Category Archives: Fraud
Former FBI Agent Warns of Prevalence of Healthcare Fraud in Talk
Valdosta State University in Georgia recently hosted a presentation in recognition of International Fraud Awareness Week (November 12-18), a global initiative developed to minimize the effects of fraud by promoting anti-fraud awareness and outreach efforts. Former FBI agent Victor Hartman was a presenter at the event, and he focused primarily on healthcare fraud. Since he […]
Whistleblower Claim Worth $112 Million to Proceed Against Duke and Researchers
A federal judge has ruled that a whistleblower lawsuit filed against Duke University and a pair of researchers can proceed. The lawsuit alleges the university and researchers were able to secure $112 million in federal funding based on fraudulent work. The lawsuit was initially filed under the False Claims Act in 2013. If successful, it […]
DOJ Claims UnitedHealth Group Overbilled Medicare by Hundreds of Millions
The U.S. Department of Justice recently sued UnitedHealth Group, claiming the company’s senior executives were aware it was overbilling Medicare by hundreds of millions of dollars annually and that they put a stop to a repayment plan in 2014 to meet revenue expectations. The official complaint was filed in May in the U.S. District Court […]
Judge Issues Stay on Enormous Judgement Against Nursing Home Care Providers
A federal judge in Florida has issued a stay on more than $350 million in False Claims Act judgments in fear that the nursing homes ordered to pay them could suddenly shut down as a result. In his action, the U.S. district judge prohibited enforcement agencies from collecting on the judgments as the nursing home […]
FINRA Changes Sanctions Guidelines on Several Key Issues
The Financial Industry Regulatory Authority (FINRA), a self-regulatory agency, has updated its sanctions guide to ensure in-house judges consider whether broker-dealers took advantage of elderly or vulnerable clients when making their rulings. The agency also expanded its guidance related to how judges should adjust penalties when sanctions have been imposed by other federal agencies, in […]
Convicted Brothers Ask for New Trial Based on Government’s Deal with Whistleblowers
Legal counsel for the U.S. government is pushing back against an effort for a new trial from two brothers convicted for their roles in a scheme to misuse H-1B work visas. According to an opposition brief, government attorneys say the brothers have presented no new evidence that would overturn the original ruling. Atul and Jiten […]
OSHA: Wells Fargo Treated Terminated Manager Unfairly After He Exposed Potential Fraud
Banking giant Wells Fargo must reinstate a former manager who was fired after he reported possible fraud happening within the organization. The order comes from the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA), which is forcing the bank to pay the employee back wages, attorneys’ fees and other monetary damages in amounts […]
Sleep Disorder Clinic Must Pay $2.6 Million Settlement in Case Launched by Whistleblower’s Complaint
The Bay Sleep Clinic in California has agreed to pay a settlement of $2.6 million in a case related to allegations that it made false Medicare claims over the course of about 15 years. The U.S. government’s lawsuit came on the heels of a similar claim filed by whistleblower Elma Dresser in 2012. Dresser, a […]
Healthcare Professionals Can Receive Large Awards for Uncovering Illegal Practices in Pharmaceutical, Medical Device Industries
Medical doctors, pharmaceutical representatives and other healthcare professionals may be able to collect awards if they report valuable information and proof to regulators that a drug company is knowingly selling ineffective or dangerous medications to the public. According to the Corporate Whistleblower Center, these rewards can be quite large. In fact, in a recent case, […]
Whistleblower Claims UnitedHealth Group Involved in Medicare Overbilling
A whistleblower has made claims that UnitedHealth Group, a Minnesota-based company, has committed Medicare fraud by submitting false information related to patient conditions. If the claim is true, it could mean that the large healthcare provider defrauded the program out of hundreds of millions of dollars over the course of several years. The whistleblower says […]
