblower Teresa Ross against Group Health Cooperative, an insurance company that participates in the Medicare Advantage program. GHC has agreed to pay $6.375 million to resolve allegations that the insurance plan improperly collected money from the Medicare Advantage program by overstating how sick its beneficiaries were. Ms. Ross is a former employee of GHC, where she worked for 14 years; her most recent position was the director of risk adjustment services. In her complaint, Ms. Ross alleged that GHC had improperly relied on coders’ interpretations of diagnostic tests, prescriptions, and entries in problem lists to come up with diagnoses and that it had also submitted other codes that were false because they were diagnosed by inappropriate providers, fell outside service year, or the patient had no evidence of a current condition. See Press Release and Whistleblower Insider for more.

November 16, 2020

Seattle’s Group Health Cooperative, now part of Kaiser, will pay $6.375 million to settle allegations in a whistleblower suit that it falsely reported unsupported diagnosis codes to Medicare in order to receive inflated payments.  The suit alleges that GHC utilized the services of a coding review company, DxID, that proposed unsupported diagnosis codes, which GHC knowingly submitted to CMS as part of seeking higher payment for the affected Medicare Advantage beneficiaries.  Whistleblower Teresa Ross, represented by Constantine Cannon, will receive approximately $1.5 million.  DOJ

November 5, 2020

The SEC awarded a whistleblower $3.6 million, stating that the individual had provided information that alerted the Commission to misconduct that was occurring abroad, and further provided substantial and ongoing assistance during the course of the investigation, traveling abroad at the whistleblower’s own expense and providing extensive supporting documentation.  SEC

November 5, 2020

A whistleblower received a $750,000 SEC award, with the Commission stating that the individual provided significant information that uncovered an ongoing fraud and assisted the investigation. SEC

November 3, 2020

An SEC whistleblower was awarded $28 million following an undisclosed enforcement action.  The individual internally reported information that prompted the company to initiate an internal investigation, and provided significant information that aided the SEC, including by testifying and identifying a key witness.  SEC

Constantine Cannon Client Scores SEC Whistleblower Win

Posted  10/30/20
silver whistle with Securities Exchange Commission logo
Adding to our list of significant achievements in the whistleblower arena, Constantine Cannon obtained a $1.7 million payout for our SEC whistleblower client.  Of particular note, we convinced the SEC to increase our client’s award after SEC recommended a lower amount, which the SEC very rarely does. Our client’s award comes on the heels of last week’s blockbuster $114M award and adds yet another notch in the...

Catch of the Week: Guild Mortgage

Posted  10/30/20
stack of mortgage papers with gavel and money
We’re in the midst of a recession, 13 million Americans are out of work, GDP growth is slowing, and stock market volatility is approaching record-breaking levels. This recession is largely driven by the emergence of a mostly natural and random phenomenon, COVD-19, though there is plenty of blame to go around in how humans have reacted to the spread of the virus. This week’s catch of the week, however, harkens back...
1 2 3 79

Newsletter

Subscribe to receive email updates from the Constantine Cannon blogs

Sign up for: