Latest News
Here’s some of the latest news regarding Whistleblowers.
Hospital Self-Discloses False Claims violations, will pay $17.3 million.
Former chief compliance officer reports Stark Act and Anti-Kickback Statute violations, will collect over $5 million.
Kickbacks, Free Staff, and Inflated Payments: Sutter Health’s Path to Stark Law Violations
Former chief compliance officer reports Stark Act and Anti-Kickback Statute violations, will collect over $5 million.
Win for whistleblowers, loss for dicta.
The Ninth Circuit just brought “some discipline . . . to the sometimes loose” use of jurisdiction in the context of the False Claims Act. In Stein v. Kaiser Foundation Health Plan, Inc., the court concluded that a bar for whistleblowers—the “first to file bar”—is merely procedural, not jurisdictional. This decision involved overruling circuit precedent, but according to the passionate concurrence of Judge Forrest, these past decisions should never have been treated as precedent in the first place.
Doctor Calls It a 'Game,' Patients Call It Deadly: Inside the Asante fraud settlement.
Cardiothoracic surgeon Dr. Nicholas Engstrom blew the whistle on Asante Health System's fraudulent billing practices, exposing unnecessary surgeries, overbilling, and Medicare fraud.
Colder than a polar bear’s toenails: The chilling effect of waivers.
Provisions in employment agreements or severance agreements that limit an employee's ability to report misconduct are illegal.
Sew much fraud: Unraveling Alexis’ customs fraud scheme.
Double invoicing scheme catches up to Alexis; it will pay over $7 to settle False Claims Act case.
Wheeling and Dealing: The $100 million turnaround based on Stark and Anti-Kickback violations
Executive Vice President of Wheeling Hospital reveals Stark Law and Anti-Kickback violations, leading to $50 million settlement.
Licensed to bill? Nursing home fails to provide hot water or dispose of solid waste (gross); will pay $7 million.
Unlicensed nursing home allegedly loses hot water, doesn't dispose of waste, and fails to provide medicine on time. Will pay over $7 million
False Positives, Real Consequences: The Scary Reality of Faulty Lab Results
Former lab director describes shortcuts taken at drug testing facility.
Government contracting fraud
Whistleblower reports government contracting fraud for violating set aside commitments and will collect $630,925.
Concurrent Surgeries: Heart surgeons play musical chairs with patients’ lives, pay $15 million.
Whistleblower received over $3 million for reporting concurrent surgeries that endangered patients' lives.
Universal Service Fund or Fraud? Inflated costs leads to $6.5 million settlement.
Whistleblowers identify RUG fraud scheme and collect over $4 million.
From RUGs to Riches: Nursing home whistleblowers show how a RUG score can show fraud.
Whistleblowers identify RUG fraud scheme and collect over $4 million.
Singing the upcoding blues: Assisted living provider to Pay $14.9M to Resolve Alleged False Claims Act lawsuit
Whistleblower receives over $2 million for exposing upcoding scheme at assisted living facility.
Missed Opportunities: $50 Billion Medicare Fraud
Medicare's $50 Billion Scam: A Missed Whistleblower Windfall
Danger Zone: How Cost-Plus Contracts Defrauded Top Gun Heroes
Whistleblower receives over $13 million for exposing cost plus percentage contract.
Rogue Referrals: Whistleblowers uncovers Admera’s Anti-Kickback violations; will collect almost $1 million.
Uncovering illegal referral scheme nets whistleblowers almost $1 million
Publish, perish, or pretend: The dilemma facing universities and researchers.
Whistleblower receives $33 million for reporting falsified results in research.
Whistleblower exposes scheme to avoid customs duties.
Whistleblower exposes customs and trans-shipment fraud.
Not brain surgery: neurologist settles Stark Law claims, will pay $1.8 million.
Money over medicine = Stark Law claim.