Pennsylvania Needs a False Claims Act to Fight Fraud

In an excellent op-ed piece written for the Lehigh Valley’s Morning Call, David Williams of Kline & Specter describes why Pennsylvania needs a False Claims Act to combat fraud against the state.  Citing a 2005 study by the Pennsylvania attorney general’s office, Williams notes that fraudulent activities have consumed more than ten percent of Pennsylvania’s healthcare costs.

Medical Providers Support New CMS Administrator

Marilyn Tavenner, the new administrator of the Center for Medicare and Medicaid Services (CMS), has drawn the support of major medical organizations including the American Medical Association (AMA), the American Hospital Association (AHA), America’s Health Insurance Providers (AHIP), and the Association of American Medical Colleges (AAMC). Tavenner was nominated by President Obama to be administrator of CMS after the resignation of Dr.

Georgia-based Diagnostic Imaging Provider Hit for $11 million in damages and penalties for FCA violations

A judgment was entered against Medquest Associates for over $11 million in a false claims act lawsuit pending in Tennessee.  The judgment included $713,000 in treble damages and nearly $9 million in civil penalties.  The case against Medquest was based upon its practice at certain locations of submitting test results by physicians who were neither Medicare-approved nor qualified to certify the testing.

FIRREA Provides Another Outlet for Whistleblowers

The Financial Institutions Reform, Recovery and Enforcement Act of 1989 has a little known provision that allows a whistleblower to report instances of bank and financial institution fraud.  The law allows private individuals to submit confidential claims to the Department of Justice.

Citigroup Agrees to Pay $285 million to settle SEC Enforcement Action on Mortgage-Related Securities but the Judge is Unhappy

Citigroup agreed to resolve securities fraud charges in relation to its sale of mortgage-backed securities for a whopping payment of $285 million.  Goldman Sachs and JP Morgan Chase & Co. settled similar claims with the SEC last year.   At the time of sale, those securities produced $126 million in profit for Citigroup’s brokerage subsidiary and $34 million in fees.

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