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Recent Posts in Whistleblowers Category

  • Freidin Brown, P.A. Attorneys Philip Freidin and Jonathan Freidin Obtain Groundbreaking $7 Million Result

    Congratulations to Freidin Brown, P.A. attorneys Philip Freidin and Jonathan Freidin for obtaining a groundbreaking result for their client and the United States government in a whistleblower (qui tam) case, U.S. ex rel. Graves v. Plaza Medical Centers, Corp., et al. , Case No. 10-23382-CIV-MORENO/O’SULLIVAN (S.D. Fla.). This was a non-intervened False Claims Act (“FCA”) case alleging Medicare ...
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  • Did the Marlins Make a False Claim?

    As reported in the Miami Herald , the sale of the Miami Marlins by former owner Jeffrey Loria in September of 2017 potentially triggered a windfall for Miami-Dade. A clause in the 2009 profit-sharing deal between the ballclub and Miami-Dade supposedly required the team to provide 5 percent of sale proceeds to the city. But an accounting statement released following the sale of the club for $1.2 ...
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  • TeamHealth Settles Whistleblower Case for $60 Million

    Last month, hospital service provider Team Health Holdings agreed to pay $60 million plus interest to settle a case that involved a physician services company it acquired, which knowingly overcharged several health care programs, violating the False Claims Act. The Justice Department alleged that IPC Healthcare Inc. billed Medicare, Medicaid, the Defense Health Agency and the Federal Employees ...
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  • Should Edward Snowden Be Pardoned?

    According to a news article published by The New York Times, Edward Snowden, a former National Security Agent contractor, is now considered an outlaw after disclosing information about the secret documents that detailed the US’s mass surveillance programs. Although the president acknowledged the public debate that Snowden’s revelations provoked, he now faces possible espionage charges. His ...
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  • Whistleblower Lawsuit Accuses Visiting Nurse Service of New York of Fraud

    A recent article published by the New York Times reports that a whistleblower lawsuit has been brought against Visiting Nurse Service of New York for allegedly extracting hundreds of millions of dollars from Medicaid and Medicare through falsified billings and inadequately providing doctor-ordered care to patients. The suit was brought by a senior manager who worked for Visiting Nurse Service for ...
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  • Recently Introduced US Bill May Further Protect Hanford Whistleblowers

    According to an article published by OPB, on Monday, September 26, a federal bill was introduced to safeguard whistleblowers at nuclear sites. Democratic senators Rod Wyden of Oregon, Edward J. Markey of Massachusetts, and Claire McCaskill of Missouri created the legislation. Walter Tamosaitis, a high-profile Hanford whistleblower, stated there is a large learning curve when challenging the ...
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  • Hospice Provider Settles Whistleblower Claims For $150 Million

    A major hospice and health care services provider in Pennsylvania has settled whistleblower claims for $150 million. The company, Amedisys, settled seven separate suits filed under the qui tam provisions of the False Claims Act, according to the U.S. Attorney's Office. Just over $26 million will be split between the realtors, with the rest going to the government. The allegations against Amedisys ...
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  • Miami Tops List of Providers Banned by Medicare

    Of all of Medicare's banned providers , Miami tops the list with nearly 1,500 addresses. Miami comes in first place on the federal government's "exclusion database," which contains more than 57,000 entries. And Miami tops the list by a long shot. Following Miami's 1,491 entries, Los Angeles comes in second place with 522. Phoenix, Brooklyn and Houston round out the top five. However, this does not ...
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  • Whistleblowers: Florida-Based Hospital Chain Sued

    The Justice Department has joined eight separate whistle-blower lawsuits against Health Management Associates, a for-profit hospital chain based in Naples, Fla. The lawsuit describes a wide-ranging strategy involving sophisticated software, financial incentives and threats to inflate the company's payments from Medicare and Medicaid by admitting patients, regardless of whether a patient needed ...
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  • Johnson & Johnson To Pay $2.2 Billion For False Marketing

    To settle charges of misbranding and paying "kickbacks" to doctors and nursing homes, Johnson & Johnson will pay $2.2 billion. The settlement involves the schizophrenia drugs Risperdal and Invega, and the heart failure drug Natrector. According to the Attorney General Eric Holder, the company "lined their pockets at the expense of American taxpayers, patients and the private insurance industry." ...
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  • Broward Psychiatric CEO Sentenced To 25 Years For Medicare Fraud

    A judge just sentenced a psychiatric CEO to 25 years in prison for Medicare fraud . Karen Kallen-Zury, a 60-year-old Lighthouse Point woman, and CEO if the Hollywood Pavilion psychiatric facility was also ordered to repay about $40 million to the Medicare program and had her bond revoked. The judge also delivered lengthy prison sentences to two other Hollywood Pavilion executives who were also ...
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  • Major Hospital Chains Involved in Federal Whistleblower Lawsuit

    Two major hospital chains are being sued for allegedly paying illegal kickbacks to clinics to treat undocumented immigrants. Health Management Associates and Tenet Healthcare are being accused of paying clinics to recruit undocumented pregnant women and filing false Medicaid claims after treating them. The lawsuit, which was filed by HMA's former chief financial officer in Athens, Ga., said "By ...
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  • Whistleblowers Saving Government Billions Of Dollars

    Whistleblowers are helping state and local governments bring in billions of dollars by exposing fraud and other illegal activities. According to a recent study from the Public Citizen, whistleblowers have led to $6.6 billion in penalties against drug manufacturers, particularly for fraudulently charging high prices in the Medicaid program. The study also revealed that the government has recovered ...
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  • Medicare fraud rampant in South Florida

    Two recent cases reported in the Miami Herald demonstrate the Medicare Fraud is still rampant in South Florida. For example, Dr. Rene de los Rios was sentenced to almost twenty years in prison for his role in a conspiracy that fraudulently billed Medicare $19/7 million for HIV treatments that were either unnecessary or not provided. Dr. Alan Gumer, a psychiatrist, pled guilty to a conspiracy that ...
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    The SEC (Securities and Exchange Commission) recently voted to allow whistle-blowers to collect up to thirty percent of penalties when they report financial wrong-doing. The SEC reward program does not require whistle-blowers to comply with their company's internal complaint programs. The SEC wants to provide incentives for corporate employees to report wrong-doing by the companies for whom they ...
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  • Whistleblower Awarded $4.5 Million

    Recently, the IRS awarded an in-house accountant $4.5 million for his role as a whistleblower. The CPA discovered an underreported tax liability that resulted in the IRS collecting $20 million from a financial services firm. There are many provisions in both the federal and state statutes that provide rewards for individuals who serve as whistleblowers and help the government recover money from ...
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