December 27, 2016

Product Substitution

The government frequently specifies that its defense contractors build products using a certain grade or quality of parts. There often is a further requirement that the parts be purchased from American...
Posted In Qui Tam, Resources
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....
Posted In Qui Tam, Resources
December 27, 2016

Upcoding and Unbundling / Fragmentation

Upcoding and unbundling are common types of healthcare fraud. There have been a number of successful whistleblower (“qui tam”) cases that have exposed fraud by healthcare providers that upcode...
Posted In Qui Tam, Resources
December 27, 2016

Pharmaceutical Fraud and Whistleblowers

Phillips & Cohen has been very successful in pharmaceutical fraud whistleblower cases against many pharma companies. Companies engaged in pharmaceutical fraud may be liable under the False Claims Act...
Posted In Qui Tam, Resources
December 27, 2016

Medicare Part D Fraud and Whistleblowers

Medicare Part D fraud can happen in many ways. Whistleblowers can stop Medicare Part D fraud by using the False Claims Act, whether the fraud is committed by Part D prescription drug plan sponsors, pharmacy...
Posted In Qui Tam, Resources
December 27, 2016

Improper Cost Allocation

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...
Posted In Qui Tam, Resources
December 27, 2016

GSA Contracts

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...
Posted In Qui Tam, Resources
December 27, 2016

Grant or Program Fraud

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...
Posted In Qui Tam, Resources
December 27, 2016

Fraudulent Cost Reports

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,...
Posted In Qui Tam, Resources
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