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Tag Archives: whistleblower

October 30

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…

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…

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…

June 26

Whistleblowers, FCA Qui Tam

Senators Call for IRS Whistleblower Reforms to Help Catch Major Tax Fraud

Overview In 2006, the Internal Revenue Service (“IRS”) established their Whistleblower Program. The program aims to diminish tax fraud by empowering individuals to come forward and report this potential fraud within their organizations. The program is structured to protect these individuals, or tax fraud whistleblowers, from retaliation, and provide compensational rewards for their contributions if their whistleblowing does lead to the discovery of tax fraud. Since its inception, the program…

June 20

FCA Qui Tam, Whistleblowers

DOJ Files Major Medicare Fraud Lawsuit Against National Health Insurers

Kickback Allegations Against Major Insurers and Brokers On May 1, 2025, the United States filed a False Claims Act (“FCA”), 31 U.S.C. § 3729 et seq., lawsuit against Aetna, Elevance Health (formerly known as Anthem), and Humana – three of the largest insurance companies in the country – as well as eHealth, GoHealth, and SelectQuote – three of the largest insurance broker organizations in the country. The Medicare fraud lawsuit…

June 13

Whistleblowers

Climate Change Lawsuit Against Oil Companies Clears Legal Hurdle, Signals New Era of Accountability

First-of-its-kind wrongful death suit filed against ExxonMobil, BP, and Chevron, and other oil companies for their involvement in climate change The 2021 Pacific Northwest heat dome was a period of extreme heat that saw temperatures averaging around 121.3 F across British Columbia, Oregon, and Washington state and resulted in an estimated 1,400 deaths, making it the hottest and deadliest heatwave that the Pacific Northwest has ever experienced. A civil lawsuit…

June 03

Whistleblowers, FCA Qui Tam

Crypto Whistleblowers and the Unicoin SEC Lawsuit: A Case of Alleged Fraud in the Digital Asset Space

Unicoin and the SEC: A Case of Alleged Crypto Fraud On May 20, 2025, the Securities and Exchange Commission (SEC) commenced a lawsuit against Unicoin, Inc., alleging that the crypto company made fraudulent and misleading statements in connection with the sale and offering of securities called “Unicoin Rights Certificates,” which gave crypto investors the right to receive Unicoin tokens if and when the company decided to produce and distribute the…

May 28

Whistleblowers, Securities

Why an SEC Whistleblower Lawyer Matters: $6 Million Award Highlights Program’s Power

SEC Whistleblower Lawyers Secure $6 Million Award On April 21, 2025, the Securities and Exchange Commission (“SEC”) announced a $6 million award to joint whistleblowers who disclosed information that launched an examination and provided a clear framework that contributed to a successful enforcement action. “Today’s award illustrates that the agency can leverage whistleblower information in various ways, including by prompting an examination,” said Jonathan Carr, the Acting Chief of the…

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