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PwC Survey Finds Whistleblowers Hesitant to Report Company Wrongdoings—11/30/11

According to the Sixth PwC global economic survey, whistleblowers are less likely to report wrongdoings taking place in the workplace because of the fear of retaliation. The survey notes that companies could improve whistle-blowing mechanisms by making employees more confident in the systems, assuring them that all channels are available to report crime. PwC forensic […]

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U.S. Files Suit Against Allied for Over $800 Million in Fraudulent Claims

The U.S. has filed a civil mortgage fraud lawsuit against Allied Home Mortgage Capital Corporation, its affiliate, Allied Home Mortgage Corporation, Allied President and CEO Jim Hodge, and Executive Vice President Jeanne Stell. Under the False Claims Act and the Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (FIRREA), the U.S. Government seeks damages […]

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Medicare Fraud Scheme Traded Spa Treatments, Other Goodies for Personal Info—11/02/11

Seventeen arrests were made on November 2nd in clinics based in Brooklyn and Queens. These health clinics allegedly defrauded the Government of $95 million in Medicare dollars. The fraud scheme namely involved trading free spa treatments, dance lessons, and other freebies for personal information provided by Medicare beneficiaries. In addition, the clinics never performed procedures […]

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50-Year Prison Sentence for Florida Exec Running $205M Medicare Fraud Scheme – 11/01/11

A federal judge has imposed a 50-year prison sentence on a Florida executive, Lawrence Duran, for targeting patients with dementia in a $205 million Medicare fraud scheme. According to the Department of Justice, Duran’s sentence is the longest Medicare Fraud Strike Force sentence ever given. Assistant Attorney General Lanny A. Breuer of the Criminal Division […]

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New York To Pay $70 M for Medicare False Claims– 11/01/11

New York City has agreed on a $70 million settlement with the Department of Justice for overbilling Medicaid’s Personal-Care Services Program. The program provides basic essentials for selected Medicaid patients, such as cleaning, shopping, and medical aid. The settlement acknowledges that for almost a decade, the city’s personal-care services allowed people to receive the 24-hour […]

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Feds Arrest 16 People for $18M Medicare Scam—10/28/11

During a raid conducted by federal authorities, sixteen people within the Los Angeles area were arrested for an $18 million Medicare fraud scheme. One of the doctors arrested worked at Manor Medical Imaging Clinic of Glendale, where he wrote prescriptions for anti-psychotic drugs that were billed to Medicare and Medi-Cal, but never sent to patients. […]

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Will CMS Choose to Fight Medicare Fraud with Moratoriums? – 10/27/11

The Centers for Medicare & Medicaid Services (CMS) has yet to impose a single moratorium on new Medicare providers and suppliers, an authority CMS officials were given by President Obama’s health care reform eight months ago. Concerned about CMS’ inaction,  Senators Chuck Grassley (R-Iowa) and Orrin Hatch (R-Utah) have written a letter to Heath & […]

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Wyoming Medical Center Accused of Defrauding Medicare and Medicaid—10/26/11

In a recently unsealed lawsuit, whistleblower Gale Bryden accused Wyoming Medical Center of defrauding Medicare and Medicaid. The lawsuit claims that the hospital’s records clerks altered hospital records by changing patient admission status without physician orders, which resulted in increased reimbursements. Hospital attorney Dick Williams states, “We have denied from day one that there was […]

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Whistleblower Forger against Champion Industries Sentenced to Two Years in Federal Prison—10/26/11

Former sales executive with Champion Industries, William Burch, has been sentenced to two years in federal prison for giving bogus evidence to federal prosecutors in a whistleblower investigation against Champion Industries. Burch forged a letter from competitor Honeywell to support the whistleblower suit he filed in 2008, which implied that Honeywell had notified Champion of […]

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Oracle False Claims Settlement Could Go Over $200M—10/7/11

Software company Oracle Corp. and Oracle America will pay $199.5 million plus interest to the General Services Administration. The settlement is expected to be the largest false claims settlement ever collected by the General Services Administration. The settlement falls under the whistleblower provisions of the False Claims Act, as the company failed to meet its […]

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