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A gavel representing healthcare law placed beside a stethoscope and a blister packs of pills.

The Healthcare Industry Remains the Largest Target for False Claims Act Enforcement

The healthcare industry has long been the primary target for False Claims Act (FCA) enforcement, with no other sector in close second place.Over the past year, the federal government has unveiled several new or revamped whistleblower programs, most notably the Department of Justice’s antitrust program, which we have previously written about. However, despite the expanded […]

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A gavel on top of hundred dollars bills.

Factors Determining the Relator’s Share of an FCA Recovery

From the earliest days of the False Claims Act (FCA), the federal government has understood that providing financial incentives to whistleblowers is one of the best ways to encourage private citizens to come forward and file qui tam actions. That is why the FCA expressly provides that in the event of a successful case, the

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A smartphone recording audio.

The Potential Risks and Potential Rewards of Recording Conversations to Use as Evidence of a False Claims Act Violation

Preparing a successful qui tam case comes down to evidence. It is all well and good to tell the government where and how to find supporting documents and records, but there is no substitute for providing that evidence to the government on the front end. Recorded conversations can be some of the most effective and

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A notebook titled "Federal Employees Health Benefits (FEHB) program."

Whistleblowers Needed: FEHB Fraud Oversight Lags Behind Medicare and Medicaid

A recent GAO report has cast a spotlight on persistent fraud vulnerabilities within the Federal Employees Health Benefits (FEHB) program, revealing that the Office of Personnel Management (OPM) has yet to take decisive action to protect that program. This stands in stark contrast to the comparatively robust fraud prevention mechanisms in place for other federal

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Dollar bills and a gavel.

Operation Gold Rush – A Reminder of Just How Much Money Is Lost from Healthcare Fraud

As a simple matter of dollars and cents, it is hard to overstate just how big a problem healthcare fraud is. A good reminder of this came earlier this summer, when the Department of Justice (DOJ) announced numerous criminal indictments in “Operation Gold Rush,” targeting a multinational, multi-billion-dollar health care fraud scheme. The Department of

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Close-up of document showing the definition of "antitrust."

Department of Justice Announces First-of-Its-Kind Antitrust Whistleblower Program

The Department of Justice’s Antitrust Division has launched its first-ever Whistleblower Rewards Program, working in tandem with the U.S. Postal Service (USPS) and Postal Inspection Service. Under this new program, individuals who provide credible information leading to successful antitrust prosecutions are eligible for awards between 15% and 30% of any criminal fines the government recovers,

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