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. Mr. Chairman and Members of the Committee: I want...
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...
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
Upcoding and Unbundling
Upcoding and unbundling are common types of healthcare fraud. What is upcoding? “Upcoding” occurs when a healthcare provider submits codes to Medicare, Medicaid or private insurers for more...
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...
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...
December 27, 2016
Medicare Advantage Fraud – How Whistleblowers Help Stop It
What is Medicare Advantage Fraud? Medicare Advantage plans commit fraud when they knowingly submit — or have a contractor submit on their behalf — risk-adjustment data to the Centers for Medicare &...
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...
December 27, 2016
GSA Contracts: Fraud and Whistleblowers
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...
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...