Whistleblower

Types of Healthcare Fraud That Can Lead to a Qui Tam Claim

Employees, contractors, and anyone who is aware of healthcare fraud may be eligible to receive a percentage of any recovery the government obtains if their disclosure is useful to the government. The False Claims Act authorizes awards, generally between 10 and 30 percent, for disclosing fraud by doctors, medical practices, laboratories, pharmacies, hospitals, and any…

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What, Exactly, Is a Whistleblower?

A whistleblower is a legal term. It refers to someone who discloses fraud, illegal conduct, or severe wrongs in accordance with a whistleblower statute. Many whistleblower claims are brought through the False Claims Act, in qui tam actions. This law, which was enacted during the administration of Abraham Lincoln, rewards people who disclose fraud involving…

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Who Is Guilty of the Worst Corporate Conduct in 2018?

This has been a bad year for corporations; not for their bottom lines, per se, but for their reputations: Facebook and Cambridge Analytica sold us out. United Airlines let people’s pets die. An autonomous Uber car hit and killed a pedestrian in Tempe. Google is embroiled in sexual harassment accusations. Sloan Kettering’s CEO made money…

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Will I Be Protected as a Whistleblower?

People are often worried before bringing a whistleblower or a qui tam action that they might lose their job, and that’s often a deterrent for people who have information about their employer stealing from the government. Fortunately, there are protections in the law so that you don’t lose your job for doing this. The first…

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Feds Join Whistleblower Suit Against Concrete Company

The Justice Department and the Virginia attorney general are joining a whistleblower’s lawsuit that alleges a subcontractor knowingly and deliberately used defective concrete on a multi-million-dollar project for the D.C. region’s Metrorail system’s expansion. The whistleblower in this case, Nathan Davidheiser of Pennsylvania, was a lab tech at Universal Concrete Products Corp. Davidheiser filed a…

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Kmart Settles False Claims Act Case For $32 Million

At the end of December 2017, Kmart Corp agreed to pay out $32.3 million to the United States as part of a settlement of a lawsuit brought under the False Claims Act. The lawsuit, filed in 2008, alleged that Kmart overcharged government programs and private insurers for generic prescription drugs over a period of 12…

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Draft of Proposed Whistleblower Protection Act Serves Only Inadequacies

When the World Intellectual Property Organization published the latest draft of their new Whistleblower Protection Act earlier in 2017, it was hoped that the new guidelines would meet the best-practice standards set by the Government Accountability Project. Sadly, the draft fails these standards by a wide margin, leaving global intellectual property systems participants, like those…

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Whistleblower Exposes UnitedHealth’s Massive Medicare Fraud

News broke recently of a huge scandal in the healthcare world: Benjamin Poehling of UnitedHealth Group asserts that his former employer, and likely many other big name insurance companies, are gaming the Medicare Advantage system. Poehling contends that UnitedHealth Group was manipulating a system to incentivize patients to be diagnosed as sicker than they were.…

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