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Emerging Issues in U.S. Grant and Procurement Fraud

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Emerging Issues in U.S. Grant and Procurement Fraud

The US federal government is the world’s largest purchaser of goods and services. In addition to spending on healthcare (which accounts for a large portion of the federal budget), the federal government purchases a wide variety of products and services, including those relevant to its roles in national security (e.g., weapons and aircraft), administration (e.g., […]

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Who Can Be a Qui Tam Relator?

A relator (whistleblower) is someone who files a qui tam, or False Claims Act, lawsuit on behalf the US government. They don’t have to be directly harmed by the fraud. Most people can be relators, but there are some key points to consider. To be a relator in a qui tam lawsuit under the False […]

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Medicare Advantage Remains a Top Enforcement Priority for the Department of Justice

Under the False Claims Act, the Department of Justice (DOJ) recovered more than $1.8 billion from settlements and judgments related to federal health matters in the last fiscal year. This amount represents about two-thirds of the DOJ’s total monetary fraud recoveries. Scams affected various sectors of the healthcare industry, including managed care providers, hospitals, pharmacies, […]

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DOJ Introduces Corporate Whistleblower Awards Program

On August 1, the Department of Justice officially launched and released the framework for its new Corporate Whistleblower Awards (CWA) Pilot Program. This establishes– for the first time– an official whistleblower award program offering financial awards to individuals who come forward with information about corporate misconduct. There are five critical differences in the CWA Pilot Program […]

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DOJ Files First Complaint Under the Civil Cyber-Fraud Initiative

DOJ Joins Whistleblower’s False Claims Act Lawsuit Against Georgia Tech Over Cybersecurity Failures Late last month, the U.S. Department of Justice (DOJ) filed a lawsuit against the Georgia Institute of Technology (Georgia Tech), accusing it of not meeting cybersecurity requirements for U.S. Department of Defense (DOD) contracts. This is part of DOJ’s Civil Cyber-Fraud Initiative […]

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DOJ Renews Focus on Medicare Advantage Plan Fraud in 2024

False Claims Act (“FCA”) settlements reached record-breaking numbers in fiscal year 2023. The majority of the settled FCA actions involved the healthcare industry, with $1.8 billion attributed to settlements related to managed care providers, hospitals, pharmacies, laboratories, long-term acute care facilities and physicians. 2023 Medicare Advantage Case Resolutions Based on the 2023 FCA results, the […]

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Exagen Inc. Agrees to Resolve Allegations of Kickback Violations

Hoyer Law Group, PLLC is proud to announce that the U.S. Government successfully settled a portion of one of its client’s claims against a California-based life sciences company, Exagen, Inc. Exagen makes diagnostic tests for the treatment of autoimmune conditions. Exagen agreed to pay $653,143 to resolve allegations that it paid specimen processing fees to […]

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