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Fraud
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COVID-19 Fraud Cases are Coming: What To Expect

Healthcare fraud costs American taxpayers billions of dollars every year. With the widespread coronavirus pandemic, it is expected that much of the fraud in 2020 will be related to the COVID-19 crisis. But what will COVID-19 fraud look like? What we’re already seeing This spring, the United States Department of Justice put out a press Read More

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Second Circuit Revives Old False Claims Act Case Involving Federal Reserve

The Second Circuit recently revived a False Claims Act case that arose out of the 2008 financial crisis. The case, United States ex rel. Kraus v. Wells Fargo & Co., two employees of banks that were later acquired by Wells Fargo alleged there was a longstanding and significant pattern of fraud in connection with the Read More

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SEC Charges Former Executives of Outcome Health with Fraud

A trio of former executives of Outcome Health were charged by the Securities and Exchange Commission (SEC) of engaging in a fraudulent scheme to raise about $500 million for the company from investors. Charged were CEO Rishi Shah, CFO Brad Purdy and President Shradha Agarwal. Outcome had already agreed to a $70 million settlement with Read More

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Whistleblower Claims Disney Has Been Significantly Inflating its Revenue

According to a report from MarketWatch, a Walt Disney Company accountant has claimed the company overstated its revenue for years. That accountant ultimately filed a whistleblower report with the Securities and Exchange Commission. Case background The whistleblower in question was Sandra Kuba, who worked with the company for 18 years in its revenue-operations department. She Read More

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SEC Issues Charges to Several Defendants for Unregistered Securities Sales

The U.S. Securities and Exchange Commission (SEC) charged Crystal World Holdings, Inc., The New Sports Economy Institute and Christopher Paul Rabalais for misleading its investors in an unregistered offer and sale of Crystal World Holdings securities to domestic and international investors. Case background According to the SEC complaint, Rabalais and his two companies listed as Read More

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Texas Medicare Fraud Scheme Results in $339 Million Judgment

A federal judge in the U.S. District Court for the Northern District of Texas recently entered a judgment in a Medicare fraud case against four defendants valued at a total of $339,402,631. The judgment stems from a whistleblower claim filed in 2013 by Grant Bachman, who filed his initial lawsuit against multiple home health care Read More

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Philly-Area Addiction Treatment Facility to Pay $2.85 Million to Settle False Claims Allegations

This summer, Eagleville Hospital, a provider of various substance abuse treatments to Medicare and Medicaid patients, agreed to a $2.85 million settlement with the government in the face of allegations it defrauded various healthcare programs. In the lawsuit, it was alleged that the hospital billed Medicare, Medicaid and the Federal Employees Health Benefits Program fraudulently Read More

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Former Executives Charged in Insurance Law Scheme that Led to Hundreds of Millions in Losses

A pair of former executives with Southport Lane, L.P., a private equity investment holding company that specializes in managing investment portfolios for insurance companies, were charged with participating in a massive insurance fraud scheme. According to authorities, the scheme resulted in hundreds of millions of dollars in losses for its victims. The two individuals were Read More

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How to Respond if Your Company Attempts to Push You

National pharmacy chain Walgreens recently settled a pair of False Claims Act (FCA) lawsuits with the federal government for a total of $269 million. The claims involved allegations of improper billing. In the first lawsuit, Walgreens was alleged to have billed federal healthcare programs (including Medicaid and Medicare) for distributing insulin pens to hundreds of Read More

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Eagle Home Mortgage Accused of Approving Unqualified Buyers

Eagle Home Mortgage, a subsidiary of Lennar, is the defendant in a new whistleblower lawsuit that alleges the lender routinely approved unqualified borrowers for mortgages, going so far as to falsify borrowers’ documents to increase the chances of approval. The suit also claims the company hid negative findings on audited loans from regulators. This latest Read More

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