Deciding to report fraud against the federal government is not easy. For most people who come forward, the hardest part is not finding the evidence or understanding the law. It is the fear of what happens next. Will you lose your job? Will your career suffer? Will colleagues treat you differently? Those fears are legitimate. Retaliation against whistleblowers happens, but the False Claims Act anticipates it, and the law provides specific, enforceable rights for people who experience it. What … [Read more...]
Home Health Fraud: The Billing Schemes That Cost Medicare Billions Each Year
In 2024, Intrepid U.S.A., Inc., a nationwide home health and hospice provider headquartered in Dallas, Texas, agreed to pay $3.85 million to resolve False Claims Act allegations affecting both its home health and hospice lines of business. The government alleged that between 2016 and 2021, 19 Intrepid home health facilities submitted claims to Medicare for services provided to patients who did not qualify for the Medicare home health benefit, where the services were not reasonable or medically … [Read more...]
False Testing and Inspection Data: A Persistent Pattern in Defense Contractor Fraud
In April 2025, the Department of Justice announced that DRI Relays Inc., a manufacturer of electrical relays and sockets used on military platforms, agreed to pay $15.7 million to resolve False Claims Act allegations. According to the DOJ, between 2015 and 2021, under various Department of Defense contracts and subcontracts, DRI invoiced for military-grade electrical relays and sockets when it knew those parts had not met the testing requirements to be deemed military grade. In January 2021, … [Read more...]
Cybersecurity Misrepresentation and the False Claims Act: When Contractors Lie About Their Security Compliance
According to February 2025 Department of Justice announcement, Health Net Federal Services, Inc. and its corporate parent Centene Corporation agreed to pay $11,253,400 to resolve False Claims Act allegations involving cybersecurity fraud. The settlement resolved claims that Health Net falsely certified compliance with cybersecurity requirements in its contract with the Department of Defense to administer the Defense Health Agency's TRICARE health benefits program for servicemembers and their … [Read more...]
Compounding Pharmacy Fraud: How Specialty Drug Billing Schemes Target Federal Health Programs
A 2024 Department of Justice announcement revealed that Medisca Inc., a pharmaceutical ingredient supplier, agreed to pay $21.75 million to resolve False Claims Act allegations. The DOJ alleged that Medisca's pricing scheme caused pharmacies that purchased its ingredients to submit inflated prescription claims to the Defense Health Agency, allowing them to fraudulently bill federal healthcare programs, often thousands of dollars per prescription. The case was initiated by a pharmacist who … [Read more...]
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