Month: December 2016

Medicare reimburses health care institutions for certain costs in addition to paying for individual procedures and treatment. Virtually every hospital and many other providers submit cost reports to Medicare,...

Mortgage companies and other lenders must certify that mortgage applicants meet a range of criteria, such as income and funds available to invest in a home, in order for the Federal Housing Administration...

Health care providers who submit Medicare and Medicaid claims containing false statements also may be liable under the False Claims Act. Examples In Florida, five persons were involved in a scheme in which...

Because reliability is critical with expensive and lethal weapons systems, the Defense Department requires its contractors to build those systems in accordance with very detailed product specifications....

The following is a transcript of a PowerPoint presentation on risk adjustment fraud in Medicare Advantage plans – “Medicare Advantage Risk Adjustment Fraud: Does your plan’s strategy violate the...

Cross-charging and improper cost allocation in fixed-price and cost-plus defense contracts are some of the most common types of defense procurement fraud. Whistleblowers can expose cross-charging or improper...

Phillips & Cohen has experience with qui tam lawsuits brought under the False Claims involving contractor fraud by U.S. contractors in Iraq and Afghanistan. A qui tam contractor fraud case brought...

Here is the section of the Dodd-Frank Act that authorized the establishment of the Commodity Futures Trading Commission whistleblower program. For a summary of how the program works, see the CFTC whistleblower...

Whistleblower advice from a fellow whistleblower Whistleblower job protection Appeals Court decision 2015 The CFTC Whistleblower Award Program 76 FR 53172 8-25-2011 Securities Whistleblower Incentives...

Repealed by 2015 Wisconsin Act 55, effective July 14, 2015 The text of the law as it existed before the repeal can be viewed here. Other state qui tam laws