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Legal19

HEALTHCARE WITH A SIDE OF HAIRCARE: IMPROPER INCENTIVES TO MEDICARE PATIENTS

By Editor |

Offering free gifts with purchase is not a new marketing concept. Many businesses use it as an effective tool for customer retention and soliciting new customers. When the customers are paying with government funds, however, free gifts can be a big no-no. Especially when the free gifts offered to Medicare beneficiaries have no relation… Read More »

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TaxFraud

Tax Fraud Costs the Government up to $1 Trillion Per Year

By Editor |

On April 9, 2021, the Commissioner of the Internal Revenue Service, Charles Rettig, testified before the Senate Finance Committee regarding the so-called “tax gap,” which represents the shortfall between the amount of taxes that should be paid each year versus the amount actually collected.  Rettig estimated the current the tax gap could be as… Read More »

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Lit3

Medicare Advantage Audit Shows $197 Million in Over-Payments

By Editor |

In April 2021, the Department of Health and Human Services, Office of Inspector General (HHS-OIG) released a report regarding a Medicare Advantage Compliance Audit of one of the country’s major Medicare Advantage Organizations, Humana, Inc.   The audit covered only one year, 2015, and one particular contract.  The audit selected a random sampling of 200… Read More »

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Legal17

Blowing the Whistle on Money Laundering

By Editor |

South Florida is the money laundering capital of the world.  Each year, crooked banks, bankers and criminal enterprises move millions of dollars of illicit funds through South Florida banks.   In the process, they convert unusable criminal proceeds into seemingly “clean” laundered cash. As whistleblower lawyers, we have received numerous calls over the years from… Read More »

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Legal10

Yachts, Strip Clubs, and Fast Cars: An Analysis of the First 56 Cases Alleging PPP Fraud

By Editor |

The Paycheck Protection Program (“PPP”), which was implemented as part of the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act, has been a predictable target for waste, fraud, and abuse.  Whistleblowers who report this fraud will play a vital role in uncovering any wrongdoing. As of September 30, 2020, just 6 months after the… Read More »

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Qui Tam Cases Settle for $17.9 Million

By Editor |

McCabe Rabin, P.A. announces the settlement of three related qui tam whistleblower cases: United States of America, et al., ex rel. Hood v. Lexisnexis Coplogic Solutions, Inc., Civil Case No. 18-cv-20211 (S.D. Fla.) State of Florida, ex rel. Hood, v. Lexisnexis Coplogic Solutions, Inc.;  Civil Case: 18-CA-001950 (Florida State Court, 2d Judicial Circuit) State… Read More »

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Lawyer6

Government Issues Preliminary Report on Coronavirus Relief Fraud

By Editor |

On September 1, 2020, the Congressional Select Subcommittee on the Coronavirus Crisis released a preliminary analysis of potential waste, fraud and abuse issues in the Paycheck Protection Program (PPP), which was implemented as part of the massive Coronavirus Aid, Relief and Economic Security (CARES) Act.  Under the PPP Program, the federal government provided more… Read More »

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McCabe_5.11.20

Global Survey Finds the Suppression of Whistleblowers is the Most Important Fraud-Related Factor Aiding the Spread of COVID-19

By Editor |

A recently published global survey finds that COVID-19 related fraud substantially reduced the delivery of healthcare services worldwide during the month of April 2020.  NEMEXIS, an international, anti-fraud consulting firm in Berlin, Germany, conducted the survey.  The firm surveyed 512 respondents, 92% of whom were anti-fraud professionals from 58 countries, representing 76% of the… Read More »

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Lit4

CARES Act Fraud – the Paycheck Protection Program

By Editor |

On March 27, 2020, Congress passed the Coronavirus Aid, Relief and Economic Security Act of 2020, also known as the CARES Act.  In total, the CARES Act will provide approximately $2 trillion in economic aid in the wake of the Coronavirus (COVID19). This is the largest economic aid package in the history of the… Read More »

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Lit3

What is a Qui Tam Seal?

By Editor |

Cases filed under the False Claims Act, also known as qui tam cases, are filed under seal. When a case is filed under seal, this means the Court enters an order that requires the Clerk of Court to keep the case secret.  Unlike most court records, which are open to the public, a sealed… Read More »

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