Jen Fuson

As amended by PL 109-432 26 USC § 7623 Expenses of detection of underpayments and fraud, etc. (a) In general. The Secretary, under regulations prescribed by the Secretary, is authorized to pay such sums...

Improper cost allocation is a more subtle version of the cross‑charging scheme. If a company has both government contracts and private commercial contracts (like most large aircraft companies), they...

Companies that supply goods and services to the federal government may be liable under the False Claims Act if they falsely certify they are complying with government contract terms in their Multiple Award...

The federal and state governments fund a variety of research and other specialized projects in the health care area. Typically, government funds are targeted for a specific and narrow purpose, a specialized...

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,...

The federal government spends billions on public works projects and construction of federal buildings. Fraudulent practices by contractors include bid-rigging, overcharging for contracts and failing to...

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...