Common types of whistleblower cases include:
Healthcare Fraud/Medicare and Medicaid Fraud
- Involving health care facilities, such as: hospitals, nursing homes, skilled nursing facilities, hospices, home care organizations, and physical/speech/occupational therapy providers.
- Invoicing for services which have no basis in medical necessity;
- Invoicing for services that are not actually rendered;
- Paying “kickbacks” in the form of money or anything of value to doctors who refer patients for treatment where Medicare and/or Medicaid are invoiced for services rendered to the referred patients.
- Medicare Advantage fraud;
- Medical device fraud through off-label promotion and fraudulent invoicing of Medicare and Medicaid for durable medical goods;
- Selling faulty medical equipment;
- Ambulance fraud through upcoding of ambulance runs.
Pharmaceutical Fraud
- Off-label promotion of drugs;
- Best Price Fraud;
- Illegal Kick-backs
Financial Industry Fraud
- Hedge funds, financial advisors, banks/corporations violating Securities and/or Banking laws and defrauding investors or shareholders through fraudulent accounting practices
- Failure to pay state income taxes in a state where the company does business and income was earned
- Failure to pay federal income taxes by both businesses and individuals
- Businesses maintaining two sets of books regarding income and expenditures
Defense Contractor Fraud
- Overcharging the Government or inflating prices for services provided in order to increase profits
- Cross-charging, or improperly shifting costs and expenses from one contract to another in order to illegally increase the contractor’s profits
- Substituting agreed upon products for cheaper ones to maximize profits
Foreign Bribes
- Bribing foreign officials or their family members in order to obtain business in a foreign nation
- Bribes by companies in others nations which are publicly traded in the United States
