Month: December 2016

Unnecessary medical care provided to patients — often referred to as a lack of medical necessity — not only defrauds Medicare and Medicaid, it also can seriously harm patients. Medical necessity...

Whistleblowers have exposed off-label marketing of medical devices, kickbacks to doctors and other improper sales and marketing tactics used by medical device companies that violate the False Claims Act...

Whistleblowers are essential for stopping medical loss ratio (MLR) fraud. They can do this by filing a “qui tam” (whistleblower) lawsuit. MLR fraud takes many forms, but usually involves reporting...

In the municipal bond market, some investment banking firms engaged in fraudulent schemes known as “yield-burning,” where they charged excessive prices for U.S. Treasury securities sold to...

When the government needs to procure highly specialized weapons systems, it frequently chooses to use a company that already makes them, known as a “sole source supplier.” This ensures a company...

The Commodity Futures Trading Commission (CFTC) whistleblower program offers whistleblowers rewards, job protection, and confidentiality. It was created under the Dodd-Frank Wall Street Reform and Consumer...

Testimony of “Mr. ABC,” a confidential witness represented by Phillips & Cohen LLP, before the Senate Finance Committee – July 21, 2004. Mr. Chairman and Members of the Committee: I want...

IRS whistleblowers who provide information about tax fraud or tax underpayments that exceed $2 million to the Internal Revenue Service can do so confidentially and receive awards. The IRS awarded a Phillips...

The Securities and Exchange Commission whistleblower reward program provides a way for whistleblowers to stop violations of securities laws and SEC rules and receive a reward. The SEC whistleblower program,...

The SEC whistleblower program was created in 2010 with the passage of the Dodd-Frank Act. Below is the relevant text of the law, which describes the SEC whistleblower rewards, confidentiality for SEC whistleblower...