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Former Medical Testing Lab CEO Settles False Claims Act Case

The Department of Justice recently announced it reached a settlement with Jae Lee, who formerly served as Chief Executive Officer of the Northwest Physicians Laboratory (NWPL). The terms of the settlement require Lee to pay $1.1 million to resolve allegations that NWPL violated the False Claims Act and Anti-Kickback Statute. Case background NWPL, which is Read More

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Whistleblower Lawsuit Alleges Fraudulent Billing Over Concurrent Surgeries at UPMC

The United States Department of Justice (DOJ) recently filed a whistleblower lawsuit against the University of Pittsburgh Medical Center, a department chair and the university’s physician group. The lawsuit stems from allegations made by a former UPMC physician under the False Claims Act. The DOJ investigated the claims for two years after the whistleblower alleged Read More

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Report: Colorado Air Quality Division Gave Permits Despite EPA Standard Violations

Colorado’s Air Pollution Control Division allegedly issued multiple air quality permits to facilities despite predictive models demonstrating those facilities could violate pollution standards set by the Environmental Protection Agency (EPA). These findings were released in a report from the Colorado Attorney General’s office. Case background In response to the report, state health officials say they Read More

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Hospital Pays More Than $3 Million in Whistleblower Claim Settlement

John Peter Smith Hospital recently agreed to pay $3.3 million to settle allegations of False Claims Act violations. The hospital was alleged to have upcoded claims submitted to healthcare programs to receive more money in reimbursements. Case background The lawsuit that prompted the FCA action originally was filed in 2018 by the former Director of Read More

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Three Compliance Officers Awarded $1 Million in SEC Claim

The Securities and Exchange Commission (SEC) recently awarded three compliance professionals a joint award of $1 million for their role in helping the agency uncover and prosecute misconduct at their firm. As is always the case with SEC whistleblower awards, the identities of those whistleblowers were kept private, as well as any potential identifying information, Read More

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Charges Issued in $784 Million Telemedicine Kickback Scheme

The U.S. Department of Justice recently announced charges from a grand jury in New Jersey issued against the owner of multiple telemedicine companies. The defendant is based in Florida and runs a group known as the Video Doctor Network, which allegedly participated in a widespread Medicare fraud scheme. Case background The owner of the Video Read More

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Former Metals Traders for JP Morgan Face Racketeering Charges

A federal judge in Chicago ruled that four ex-employees for JPMorgan Chase & Co. must face racketeering charges upon accusations of price manipulation of metals futures. The judge’s decision resulted in a trial being set for October 19. The case represented the most heavy-handed attempts by the U.S. Department of Justice so far to prevent Read More

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Whistleblowers Collect More than $4.2 Million in False Claims Act Cases Involving Unnecessary Surgeries and Financial Misconduct

A pair of physicians acted as whistleblowers recently, initiating False Claims Act cases against a neurosurgeon and his two medical device companies. The whistleblowers received 20 percent of the $4.4 million total recovery under the False Claims Act, and also received separate settlements for cases involving that same neurosurgeon, including one award of $3.4 million. Read More

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SEC Issues More than $500,000 to Whistleblower Under Safe Harbor Rule

In late March, the U.S. Securities and Exchange Commission (SEC) announced an award of more than $500,000 to a whistleblower who provided information hat led to a successful enforcement action. The order, which was redacted in accordance with SEC rules to protect the whistleblower’s identity, stated the whistleblower brought forth concerns about internal securities violations, Read More

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Common Strategies Companies Use to Falsify their Financial Statements

One of the most common forms of fraud committed by businesses is “cooking the books,” or falsifying important financial documents and statements to make out that their numbers are actually better than reality would reflect. This is particularly common during periods of economic turmoil, such as what we’ve seen over the last year as a Read More

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