December 27, 2016
Judith King: A Whistleblower in Nursing
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...
December 27, 2016
C.R. Bard Whistleblower Julie Darity’s Story
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...
December 27, 2016
Lack of Medical Necessity and the False Claims Act
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...
Posted In Qui Tam
December 27, 2016
Medical devices – off-label marketing, kickbacks and whistleblowers
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...
Posted In Qui Tam
December 27, 2016
Medical Loss Ratio Fraud
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...
Posted In Qui Tam
December 27, 2016
Yield Burning
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...
December 27, 2016
Violations of the Truth in Negotiations Act (TINA)
When the government needs to procure highly specialized weapons systems, it frequently chooses to use a company that already makes them, known as a “sole source supplier.” This ensures a company...
December 27, 2016
Tax Whistleblower Story
Testimony of “Mr. ABC,” a confidential witness represented by Phillips & Cohen LLP, before the Senate Finance Committee – July 21, 2004. This page features the first-hand testimony of a confidential...
December 27, 2016
Municipal Transactions
The municipal finance industry is rife with fraud, and it’s often industry insiders who expose fraudulent schemes. Yield-burning is one way banks can defraud both the federal and municipal governments....
December 27, 2016
What is Upcoding and Unbundling Fraud in Healthcare?
Upcoding and unbundling are common types of healthcare fraud Upcoding, unbundling, and fragmentation represent common types of healthcare fraud, involving the manipulation of billing practices to illicitly...