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Whistle-Blower Claims Archives

Social Security fraudster captured in Honduras

Social Security Disability is one of the nation's most important safety nets, offering financial assistance and medical care to workers who are prevented from continuing their careers by injury or illness. When someone defrauds the Social Security Disability benefits system, it hurts all of us, but most especially taxpayers and those with disabilities.

The sound of justice: A whistleblower lawsuit

Millions of Americans depend on Medicaid for health coverage. Benefits help eligible low-income adults, children, the elderly, pregnant women and people with disabilities. Unfortunately, the joint federal and state program is often targeted by unscrupulous operators eager for a slice of Medicaid's more than $300 billion budget.

Whistleblower's reward for stopping fraud: $2.9 million

When he filed his whistleblower lawsuit, Vladimir Trakhter was not a high-powered executive privy to inside information about former employer Olympia Therapy Inc. He was a physical therapist assistant at the Ohio health care company back in 2008 when he began noticing disturbing behavior: the company was submitting claims to Medicare for rehabilitation therapy services that patients did not need.

Allergan settles False Claims Act litigation for $13 million

It is well-known that pharmaceutical companies often provide payments for consulting and promotional speaking to doctors likely to use or prescribe the company's devices or medications. Some critics of the practice consider the payments to be a form of bribery, while others defend the practice as a way for physicians to become familiar with products that can benefit patients.

Government joins whistleblower lawsuits against UnitedHealth

The ever-increasing costs of healthcare and access to needed medical treatment for people who have serious medical issues have been hot-button topics across the country for many years. The Department of Justice has joined two lawsuits that were originally filed by whistleblowers. The lawsuits say that UnitedHealth Group inflated risk scores for patients enrolled in the insurer's Medicare Advantage program. Sources say that damages in the cases could exceed $1 billion - that is taxpayer money.

Ambulance service settles Medicare fraud lawsuit for $12.7 million

The high cost of health care has been a hot topic in the media, at the water cooler and in homes throughout the Milwaukee area for some time now. Some people who work in the health care industry may feel the need to defend the industry during these public debates. At the same time, however, health care fraud has cost taxpayers an exorbitant amount of money. The Department of Justice (DOJ) says that since January 2009 the agency has recovered nearly $20 billion, thanks in large part to whistleblowers who have come forward with evidence of fraud against federal health care programs.

Rest easy: Medicare fraud stopped by whistleblower

Some readers of our Milwaukee employment law blog might sleep better tonight after reading about a recent whistleblower settlement. The $2.6 million agreement resolves allegations of Medicare fraud in a False Claims Act lawsuit filed against the owners of a chain of sleep clinics.

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