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Category Archives: FCA Qui Tam

August 20

What Is Medical Upcoding? How Inflated Billing Can Trigger False Claims Act Liability

Medical upcoding is a form of healthcare fraud that involves billing for more expensive services than were actually provided. This practice can expose providers to liability under the False Claims Act (FCA) and has been the focus of numerous DOJ enforcement actions. Miller Shah LLP is familiar with billing fraud as they have extensive experience in litigating healthcare fraud cases. What is Medical Upcoding? Medical upcoding refers to fraudulent billing…

August 14

Whistleblowers, FCA Qui Tam

OSHA Self-Audit Programs That Can Lead to Whistleblower Claims

OSHA launches new self-audit initiatives to strengthen compliance with federal labor laws. On July 24, 2024, OSHA issued a press release detailing several new programs intended to help employers comply with federal labor laws. The programs focus on strengthening self-audits, in an effort to not only bolster compliance, but also protect workers and reduce the chance of costly and lengthy litigation or investigation. Although these programs span several industries, OSHA…

August 12

Whistleblowers, FCA Qui Tam

Founder of Lender Service Convicted in Multimillion-Dollar PPP Fraud Scheme

On June 20, 2025, Stephanie Hockridge, founder of service provider Blueacorn, received a federal jury conviction in connection with her fraudulent applications to the Small Business Association’s Paycheck Protection Program (“PPP”). She was convicted of four counts of wire fraud as well as conspiracy to commit wire fraud, facing up to 20 years in prison. Blueacorn’s mission was, purportedly, to assist small businesses and individuals with applying for and obtaining…

August 05

Whistleblowers, FCA Qui Tam

HHS and DOJ Launch Joint FCA Working Group, Signaling New Era in Healthcare Fraud Enforcement

New Federal Task Force Zeroes In on Healthcare Fraud A recent announcement was made regarding a major step toward coordinated enforcement between the Department of Health and Human Services (“HHS”) and Department of Justice (“DOJ”). The U.S. Department of Health and Human Services have announced the formation of a joint False Claims Act Working Group. This collaboration has brought on a significant shift and greater emphasis on False Claim Act…

August 04

FCA Qui Tam, Whistleblowers

Renewed Push for Pennsylvania False Claims Act Builds on Local Successes in Philly and Allegheny County

Bipartisan Efforts to Pass a Statewide Pennsylvania FCA On February 17, 2025, Pennsylvania State Senators Lindsey M. Williams (D-Allegheny) and Kristin Phillips-Hill (R-York) reintroduced SB 38, the Commonwealth Fraud Prevention Act for Taxpayer Accountability (CFPA). This statewide False Claims Act (“FCA”) would build on existing local laws in Philadelphia and Allegheny County that protect public funds and whistleblower rights by allowing Pennsylvania to recover a greater share of funds involving…

July 17

FCA Qui Tam, Whistleblowers

Contractor to Pay $1 Million to Settle Allegations of Overcharging U.S. Air Force

A federal contractor, Noble Supply & Logistics, LLC (“Noble”), has agreed to pay $1 million to resolve allegations that it overcharged the United States Air Force for services provided at Cannon Air Force Base, in violation of the False Claims Act (“FCA”). Defense contractor fraud is one of the oldest forms of fraud and dates back to the very creation of the FCA, which was established to combat defense contractor…

July 11

Whistleblowers, FCA Qui Tam

Nursing Home Fraud Settlement: Cheltenham Rehab to Pay $3.6M for Substandard Care

On June 3, 2025, the Department of Justice (DOJ) announced that the American Health Foundation (AHF), its affiliate AHF Management Corporation, and three affiliated nursing homes, including Cheltenham Nursing & Rehabilitation Center (Cheltenham), have agreed to pay $3.61 million to resolve a False Claims Act case brought by the United States of America. The complaint alleges that AHF defrauded Medicare and Medicaid by billing for non-existent or grossly substandard care.…

July 10

FCA Qui Tam, Whistleblowers

New York Medicaid Fraud: AG James Nets $13M from Fake Medical Transportation Billing

On June 30, 2025, New York Attorney General (NYAG) Letitia James announced that her office successfully investigated 25 transportation companies for billing Medicaid for fraudulent trips, such as nonexistent rides, inflated mileage, and illegal patient kickbacks, securing over $13 million in settlements. How Transportation Companies Committed Billing Fraud Millions of New Yorkers rely on Medicaid and Medicaid-covered services, including transportation to and from healthcare facilities. Unfortunately, some companies have taken…

July 03

Whistleblowers, FCA Qui Tam

DOJ Secures Sentences in $30 Million COVID-19 Unemployment Fraud Scheme

On May 23, 2025, the Department of Justice (“DOJ”) announced that three co-conspirators were sentenced to up to 15 years in prison and ordered to pay restitution after being found guilty of defrauding the Georgia Department of Labor (“GDOL”) of more than $30 million in a COVID-era scheme. Macovian Doston, Shatara Hubbard, and Torella Wynn fraudulently submitted over 5,000 unemployment insurance (“UI”) claims, taking advantage of UI programs expanded through…

July 02

FCA Qui Tam, Whistleblowers

$9.2 Million Healthcare Kickback Settlement Highlights Ongoing FCA Enforcement

A recent $9.2 million settlement by hospice company Creative Hospice Care, Inc. Illustrates the power of the False Claims Act (“FCA”) in combating healthcare fraud. In 2024, the Department of Health and Human Services collected recoveries totaling $1.67 billion from FCA cases. How does the Anti-Kickback Statute intersect with False Claims Act enforcement? The False Claims Act (“FCA”), 31 U.S.C. § 3729, et seq., is a civil war era statute…

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