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The Whistleblower Lawyer

What Are “Usual and Customary Charges” FCA Violations?

Whistleblower Attorney

You may have heard the phrase “usual, customary, and reasonable” with regard to medical charges of all types. Insurance companies often use such guidelines to regulate what they will pay in any given region or location. When it comes to government programs such as Medicaid or Medicare Part D (which applies to prescription drugs), if … Continue reading “What Are “Usual and Customary Charges” FCA Violations?”

I Signed a Confidentiality Agreement—Can I Still Be a Whistleblower?

South Carolina Qui Tam Suit

Confidentiality agreements are growing more common in the workplace these days and are no longer limited to managers or to those who might handle secret information. You might have signed one without even realizing that you did. It’s common to be given a lot of documents to sign when you are hired or on your … Continue reading “I Signed a Confidentiality Agreement—Can I Still Be a Whistleblower?”

Qui Tam FCA Case Nets $45 Million in GSA Contract Allegations

Fraud Lawyer

The U.S. Department of Justice (DOJ) announced in a statement released on March 13, 2017, that CA Inc., an information technology, software, and software services company headquartered in New York, NY, has agreed to pay $45 million in order to settle False Claims Act (FCA) allegations. It is asserted that false claims and statements were … Continue reading “Qui Tam FCA Case Nets $45 Million in GSA Contract Allegations”

When Will South Carolina Get a State False Claims Act?

False Claims Act Attorney

While the people of South Carolina, like the rest of the United States, have a lot of statutory federal protection when it comes to whistleblowing, we don’t have an adequate state whistleblower statute to deal with state-level needs. State Senator Gerald Malloy has tried twice to get a False Claims Act (FCA) bill that has … Continue reading “When Will South Carolina Get a State False Claims Act?”

Time to Get FIRREA’d Up

Public Work Fraud lawyer

FIRREA may not be familiar to you, even if you have some connection to the banking industry, because the Financial Institutions Reform, Recovery and Enforcement Act (FIRREA) is nearly thirty years old. In 1989, Congress enacted FIRREA as a response to the savings and loan crisis. For nearly twenty years, it hardly made a ripple. … Continue reading “Time to Get FIRREA’d Up”

The Whole Tooth: Dental Fraud and Whistleblowers

Dental Fraud Lawyer

No area of health care seems to be free from fraud these days, and that includes dental care. Like doctors, most dentists are upstanding professionals, caring for their patients’ comfort and doing their best to restore health. But, also like a few doctors, sometimes dentists manipulate the system for their own financial benefit. These False … Continue reading “The Whole Tooth: Dental Fraud and Whistleblowers”

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