Tag:
Whistleblower
Latest Headlines
Latest Headlines
Alaska lawmakers turn their attention toward reducing fraud
Two bills are making their way through the Alaska state Senate with support from lawmakers who say Medicaid fraud is contributing to the state's $4 billion deficit, according to KTVA.com.
Former CEO claims he was fired for calling out improper payments
A prominent physician and former CEO of an Oregon health system says he was fired by the governing board last year for suggesting the provider self-report $10 million in improper Medicare claims, according to The Oregonian,
Former Blue Shield of California exec files wrongful termination suit
A former chief technology office with Blue Shield of California has filed a wrongful termination lawsuit against the increasingly embattled insurer, saying he was fired one day before he was due to receive a $450,000 bonus because he raised concerns about a costly contract.
Medtronic settles two false claims cases totaling more than $4 million
The third-largest medical device company in the world has agreed to pay $4 million to settle two separate lawsuits stemming from allegations tied to overbilling and off-label promotion of a neurostimulation product.
Supreme Court hears False Claims Act case that could have healthcare implications
A False Claims Act case against a water purifying company accused of fraudulently billing the U.S. government could have implications for the healthcare industry, particularly when it comes to whistleblower actions.
Supreme Court whistleblower case could have broad application
The first case directly involving a federal whistleblower is now before the U.S. Supreme Court, and experts say the high court's ruling in the Department of Homeland Security v. MacLean will have wide ripples that could reach into the health insurance industry.
Whistleblowers gain power in government anti-fraud efforts
The power of whistleblowers to expose fraud is growing in the healthcare and pharmaceutical industries, according to a Live Science article by attorney Neil Getnick. "Whistleblower laws and cases are not only here to stay," Getnick wrote, "but their impact is about to get even greater."
Whistleblower award shows dangers of ignoring fraud complaints
The Securities and Exchange Commission announced a whistleblower award of more than $300,000 to a relator in a compliance and audit role at the investigated company, Inside Counsel reported. The SEC said the whistleblower came forward only after the employer failed to act on an internal complaint within 120 days of receiving it.
Feds take over IPC whistleblower lawsuit
Federal prosecutors filed a civil lawsuit against a California hospitalist company for allegedly overcharging government programs for physician care, the Department of Justice announced last week.
Whistleblower sues Montana Blues over alleged retaliation
Blue Cross Blue Shield of Montana (BCBSMT) is facing a lawsuit from its former chief marketing officer, who alleged that the insurer fired her because she reported its illegal actions, according to
