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Category Archives: FCA Qui Tam

December 15

SEC Whistleblower Tip Leads to Charges in $770M Ponzi Scheme Targeting Retail Investors

The SEC has charged a Pennsylvania resident and his companies with running a $770 million Ponzi scheme that defrauded thousands of retail investors. While the agency has not yet disclosed whether a tip came from a whistleblower, the scale of the fraud highlights the critical role SEC whistleblowers play in uncovering investor fraud and driving major enforcement actions. Primary Allegations In a press release on September 3, 2025, the Securities…

November 18

Whistleblowers, FCA Qui Tam

Whistleblower Retaliation: What Legal Protections Exist?

November 17

FCA Qui Tam

DOJ Cyber Fraud Settlements Show the Expanding Reach of the False Claims Act

Recent False Claims Act (“FCA”) settlements demonstrate the effectiveness of the Department of Justice’s (“DOJ”) Civil Cyber-Fraud Initiative, holding accountable for misrepresenting cybersecurity controls. Georgia Tech Research Corporation’s $875,000 settlement is the latest in this growing trend. Miller Shah LLP represents whistleblowers in cybersecurity and government contracting fraud, helping ensure digital security failures do not put sensitive government data at risk. What is the Civil Cyber-Fraud Initiative? The DOJ launched the Civil Cyber-Fraud Initiative in October 2021 to pursue cybersecurity-related fraud under the FCA. This initiative combines the DOJ’s expertise in civil fraud enforcement, government procurements, and cybersecurity to combat the growing threats to essential cyber infrastructure…

October 30

Whistleblowers, FCA Qui Tam

DOJ Charges Two Florida Men in $34.8M Medicare Fraud Scheme Targeting Beneficiaries

Two Florida men have been charged in a $34.8 million Medicare fraud scheme that exploited vulnerable beneficiaries and billed for medically unnecessary services. The case is part of the Department of Justice’s (“DOJ”) intensified efforts to combat healthcare fraud — an area where Miller Shah LLP actively represents whistleblowers under the False Claims Act (“FCA”). Key Allegations in this $34.8 Million Medicare Fraud Scheme The indictment reveals that two Florida men were charged for their alleged roles in a scheme to submit approximately $34.8 million in…

October 28

Whistleblowers, FCA Qui Tam

Whistleblower Retaliation: What Legal Protections Exist?

Whistleblowers play a critical role in uncovering corporate and government fraud; however, many potential whistleblowers fear retaliation from their current or former employer. This article outlines the legal protections that are afforded to whistleblowers to prevent retaliation and encourage them to come forward. What Constitutes Retaliation Under Whistleblower and Employment Law? Retaliation, in the context of whistleblower and employment law, occurs when an employer fires a whistleblower or takes any adverse action after they blow the whistle on prohibited conduct. Adverse action includes but is not limited to: Firing or laying off Demoting Denying overtime or promotion Disciplining Denying benefits Failing to hire or rehire Intimidation or harassment Making threats Reassignment to a less…

October 23

FCA Qui Tam, Whistleblowers

HHS Inspector General Exposes $11.5 Million Genetic Testing Fraud Scheme

On September 19, 2025, the Department of Justice (“DOJ”) announced that Robert Desselle, a healthcare marketer from Sarasota, FL, was convicted on charges of fraudulently billing $11.5 million in false claims to Medicare. As part of the sentencing, Desselle was sentenced to 57 months in prison and ordered to pay $4.5 million in restitution and forfeit the $2.1 million of his own personal proceeds. The scheme was exposed as part of an…

October 22

FCA Qui Tam, Whistleblowers

The Evolution of Whistleblower Lawsuits in PPP Loan Fraud

What is PPP Loan Fraud? In the heat of the Covid-19 pandemic, the U.S. Congress passed the Coronavirus Aid, Relief, and Economic Security Act, more widely known as the CARES Act, to provide emergency assistance and health care response for individuals, families, and businesses affected by the pandemic. The Act established the $953 billion Paycheck Protection Program (“PPP”) to allow afflicted entities to apply for low-interest private loans to cover payroll, rent, and additional costs. An approved PPP loan provided the…

October 20

Whistleblowers, FCA Qui Tam

Semler Scientific and Cipria Pay $37 Million to Resolve Medical Device Fraud Allegations

Semler Scientific and Bard Peripheral Vascular Pay $37 Million to Resolve Medical Device Fraud Allegations Semler Scientific Inc. (“Semler Scientific”) and Bard Peripheral Vascular Inc. (“Bard Inc.”) have agreed to pay nearly $37 million to settle allegations that they violated the False Claims Act (“FCA”) by promoting medical devices that were not eligible for Medicare reimbursement as if they met coverage and billing requirements. The case highlights how whistleblowers continue…

October 14

Whistleblowers, FCA Qui Tam

A $60 Billion Problem: Annual Medicare Losses Due to Fraud and Abuse

According to the Senior Medicare Patrol, Medicare loses an estimated $60 billion every year to fraud, errors, and abuse. From telehealth billing scams to genetic testing fraud, DME schemes to PBM misconduct, and other unlawful schemes, Medicare fraud is a serious—and seriously expensive—issue that affects all taxpayers. The scale of this waste highlights the critical role of the False Claims Act and whistleblowers in protecting the integrity of federal programs…

October 01

FCA Qui Tam

Illumina’s $9.8M Settlement Highlights Expanding Cybersecurity False Claims Act Enforcement

Illumina Inc. (“Illumina”) will pay $9.8 million to resolve allegations that it violated the False Claims Act (“FCA”) by selling DNA sequencing tools to federal agencies without meeting Government-mandated security standards. The case reflects a growing practice by the Department of Justice (“DOJ”) to hold contractors accountable for cybersecurity failures using the FCA, and highlights the critical role of whistleblowers in exposing such security cybersecurity risks. Allegations of Cyber Fraud…

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