Month: December 2016

The government frequently specifies that its defense contractors build products using a certain grade or quality of parts. There often is a further requirement that the parts be purchased from American...

Phillips & Cohen Whistleblower News Archive (News stories published before 2007) For recent stories, see Phillips & Cohen In the Media. Phillips & Cohen is the nation’s most successful...

“Opinion: Quebec’s AMF should offer rewards to whistleblowers,” Stephen S. Hasegawa, 3/30/16. “Rewarding whistleblowers,” Erika A. Kelton, The Economist, 1/2/2016. “CEO’s...

The municipal finance industry is rife with fraud, and it’s often industry insiders who expose fraudulent schemes. Yield-burning is one way banks can defraud both the federal and municipal governments....

Upcoding and unbundling are common types of healthcare fraud Upcoding, unbundling, and fragmentation represent common types of healthcare fraud, involving the manipulation of billing practices to illicitly...

What is Pharmaceutical Fraud under the False Claims Act? Companies engaged in pharmaceutical fraud may be liable under the False Claims Act for Medicare and Medicaid fraud in any case where the government...

Medicare Part D fraud can happen in many ways. Whistleblowers can stop Medicare Part D fraud by using the False Claims Act, whether the fraud is committed by Part D prescription drug plan sponsors, pharmacy...

What is Medicare Advantage Fraud? Medicare Advantage plans commit fraud when they knowingly submit — or have a contractor submit on their behalf — risk-adjustment data to the Centers for Medicare &...

As amended by PL 109-432 26 USC § 7623 Expenses of detection of underpayments and fraud, etc. (a) In general. The Secretary, under regulations prescribed by the Secretary, is authorized to pay such sums...

Improper cost allocation is a more subtle version of the cross‑charging scheme. If a company has both government contracts and private commercial contracts (like most large aircraft companies), they...