There are countless examples in recent news highlighting the potential for far-reaching consequences when wrongdoing goes unchecked, and when whistleblowers face unbridled public scrutiny. Safety hazards could result in serious injuries or even further loss of life and financial penalties and reputational damage could be significant. By protecting whistleblowers, taking their concerns seriously, and even
Healthcare
SCOTUS Declines to Decide Whether Objective Falsity is Required to Establish Liability Under FCA
The question of whether the False Claims Act (FCA) requires a showing of objective falsity will continue to divide the circuit courts following the U.S. Supreme Court’s decision not to address the issue.
To establish liability under the FCA, which prohibits the defrauding of the government, an individual must demonstrate actual knowledge that the claim…
FBI Issues Warnings Regarding COVID-19 Fraud Schemes
The Special Agent in Charge of the Boston office of the FBI, Joseph Bonavolonta, has issued an advisory aimed at alerting and keeping individuals and companies safe in the midst of the COVID-19 pandemic. His memo reported on emerging schemes and frauds being perpetrated by criminals looking to capitalize on the current crisis.
The FBI…
Judges, Senators, DOJ Officials: Action Required by President, AG to Protect Inmate Population during COVID-19 Crisis
In a letter to the President dated tomorrow (March 27, 2020), several hundred federal judges, former U.S. Attorneys, Assistant U.S. Attorneys, and Department of Justice (DOJ) officials are asking the government to implement a plan to dramatically reduce the number of incarcerated individuals in the federal prison system and to address “the threat of disastrous…
Law Enforcement Cannot Freeze Assets Not Tied to Crimes, Supreme Court Rules
The U.S. Supreme Court, in a 5–to-3 decision, has ruled that federal law enforcement may not freeze an accused’s assets needed to pay criminal defense lawyers if the assets are not linked to a crime. Luis v. United States, No. 14-419 (Mar. 30, 2016).
A federal statute provides that a court may freeze before…
Corporate Executives Sentenced to Prison for $3.4M Kickback Scheme
Two former executives at one of the nation’s leading healthcare claims processing firms, MultiPlan, Inc., were recently sentenced to serve one year and one day in federal prison for their role in a scheme to steer contracts to technology vendors in exchange for $3.4 million in bribes and kickbacks.
Keith Bush, MultiPlan’s former Vice President…
Justice Department Announces Recovery of Nearly $6 Billion From False Claims Act Cases in Fiscal Year 2014
The Justice Department announced that it secured a record $5.69 billion in settlements and judgments from civil cases involving fraud against the government in the fiscal year ending September 30, 2014 (“FY2014”). This marks the first time the Justice Department recovered more than $5 billion in these cases, bringing the total recoveries under the False…
DOJ Settlement Yields Nice Change for Whistleblowers
Agreeing to pay a total of $15.5 million, a diagnostic imaging company has settled with the Department of Justice under the False Claims Act for allegedly submitting claims to Medicare for services never completed.
Claims purportedly were made to federal Medicare and to New York and New Jersey Medicaid Programs for CT scans and other…
Hospital System Agrees To Pay $85 Million To Resolve Alleged False Claims Act Violations
Continuing a trend we reported in January 2014, the U.S. Department of Justice announced another multi-million dollar settlement of alleged False Claims Act (“FCA”) violations. In this case, Halifax Hospital Medical Center and Halifax Staffing, Inc. (collectively “Halifax”) agreed to pay $85 million to resolve allegations that they violated the False Claims Act by submitting…
Florida Hospice Provider Pays $3 Million to Resolve Alleged False Claims Act Violations
Hospice of the Comforter, Inc. (HOTCI) agreed to pay $3 million to resolve allegations that it violated the False Claims Act (FCA) by submitting false claims to the Medicare program for hospice services provided to patients who were not eligible for the Medicare hospice benefit. HOTCI did not admit any liability in the settlement. The…