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Category Archives: Whistleblowers

October 23

Business and Corporate Services, FCA Qui Tam, Whistleblowers

Private Equity False Claims Act Exposure in Healthcare Deals

When private equity firms acquire companies, they may expect that their cost will be limited to the money they’ve invested at the initial purchase. For example, in January 2026, the private equity firm, TriArtisan Capital Advisors, in partnership with Treville Capital Group and Yadav Enterprises, acquired Denny’s Corporation in a purchase valued at approximately $620 million, so the assumed cost of the transaction would largely be limited to the $620…

October 21

Whistleblowers, FCA Qui Tam

Medicare Advantage Whistleblower Case Ends in $22.5 Million Independence Blue Cross Settlement

What is risk adjustment? The Center for Medicare and Medicaid (CMS) makes monthly payments to Medicare providers associated with a given recipient. Risk adjustment is a part of the Medicare provider reimbursement process wherein CMS adjusts the size of monthly payments to Medicare providers associated with a given recipient based on the expected healthcare costs associated with that recipient. If a particular recipient, i.e., patient, receives a higher-than-average risk adjustment…

October 15

Whistleblowers, FCA Qui Tam

Congress Weighs Federal AI Whistleblower Protections for Tech Industry Insiders

On May 15, 2025, the Artificial Intelligence Whistleblower Protection Act (“AIWPA” or “Act”) was introduced by Senate Judiciary Committee Chair Chuck Grassley (R-Iowa) and represents a bipartisan effort to regulate and increase accountability within the AI sector. The Act remains pending and in late September, 2026, Senator Grassley attempted to fast track the legislation through unanimous consent ahead of congressional recesses. This legislation comes at a critical moment: though the…

October 13

FCA Qui Tam, Whistleblowers

Lawsuit Over Medical Billing Codes Could Reshape Health Care Price Transparency

A public advocate group, PatientRightsAdvocate.org (“PRA”), has filed a lawsuit in federal court in Illinois challenging certain copyrights held by the American Medical Association (“AMA”) over codes and descriptions used in medical billing. The advocate group alleges that it intends to publish a copy of the 2026 Current Procedural Terminology (CPT) coding guidelines on its website for the public to access but cannot do so because of the AMA’s copyrights.…

September 22

False Claims Act, FCA Qui Tam, Whistleblowers

How SEC Whistleblower Awards Work and Who Can Qualify

Whistleblowing often starts with uncertainty. First, an individual may notice something: numbers not lining up, investor disclosures that hide the full story, or internal warnings swept under the rug. Then, the question shifts from whether there is wrongdoing worth reporting. The Securities and Exchange Commission (“SEC” or “Commission”) whistleblower award program was designed to make reporting as safe for the whistleblower as possible. It gives individuals a confidential way to…

September 11

FCA Qui Tam

New Customs Enforcement Order Signals Greater Risks for Importers, Manufacturers, and Government Contractors

The White House issued Executive Order 14411 (“Executive Order” or “Order”) titled "Strengthening Customs Enforcement" on June 3, 2026, which directs federal agencies to overhaul importer requirements, increase penalties, tighten scrutiny of foreign importers, and expand enforcement efforts targeting customs fraud. The order reflects a broader federal focus on tariff compliance, duty collection, supply chain transparency, and importer accountability. The Changes the Executive Order Makes to Importer-of-Record Requirements and Customs…

September 10

Whistleblowers, FCA Qui Tam

South Carolina PPP Loan Fraud Settlements Show False Claims Act Enforcement Is Still Active

In a recent settlement, five South Carolina companies agreed to pay a combined $7.9 million to resolve allegations that they violated the False Claims Act (FCA) by improperly obtaining over $5 million in Paycheck Protection Program (PPP) loans. The five companies include EuWe Eugen Wexler US Plastics Inc., Mankiewicz Coatings, LLC, Fukoku America, Inc., AWL Automation, LLC, and Stoba USA Corporation. According to the U.S. Attorney’s Office for the District…

August 28

Whistleblowers, FCA Qui Tam

The State of the World’s Whistleblower Laws, Protections, and Rewards

In 2003, the United Nations adopted the Convention Against Corruption (“UNCAC”). Signed by 140 nations and formally ratified, accepted, approved, or acceded by 137 nations, including the United States, this Convention recognized whistleblower protection as a part of international law. 23 years later, with World Whistleblower Day having recently occurred on June 23, 2026, the scope of what it means to be a “whistleblower” and the protections for those who…

August 26

FCA Qui Tam, Whistleblowers

Government Contractor Pays $21.3 Million to Resolve Alleged Small Business Contracting Fraud

The U.S. Department of Justice (DOJ) announced their recent settlement with defendants Broadway Electric Inc., Cornerstone Contracting Inc., and two of their executives in June 2026, where the defendants agreed to pay $21.3 million to resolve False Claims Act (FCA) allegations that they improperly obtained federal contracts set aside for service-disabled veteran-owned small businesses. In the alleged scheme, Broadway Electric Inc. (Broadway) and Cornerstone Contracting Inc. (Cornerstone) used qualifying small…

August 24

FCA Qui Tam, Whistleblowers

2025 Dodd-Frank Report Highlights Risks in Mid-Sized Banks and Fintech Markets

The Administrative Office of the U.S. Courts’ 2025 Dodd-Frank Report examines how the post-2008 financial regulatory landscape has performed under renewed stresses, such as bank failures and crypto-asset collapses. While the Dodd-Frank Act strengthened resolution tools for the largest financial institutions, the report finds that mid-sized banks and nonbank intermediaries remain vulnerable to destabilizing runs, liquidity shortfalls, and governance failures. The weaknesses identified in the report carry numerous potential implications…

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