Whistleblower Cases

File folders Common types of whistleblower cases include: Healthcare Fraud/Medicare and Medicaid Fraud
  • Involving health care facilities, such as: hospitals, nursing homes, skilled nursing facilities, hospices, home care organizations, and physical/speech/occupational therapy providers.
    • Invoicing for services which have no basis in medical necessity;
    • Invoicing for services that are not actually rendered;
    • Paying “kickbacks” in the form of money or anything of value to doctors who refer patients for treatment where Medicare and/or Medicaid are invoiced for services rendered to the referred patients.
    • Medicare Advantage fraud;
    • Medical device fraud through off-label promotion and fraudulent invoicing of Medicare and Medicaid for durable medical goods;
    • Selling faulty medical equipment;
    • Ambulance fraud through upcoding of ambulance runs.
Pharmaceutical Fraud
  • Off-label promotion of drugs;
  • Best Price Fraud;
  • Illegal Kick-backs
Financial Industry Fraud
  • Hedge funds, financial advisors, banks/corporations violating Securities and/or Banking laws and defrauding investors or shareholders through fraudulent accounting practices
  • Failure to pay state income taxes in a state where the company does business and income was earned
  • Failure to pay federal income taxes by both businesses and individuals
  • Businesses maintaining two sets of books regarding income and expenditures
Defense Contractor Fraud
  • Overcharging the Government or inflating prices for services provided in order to increase profits
  • Cross-charging, or improperly shifting costs and expenses from one contract to another in order to illegally increase the contractor’s profits
  • Substituting agreed upon products for cheaper ones to maximize profits
Foreign Bribes
  • Bribing foreign officials or their family members in order to obtain business in a foreign nation
  • Bribes by companies in others nations which are publicly traded in the United States
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