If you've witnessed fraud against a state government (like a children’s healthcare provider overbilling Medicaid or a contractor cutting corners on a state-funded project), you may be wondering whether the [...]
Through the heat of the summer, our firm continues to roll out False Claims Act settlements against companies alleged to have defrauded the Paycheck Protection Program. Six Additional PPP Settlements [...]
If you sell into the defense supply chain, you've probably spent the last year bracing for one date: November 10, 2026. That was supposed to be the day Cybersecurity Maturity [...]
Yes, AI can lead to false claims in two ways. When companies let AI handle billing, coding, or compliance certifications without human review, the technology can submit inaccurate claims to [...]
A whistleblower who turns out to be wrong is rarely in trouble, so long as they act in good faith. Whistleblower laws protect people who had a reasonable, honest belief [...]
The Department of Justice just announced the results of its 2026 National Health Care Fraud Takedown — and the numbers are staggering. 455 defendants charged. 90 doctors and licensed medical [...]
After the success of our PPP cases, CMS’s recent publication of Medicaid billing data, and the DOJ’s announcement of the data miner FOCUS initiative, we are getting a lot of [...]
In March 2026, Eli Lilly filed a petition with the U.S. Supreme Court challenging the constitutionality of qui tam. The case stems from a 2014 whistleblower lawsuit brought by Ronald [...]
On April 30, 2026, the Department of Justice (DOJ) announced the Fraud Oversight through Careful Use of Statistics (FOCUS) initiative to combat fraud by connecting with and supporting data miner [...]
In February, CMS released data identifying what different healthcare providers were billing to Medicaid. CMS has been doing this with Medicare data for many years, and this was the first [...]
