» False Claims Act

Record-Setting Settlement Announced Involving Electronic Health Records

When we think of False Claims Act cases, the most common examples in the news involve companies in the financial industry, government contractors and health care providers. Though these categories of companies represent typical False Claims Act cases… Read More
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Health Care Industry Takes Note After Nine-Figure Whistleblower Verdict

We’ve previously discussed whistleblower claims in the context of the Wall Street firms, main street banks and defense subcontractors. Though these represent a large share of whistleblower awards, there are many other claims making their way throug… Read More
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Whistleblowers Get Boost From the Supreme Court

A recent Supreme Court decision comes as a welcome relief to two bank whistleblowers who invested years of their lives fighting their former employer in court. The two saw evidence of wrongdoing and raised concerns to their superiors and were fired f… Read More
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2016 False Claims Act Recoveries

Billions of Taxpayer Dollars Recovered Under False Claims Act

In Fiscal Year 2016, the Department of Justice (DOJ) recovered more than $4.7 billion from civil cases involving fraud and false claims against the government. This recovery of taxpayer dollars was due, in large part, to changes made to the False Cla… Read More
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Medicare Medicaid Fraud Whistleblower

Medicare and Medicaid Fraud Prevention Saved Taxpayers $42 Billion from 2012-14

Medicare and Medicaid fraud is rampant, costing U.S. taxpayers billions of dollars a year. In an effort to combat fraudulent billing practices, CMS (the Centers for Medicare and Medicaid Services) has instituted efforts to prevent medical billing fra… Read More
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False Certification

Billing Government for Improperly Licensed Providers Leads to Liability Under False Claims Act

In an important decision under the False Claims Act, on June 16, 2016, the Supreme Court of the United States issued a decision that will allow claims under a theory called "implied false certification." Under the theory, service providers can face… Read More
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Federal Appeals Court Sides with Whistleblowers, Limiting Public Disclosure Bar in False Claims Act Case

Qui tam relators, or whistleblowers who file claims under the False Claim Act alleging fraud against the federal government, are highly important members of society, those whose daring actions help uncover often fraudulent or illegal activity perpe… Read More
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Senator Grassley to Go After Medicare Advantage Overbilling

Medicare Advantage insurance coverage has long relied on a subjective standard when assessing the condition of patients for billing purposes. To be sure, under Medicare Advantage, a program enacted by Congress in 2003, insurance providers must rate p… Read More
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Lobbyists Seek To Change False Claims Act

Iowa Senator Charles Grassley is at it again, this time coming out swinging in a full-throated defense of the False Claims Act (FCA). The Iowa Republican says that recent attempts by corporate lobbyists to alter the measure represent a serious atta… Read More
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Whistleblower Claims Increase In 2014

New data released by a prominent anti-fraud group in Washington, Taxpayers Against Fraud Education Fund, revealed that payments by companies accused of violating the False Claims Act rose in fiscal year 2014, hitting a record $5 billion. The rise i… Read More
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