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Whistle-Blower Claims Archives

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.

What is a Qui Tam Lawsuit? And who benefits?

Office workers in the pharmaceutical industry, employees of companies that do business with the government - and more and more frequently today billing professionals, nurses or other healthcare workers - may notice anomalies or excesses in bills sent to the United States government. Medicaid and Medicare provide substantial sums of money as reimbursement to hospitals, doctor's offices, clinics and other healthcare resources each year.

Duke University faces whistleblower suit related to grant money

A former analyst at Duke University says in a federal lawsuit that the institution and faculty members falsified research to unlawfully obtain federal grants to conduct medical research. In the recent whistleblower claim against Duke University, the whistleblower says that a researcher manipulated research results and data to obtain up to $200 million in federal grant money from such agencies as the National Institutes of Health and the Environmental protection agency. Included in the lawsuit are University officials, who the whistleblower says acted negligently in supervising the research faculty member.

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.

Health care leads all industries for False Claims Act recoveries

While the public debate over the rising costs of health care continues to make headlines, the Justice Department believes that health care fraud is a costly problem. Fraud in the health care industry is hard to detect for the federal government without the help of employees who notice unlawful billing practices.

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.

Problems piled on problems

The fight to stop wrongdoing in the workplace is ongoing. In far too many cases, sex discrimination takes place, in which one gender is preferred by an employer or manager over the other. In still other cases, an employer will retaliate against a worker courageous enough to step forward and point out problems.

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