Billions of dollars are wasted every year due to scams and corruption involving Medicare fraud. In fact, $5 billion of the $5.6 billion total False Claims Act settlements and judgments of 2021 were related primarily to Medicare and Medicaid fraud. When an individual or organization commits Medicare fraud, they take significant resources away from necessary …
Author Archives: fishbat
The Largest SEC Fraud Settlements to Date
The Foreign Corrupt Practices Act (FCPA) was enacted by the U.S. Department of Justice (DOJ) and the Securities Exchange Commission (SEC) to serve a few key anti-bribery and accounting purposes. The U.S. Securities and Exchange Commission (SEC) enforces the law as it applies to market manipulation. In doing so, the SEC protects consumers when individuals …
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Seven of the Most Common Fraud Tactics in the Pharma Industry
Pharmaceutical fraud exists in many ways. Generally speaking, pharma fraud involves a party (or parties) within the pharmaceutical industry who illegally submit false claims to achieve financial gain from unnecessary services or programs. When individuals or organizations commit these crimes, they often force taxpayers to bear the burden of their wrongdoing Spotting fraud can be …
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Speak Out: How You Can Play a Role in Eliminating Pharmaceutical Fraud
As much as we try to protect consumers, unfortunately, pharmaceutical fraud continues to affect millions of individuals every year. Pharma companies, doctors, and drug representatives can misuse their positions. Areas of concern include illegal kickbacks, off-labeling, and even fraudulent genetic testing intended to scam seniors into agreeing to unnecessary medical procedures. The players in these …
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The Dark Side of the Pharmaceutical Industry: A Look at Some of the Biggest Fraud Settlements to Date
While the pharmaceutical industry creates and administers life-changing medications that can keep us healthy, most of us may never see the dark side of the industry. A side that can impact our lives and the lives of our loved ones profoundly. Many of us blindly trust our medical professionals to be caring, ethical beings that …
DJO Law Group Team Takes Aim at Roswell Settlement in Light of False Claims Allegations
Two members of the DJO Whistleblower Law Group, Managing Partner, Daniel Ocasio and Christopher Piacentile, CFE, played key roles in the settlement by Georgia psychotherapy services to resolve false claims allegations. A Roswell-based psychotherapy services provider, Carenow Services, LLC (along with its CEO) has agreed to resolve allegations of violating the False Claims Act. This …
The DJO Law Group Takes Part in Important Downey Settlement Regarding Fraudulent Billing
The Dynamic Duo is at it again! Managing Partner, Daniel Ocasio, and Christopher Piacentile, CFE, two members of the DJO Whistleblower Law Group and the originators of uncovering this industry-wide fraud, have struck again. Fresh off the $40 million Apria settlement, this is now the second identical respiratory fraud settlement they have managed. A Downey-based …
Reporting Fraud: HIPAA What You Should Know!
If you find yourself in a position to blow the whistle on fraud in your organization, there are a lot of questions and grey areas that come up. At the beginning stages of building your case, you’ll have to gather a lot of evidence to prove an instance of fraud, but this is not so …
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Misleading Investors Leads to Serious Consequences: How Former Executives Can Still Be Held Accountable
Working for an investment firm, you want people to take their hard-earned money and just throw it away, right? Of course not. But that’s essentially what’s happening when companies mislead their investors. Getting investments under false pretenses is unfair and fraudulent. Companies that participate in this kind of fraud need to be held accountable for …
Ensuring Compliance: Unregistered Offers and Sales of Security-Based Swaps Is a Growing SEC Concern
The SEC is continuously monitoring different transaction types to make sure they are following rules and regulations. One thing that has caught the SEC’s eye lately involves security-based swaps. Because security-based swaps are based on a security such as a stock or bond, or a credit default swap, they are subject to different rules and …