New Jersey recently entered into two settlements, a consumer fraud settlement and a qui tam whistleblower agreement, with a major for-profit higher education provider. NJ is one of several states participating in the settlements with Education Management Corporation (EDMC), which is a Pennsylvania-based operator of for-profit post-secondary educational institutions throughout the United States and Canada.… More
Category Archives: Whistleblower Law
Hospitals Pay Feds Over $250M to Resolve Cardiac Device FCA Charges
The US Department of Justice is vigilantly committed to protecting federal health care benefits and rooting out Medicare fraud. In what is being considered one of the largest whistleblower cases ever brought to light, the DoJ announced that 457 hospitals agreed to settle false billing claims related to cardiac devices. The 70 settlements arose out… More
Inflation Leads to Hike in Civil Monetary Penalties, Greater Rewards for Whistleblowers
Companies and individuals who defraud government healthcare programs, as well as the whistleblowers who report those committing the fraud, could be seriously affected by a recent federal budget deal. Under the terms of the government’s new budget, codified in the Bipartisan Budget Act of 2015, healthcare providers who commit Medicare or Medicaid fraud or who… More
What In the World Does Qui Tam Mean?
Qui tam is Latin for “who as well for the king as for himself sues in this matter.” Say what? Qui tam (pronounced kee-tam) is a type of lawsuit brought under the US False Claims Act. It’s the “whistleblower” provision of the FCA that encourages people to share information with regard to fraudulent activity being… More
Gynecologist Faces Federal Allegations of Taking Kickbacks from Big Pharma
Kickback deals involving physicians and drugmakers usually involve millions of dollars in fraud. However, a recent federal indictment involved one doctor and only $23,500 in money paid. Still, Feds hope the case will send a message to companies and doctors who are committing False Claims Act violations. Actonel and Atelvia are osteoporosis treatment drugs made… More
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