December 27, 2016
Yield Burning
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...
December 27, 2016
Violations of the Truth in Negotiations Act (TINA)
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...
December 27, 2016
Tax Whistleblower Story
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...
December 27, 2016
Product Substitution
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...
December 27, 2016
Municipal Transactions
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....
December 27, 2016
What is Upcoding and Unbundling Fraud? Healthcare Whistleblower Guide
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...
December 27, 2016
Pharmaceutical Fraud and Whistleblowers
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...
December 27, 2016
Medicare Part D Fraud and Whistleblowers
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...
December 27, 2016
Medicare Advantage Fraud – How Whistleblowers Help Stop It
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 &...
December 27, 2016
Improper Cost Allocation
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...