Individual whistleblowers working with the U.S. Department of Justice helped secure a record 543 settlements and judgments and the recovery of more than $2.68 billion under the False Claims Act (FCA) in 2023.
The results solidify the FCA as one of the government’s most important tools for exposing fraud in government programs and operations.
Enacted during the Civil War to...
Whistleblowers who expose fraud have strong protections from employer retaliation based on a unanimous U.S. Supreme Court opinion in Murray v UBS Securities.
In a unanimous opinion, the justices held that a whistleblower does not have to prove that their employer had “retaliatory intent” in order to avail themselves of the Sarbanes-Oxley Act’s (SOX) protections against...
HOUSTON – The U.S. Department of Justice has joined a whistleblower’s claims against a second former executive and co-owner of Cardiac Imaging Inc. as part of a multimillion-dollar scheme by the Illinois-based mobile medical imaging company to defraud Medicare and other government healthcare programs.
The Government’s False Claims Act (FCA) complaint filed against Rick Nassenstein...
In an important victory for whistleblowers exposing Medicaid fraud and abuse of government programs, a Texas appellate court has rejected efforts by the Texas Attorney General’s Office to bar Waters Kraus Paul & Siegel’s whistleblower client from seeking her portion of a record $236 million Medicaid fraud settlement.
Waters Kraus Paul & Siegel partner Caitlyn Silhan told...
Fraud in chiropractic care is on the rise as cases of unscrupulous billing practices and abusive care increasingly come to light, according to a Dallas-based analytics company that identifies fraud, waste and abuse by investigating self-funded employers’ healthcare claims.
A shocking 82 percent of the chiropractic services billed to Medicare is unallowable, according to a recent audit...
Citizen whistleblowers helped the U.S. Department of Justice (DOJ) resolve a near-record number of False Claims Act investigations in 2022, resulting in more than $2.2 billion in taxpayer funds recovered, according to a recent DOJ report.
“The government and whistleblowers were party to 351 settlements and judgments, the second-highest number of settlements and judgments in a single...
Illinois-based medical imaging company Cardiac Imaging, Inc. and its CEO have agreed to pay an $85.4 million settlement to resolve whistleblower claims that the company paid illegal kickbacks to physicians in a scheme to defraud government programs in violation of the False Claims Act (FCA).
The agreement is the largest single district civil settlement in the history of the U.S....
Private equity firms continue to invest in healthcare as they look to generate quick and substantial profits through acquisitions and sales. But increasingly, these investments appear to come at a cost in lower quality of care and an increase in the bills footed by the American taxpayer.
Private Equity Increase Healthcare Investment
According to a report from PwC, 2022 private...
As private equity firms increasingly pour investment money into home health, nursing homes, mental health centers, and hospices, federal regulators are taking notice. As a result, these profit-driven organizations are increasingly being held responsible for violating statutes like the False Claims Act, as well as SEC regulations.
About 30% to 50% of home health and hospice transactions...
In 2021, the U.S. Department of Justice recuperated $5.6 billion from False Claims Act (FCA) cases. Whistleblowers played an important role in this recovery.
Who Are Whistleblowers?
Private citizens, called “relators,” are allowed to file suit for FCA violations on behalf of the government. These are known as qui tam actions. Anyone can become a whistleblower to report...
That’s the first question everyone asks. The truth is it’s impossible to know. But we can tell you this. Waters Kraus Paul & Siegel has what it takes to fight against big corporate interests and win. That’s why we’ve taken more mesothelioma trials to verdict than any other firm. And that’s why we’ve recovered more than $1.3 billion for clients like you. Do you think you have a case? Contact us now to speak with an attorney.
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