Former head of Russian anti-doping agency exposes alleged state-sponsored doping A Netflix documentary to be released this Friday tells the story of a former Russian doping scientist who came to the United States in late 2015 and exposed the Russian…
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Medicaid fraud is widespread and instances of Utah Medicaid fraud are, unfortunately, not uncommon. Through the federal False Claims Act (“FCA”), the government has put a structure in place to help federal authorities and states, like Utah, uncover Medicaid fraud…
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False Claims Act, Medicaid, Utah, Utah medicaid Fraud, Whistleblower
A health care lawsuit brought by two whistleblowers against a hospice company has settled for $2.4 million. The lawsuit alleged that the company had paid kickbacks to doctors for patient referrals and had also falsely billed Medicaid and Medicare. According…
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health care lawsuit, Healthcare Fraud, Medicaid, medical fraud, Medicare, Qui Tam, qui tam lawsuit, Whistleblower
Whistleblowers who come forward to report medical fraud perform an important public service. Recent news, once again, shows how sometimes dangerous judgments are made in a reckless pursuit of profit. The trial, conviction, and sentencing of the owner and head…
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In any industry, there are unscrupulous people who try to defraud companies and individuals – and healthcare fraud is no exception. Medicare and Medicaid fraud is particularly troublesome because this type of healthcare fraud can cost Federal health care programs…
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Healthcare Fraud, Medicaid, medical fraud, Medicare, Whistleblower, whistleblower attorney
Freedom Health Inc., a Medicare Advantage insurer based in Florida, has agreed to pay the government $32.5 million to settle a qui tam lawsuit brought by a whistleblower. The original qui tam suit was filed in 2009 by Dr. Darren…
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Fraud, Healthcare Fraud, Medicare, Medicare Advantage, Qui Tam, Whistleblower
In late April, the Securities and Exchange Commission (“SEC”) issued its first whistleblower award during the Trump administration, awarding almost $4 million to an individual that the SEC said provided the agency with original information that led to the successful…
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Dodd-Frank Act, SEC, Securities and Exchange Commission, Whistleblower, Whistleblower award
A recent decision from the 9th Circuit has served to widen the circuit split over whether Dodd-Frank’s anti-retaliation protections should protect internal whistleblowers. In early March, a split 9th Circuit panel found in favor of extending Dodd-Frank’s anti-retaliation protections to…
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Dodd-Frank Act, Retaliation, Whistleblower, Whistleblower protection
The U.S. Justice Department recovered over $4.7 billion in 2016 from cases brought under the False Claims Act (FCA). Of that amount, $2.9 billion – 60% – was recovered through cases begun by whistleblowers. These results show how successful an…
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False Claims Act, Fraud, Healthcare Fraud, Medicaid, Medicare, Whistleblower, whistleblower attorney
The U.S. Supreme Court recently handed a victory to qui tam plaintiffs everywhere when it handed down its unanimous opinion in State Farm Fire and Casualty Co. v. United States ex rel. Rigsby et al. At issue in Rigsby was…
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