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

IRS Whistleblower Law

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...
Posted In 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...
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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...
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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...
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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,...
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December 27, 2016

Fraud in Construction Projects

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...
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December 27, 2016

FHA Mortgages

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...
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December 27, 2016

False Certifications and Information

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...
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