For a lawyer, the cardinal rule of billing is that you cannot bill two clients for the same hour of work. For a lawyer, inventory is limited to 24 hours in day.
For a pharmacy to operate legitimately, it has to take in orders for drugs and then dispense those orders. Without those two critical
Anyone from a secretary to a CEO can be a whistleblower. Apparently, so can robots.
A firm that uses data to identify fraud in government programs just received a $1 million reward under the False Claims Act for exposing PPP fraud.
That firm “uses data to investigate large-scale corporate fraud . . . It
Lawyers and doctors are both in the professional service industry. Setting lawyer pay is pretty easy, particularly at the partner level. Just estimate the amount of business (i.e., revenue) they’ll bring in and determine how to split it up. There’s two basic models: eat what you kill or a profit sharing model. The splits might
Whenever I get work done on my car, it’s pretty common for the mechanic to try to upsell me. For the right reasons or wrong ones, I know it’s coming. There’s nothing preventing most salespeople from some upselling. After all, I’m the customer. I can always say no.
Doctors can’t do that. Nor can
The Anti-Kickback Statute (AKS) is a federal law in the United States that prohibits the exchange of anything of value in an effort to induce or reward the referral of federal healthcare program business. It is designed to prevent fraud and abuse in government healthcare programs.
Distinguishing between a lawful referral and an illegal kickback
We make some things—computers, couches, cauliflower—in this country, and we’re making more things in this country, but we still import many things, perhaps most things, from abroad. When we import things, we have to pay a customs duty on them. That’s a tax on imports. Even with the tax, it’s still cheaper to import them.
Whistleblowers play a crucial role in exposing and addressing misconduct within organizations. Gathering evidence is a key aspect of their role as it substantiates their claims, enhances credibility, and provides a foundation for investigation and corrective action.
Do it the right way and you can stay safe, protect the public, and gather your reward.
The
My old friends and colleagues in the Northern District of Georgia have been doing some good work. This time, they’ve settled a customs fraud qui tam case.
The scheme: The scheme is straightforward and lucrative: King Kong, a tool company, manufactured tools in China and sent them to Germany where some, but not all, received
Cardiac Imaging Inc. (CII) and its founder, owner, and CEO, Sam Kancherlapalli have agreed to pay a total of $85,480,000 to settle allegations of violating the False Claims Act. These allegations stemmed from CII’s practice of paying excessive fees to referring cardiologists for supervising PET scans, which was deemed a violation of the Anti-Kickback Statute
Sometimes the scheme is simple. Here, a Florida Sleep Center just did not provide adequate physician supervision for six years.
Willard Revels, a former employee, informed the United States and it did not intervene. He persisted anyways with his qui tam suit that enables private citizens to file lawsuits on behalf of the government if