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Tag Archives: fca

October 20

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…

August 28

Whistleblowers, FCA Qui Tam

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…

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 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 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…

May 30

FCA Qui Tam, Whistleblowers

Missouri Man Pleads Guilty in $8.7 Million Genetic Testing Fraud Scheme

On May 29, 2025, Missouri man Jamie McNamara, pleaded guilty to his role in a conspiracy involving fraudulent Medicare claims for unnecessary genetic testing and durable medical equipment (DME), made possible using sham telemedicine consultations. According to the DOJ, McNamara operated laboratories in Louisiana and Texas, which he utilized to enact the scheme. The labs hired telemarketers to call Medicare beneficiaries and convince them to agree to genetic testing and…

April 29

Whistleblowers

Health System Settles for $8 Million Over Healthcare PPP Loan Fraud Allegations

The U.S. Department of Justice has reached an $8.8 million settlement with Carson Tahoe Health System, resolving allegations that the healthcare provider improperly secured Paycheck Protection Program (PPP) loans during the COVID-19 pandemic. According to the DOJ, Carson Tahoe and its affiliates—including Carson Tahoe Physician Clinics and Carson Tahoe Continuing Care Hospital—received four PPP loans despite allegedly exceeding size limits outlined in the Small Business Administration’s (SBA) affiliation rules. What…

April 24

Whistleblowers, FCA Qui Tam

Air Force Contractor Pays $1.95 Million to Settle Air Force Contract Fraud Allegations

False Claims Act Violations in Defense Contracting Government contractor Intelligent Waves, LLC will pay $1.95 million to settle False Claims Act (FCA) allegations arising from Air Force contract fraud related to two Air Force contracts. Intelligent Waves, LLC, which is based in Reston, Virginia, provided crowd-sourced flight data collection support and data analytics to the Air Force pursuant to the Crowd-Sourced Contract it entered in September 2019. The United States…

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