Qui Tam

Why is there an Anti-Kickback Law in healthcare? The False Claims Act offers whistleblowers an effective way to expose and stop pharmaceutical and medical kickbacks in the healthcare system. Healthcare...

DaVita whistleblower David Barbetta alleged in a qui tam case that DaVita paid doctors hidden kickbacks as a way to get patient referrals for its dialysis clinics and to reduce or eliminate competition...

James F. Alderson, a client of Phillips & Cohen, was a financial officer with a Montana hospital when he was told that the hospital’s management company routinely filed fraudulent cost reports with...

Phillips & Cohen represented GlaxoSmithKline whistleblowers Matthew Burke and his co-relator in a qui tam case against GlaxoSmithKline that helped win a record-setting settlement of $3 billion from...

Judith King, a registered nurse, was a heart transplant coordinator at Sharp Memorial Hospital in San Diego. Phillips & Cohen brought a qui tam lawsuit against her employer on her behalf, alleging...

Phillips & Cohen represented Julie Darity in a qui tam lawsuit against her former employer C.R. Bard Inc. that alleged the company was offering illegal kickbacks to entice doctors and hospitals to...

Unnecessary medical care provided to patients — often referred to as a lack of medical necessity — not only defrauds Medicare and Medicaid, it also can seriously harm patients. Medical necessity...

Whistleblowers have exposed off-label marketing of medical devices, kickbacks to doctors and other improper sales and marketing tactics used by medical device companies that violate the False Claims Act...

Whistleblowers are essential for stopping medical loss ratio (MLR) fraud. They can do this by filing a “qui tam” (whistleblower) lawsuit. MLR fraud takes many forms, but usually involves reporting...

In the municipal bond market, some investment banking firms engaged in fraudulent schemes known as “yield-burning,” where they charged excessive prices for U.S. Treasury securities sold to...