‘Qui Tam Whistleblower’ Category

Dallas Men Marketing Compounded Pain Creams Busted for Healthcare Fraud

Owners of a Dallas marketing and research company are accused of defrauding TRICARE, the military healthcare system, out of millions of dollars for compounded products made by pharmacies.

Richard Cesario and John Cooper are the owners of CMGRx LLC. The company marketed compounded pain and scar creams to current and former U.S. military members and their families on behalf of various...

10 Fun Facts About the False Claims Act

1. The False Claims Act (“Act”) is over 150 years old. The Act, originally known as the Lincoln Law, after its original proponent, President Abraham Lincoln, was implemented during the Civil War. The Act was a response to war profiteering by federal contractors who attempted to defraud the government by selling inadequate firearms and horses.

2....

Can a Relator Amend or Supplement Her Complaint

December 28, 2015 – Filing a complaint expeditiously for a whistleblower and her lawyer is a top priority for experienced qui tam attorneys.  As we previously discussed in the article titled, Reporting Fraud by Filing a Qui Tam Case, timeliness is of the essence to meet the first to file rule. And if the whistleblower’s case has jurisdictional defects, it has to be dismissed and...

False Claims Act Recoveries 2015 Year in Review

DOJ Reports $3.583 Billion in False Claims Act Recoveries for 2015

December 11, 2015 – The results are in. The U.S. Department of Justice (DOJ) has released its statistics on the False Claims Act (FCA) recoveries for fiscal year 2015 in a recent announcement. Though total recoveries for qui tam cases are down from 2014’s record high, 2015 stands out as a winning year for...

The False Claims Act Takes Over Canada? Maybe

The United States’ neighbor to the north, Canada, has commenced steps to adopt a law similar to the False Claims Act to protect government contracts and promulgate a culture of protections for those individuals willing to come forward and report fraud. A commission comprised of individuals from the Quebec government recommends reform against companies and individuals who commit fraud and...

Newly Interpreted Whistleblower Protections Explained

On August 4th, the Securities and Exchange Commission issued an interpretive rule to clarify that the Commission’s whistleblower rules protect whistleblowers who report potential securities violations within the company, as well as those who report directly to the Commission, from retaliation.

The SEC’s whistleblower rules incentivize whistleblowers to bring original information...

Two Managers Of Three California Medical Clinics Indicted In Health Care Fraud Scheme

November 3, 2014 — The False Claims Act empowers health care insiders to file a whistleblower lawsuit on the government’s behalf. Courageous whistleblowers help to protect the integrity of our federal healthcare programs, like Medicare or Medicaid, for those who need them. Under the Act, the United States may choose to intervene in the lawsuit and take primary control for litigating it. The...

Department of Justice to Pursue Medicare Fraud Case Against SavaSeniorCare

Federal Government Joins False Claims Act Lawsuits Alleging National Skilled Nursing Chain Routinely Over-Treated Patients to Increase Revenue from Medicare Payments

 The U.S. Department of Justice (DOJ) announced last week that it has intervened in three whistleblower lawsuits alleging SavaSeniorCare LLC and its related entities have violated the False Claims Act. SavaSeniorCare...

United States Settles With South Carolina Hospital for $72.4 Million After $237 Million Judgment

On October 4, 2005, whistleblower Dr. Michael K. Drakeford, an orthopedic surgeon, filed a False Claims Act lawsuit against Tuomey Healthcare System for violations of the Stark Laws on behalf of the United States. The government intervened and took over the action.

The case alleged that Tuomey violated the Stark Law, which prohibits health care providers from billing Medicare for...

Florida Hospital Pays $69.5 Million to Settle False Claims Act Case

October 12, 2015 — North Broward Hospital District (“Broward Health”), a taxpayer financed system of hospitals and health facilities, agreed to pay $69.5 million to settle federal charges that it made illegal payments to physicians using a secret compensation system that rewarded doctors for patient referrals and penalized them for accepting low income patients. The False Claims...

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