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Fraud
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SEC Issues $14 Million Whistleblower Award

The U.S. Securities and Exchange Commission (SEC) recently issued a $14 million award to a whistleblower who published an online report that exposed ongoing fraud. That whistleblower shared the same information days later with the SEC. They were proactive in reaching out to the staff and assisting the commission in opening an investigation that resulted Read More

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Federal Government Files Lawsuit Against Doctor for False Claims Act Violations

The U.S. Attorney’s Office for the Middle District of Pennsylvania recently announced it initiated a lawsuit against family medical doctor Peter J. Baddick, III over allegations of medically unnecessary prescriptions for Subsys, a fentanyl-based spray used for cancer pain. Case background In the complaint, the federal government alleges Dr. Baddick violated the False Claims Act Read More

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2021 Was a Massive Year for False Claims Act Settlements

The U.S. Department of Justice recently revealed that 2021 was a major year for False Claims Act settlements and judgments. According to the DOJ, the federal government took in more than $5.6 billion in settlements and judgments, the largest since 2014 and the second-largest amount ever recorded. This number includes the gigantic $2.8 billion Purdue Read More

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Surgical Company, Physician Settle Whistleblower Lawsuit for $3 Million

A recent lawsuit against a Georgia surgical company and the physician who owns it resulted in a $3 million lawsuit. The False Claims Act case was filed against Dr. Jeffrey Gallups and his company, Milton Hall Surgical Associates. A former staff doctor blew the whistle on alleged fraudulent practices, including ordering unnecessary tests for patients Read More

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The Most Common Methods Companies Use to “Cook the Books”

Whistleblowers often are workers at companies who become aware of their company’s inappropriate or fraudulent practices. They might attempt to report their concerns internally only to be rebuffed and be forced to make their reports at a higher level. Here are a few examples of some of the behaviors by companies that are most likely Read More

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Mallinckrodt Must Pay $234 MIllion to Resolve False Claims Act Lawsuit Brought by Former Employee

The federal government, in conjunction with individual states, the District of Columbia and Puerto Rico, recently settled a False Claims Act lawsuit against Mallinckrodt PLC, a pharmaceuticals company. The lawsuit alleged Mallinckrodt regularly and knowingly underpaid Medicaid rebates for one of its products, Acthar. As a result of the action, the company must pay nearly Read More

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Orthopedic Surgeon Must Pay $343,000 to Settle Allegations of False Claims Act Violations

Dr. Mark Stephen Wilson, an orthopedic surgeon based in Oklahoma, will pay the federal government nearly $343,000 to resolve allegations of False Claims Act violations. According to the Department of Justice, Wilson accepted illegal kickback payments from Brookhaven Specialty Pharmacy LLC. Case background DOJ attorneys stated Wilson knowingly accepted payments from Brookhaven Specialty Pharmacy from Read More

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Catholic Medical Center Will Pay $3.8 MIllion to False Claims Act Case

The U.S. Department of Justice recently announced a $3.8 million settlement with Catholic Medical Center (CMC) to resolve allegations that it violated the False Claims Act by providing free call coverage to a cardiologist in exchange for patient referrals. Government attorneys said these actions violated the Anti-Kickback Statute. Case background The federal government alleged CMC Read More

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Georgia Cancer Specialists Will Pay $8 Million to Settle Medicare Fraud Claims

Georgia Cancer Specialists (GCS), one of the nation’s largest oncology specialists, will pay the federal government $8 million to resolve Medicare fraud claims involving what a judge called a “sophisticated kickback scheme.” The whistleblowers who helped initiate the case will receive the maximum 30 percent award for reporting the fraud and assisting the federal government Read More

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TriMark USA Will Pay $48.5 Million to Settle Whistleblower Case

TriMark USA, LLC recently agreed to a $48.5 million settlement in a whistleblower lawsuit, the largest single amount ever recorded in a False Claims Act case involving small business fraud. The previous record was a $37 million settlement paid out by Atlantic Driving Supply. The significant recovery was the result of the combined work of Read More

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