» 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

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

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

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 perpetr… Read More

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

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 attack… Read More

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 is… Read More

It’s been sadly too often the case that government whistleblower programs find themselves in the news for all the wrong reasons. The SEC has been taken to task for failing to follow up on the thousands of tips it has received while the IRS appe… Read More