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Category Archives: Whistleblowers

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Billions Recovered Through the IRS Whistleblower Program

Whistleblowers and the IRS Whistleblower Program have been vital in promoting fairness and accountability within the nation’s tax administration. As of June 2025, the IRS has paid over $1.3 billion awards based on the successful collection of $7.5 billion in restitution from noncompliant taxpayers, since issuing its first award in 2007. In Fiscal Year 2024, the IRS paid awards totaling $123.5 million based on whistleblower information on tax and other…

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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…

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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…

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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…

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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…

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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…

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DOJ’s Latest $1.4B Healthcare Fraud Takedown Charges 324 Defendants in Various Schemes

The Department of Justice (“DOJ”) recently had its biggest healthcare fraud takedown in history against defendants for participation in schemes involving over $14.6 billion in losses to the Government.  DOJ charged 324 defendants, which included doctors, nurse practitioners, pharmacists, and other medical professionals, in connection with the various schemes.  Acting Inspector General Juliet T. Hoghkins of the Department of Health and Human Services Office of Inspector General reported that it…

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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…

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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.…

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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…

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