Whistleblower Watch is a critical resource for in-house counsel and compliance professionals. Each quarter, Cozen O’Connor summarizes the most notable False Claims Act (FCA) enforcement actions, settlements, and legal trends,...more
11/20/2024
/ Aerospace ,
Corporate Governance ,
Corporate Misconduct ,
Department of Defense (DOD) ,
Department of Justice (DOJ) ,
Department of Veterans Affairs ,
E-Rates ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Federal Grants ,
Healthcare ,
HUD ,
Humana ,
Information Technology ,
Medical Devices ,
Medicare Part D ,
NASA ,
Paycheck Protection Program (PPP) ,
Prescription Drugs ,
SCOTUS ,
Whistleblower Awards ,
Whistleblowers ,
White Collar Crimes
Companies are racing to harness the power of artificial intelligence. The applications are myriad. Insurers are using AI to replace administrative overhead and assist with claims processing. Software developers are...more
11/20/2024
/ Algorithms ,
Artificial Intelligence ,
Criminal Penalties ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Federal Contractors ,
Fraud ,
Government Agencies ,
Machine Learning ,
Risk Assessment ,
Software Developers
Whistleblower Watch is a comprehensive source for all False Claims Act (FCA) news and information. Every quarter, Cozen O’Connor will provide in-house counsel and compliance professionals with a summary of the most notable...more
8/2/2024
/ Anti-Kickback Statute ,
DEA ,
Department of Defense (DOD) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Falsified Documents ,
Health Care Providers ,
Healthcare Fraud ,
Hospitals ,
Lenders ,
Loan Forgiveness ,
Medicare ,
Patent Trial and Appeal Board ,
Patient Referrals ,
Physicians ,
Timekeeping ,
Whistleblowers
Over the last decade, private equity firms have acquired healthcare companies, hospitals, and clinics at an increasing rate. In fact, in those ten years, private equity firms have spent roughly $1 trillion on an estimated...more
Whistleblower Watch is a comprehensive source for all False Claims Act (FCA) news and information. Every quarter, Cozen O’Connor will provide in-house counsel and compliance professionals with a summary of the most notable...more
2/27/2024
/ Anti-Kickback Statute ,
CIGNA ,
Department of Justice (DOJ) ,
False Billing ,
False Claims Act (FCA) ,
Federal Contractors ,
Federal Funding ,
Healthcare ,
Healthcare Fraud ,
Kickbacks ,
Medicare Advantage ,
Qui Tam ,
Relators ,
Whistleblowers
False Claims Act (FCA) enforcement has routinely targeted false information supplied to Medicare and Medicaid. A new trend in false-reporting cases is emerging under the FCA’s broad authority — cybersecurity enforcement....more
2/27/2024
/ Corporate Counsel ,
Cybersecurity ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Federal Contractors ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
Remediation ,
Voluntary Disclosure ,
Whistleblowers
Summer 2023-
Whistleblower Watch is a comprehensive source for all False Claims Act (FCA) news and information. Every quarter, Cozen O’Connor will provide in-house counsel and compliance professionals with a summary of the...more
8/9/2023
/ Anti-Kickback Statute ,
False Claims Act (FCA) ,
Federal Contractors ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
Pharmaceutical Industry ,
Procurement Collusion Strike Force ,
Qui Tam ,
Scienter ,
Software ,
United States ex rel Polansky v Executive Health Resources Inc ,
US ex rel Thomas Proctor v Safeway Inc ,
Whistleblowers
Law enforcement, federal agencies, and private whistleblowers are increasingly working alongside data scientists to identify fraudulent practices by analyzing vast data sets. The application of data analytics has notably...more
On June 1, 2023, the Supreme Court unanimously held in two consolidated landmark cases, U.S. ex rel. Proctor v. Safeway Inc. and U.S. ex rel. Schutte et al. v. SuperValu Inc., that a defendant’s subjective beliefs must be...more
On Friday, June 16, 2023, the United States Supreme Court (SCOTUS or the Court) upheld prior decisions by the trial court and Third Circuit in U.S. ex rel. Polansky v. Executive Health Resources, Inc. Polansky involves the...more
Whistleblower Watch is a comprehensive source for all False Claims Act (FCA) news and information. Every quarter, Cozen O’Connor will provide in-house counsel and compliance professionals with a summary of the most notable...more
3/2/2023
/ Department of Justice (DOJ) ,
Durable Medical Equipment ,
Duties ,
False Claims Act (FCA) ,
Fraud ,
Imports ,
Intent ,
Invoices ,
Kickbacks ,
Price Inflation ,
Qui Tam ,
Self-Reporting ,
Whistleblowers
In 2022, federal prosecutors employed the False Claims Act (FCA) to recover nearly $7 million from fraud related to pandemic-relief programs. We expect that number to increase in 2023. The Department of Justice (DOJ) has...more
The U.S. Supreme Court will soon clarify the knowledge requirement for False Claims Act (FCA) cases. Specifically, the Court will determine whether FCA liability should be rejected wherever there is an objectively reasonable...more
Companies in every industry—private and public—struggle with the difficult task of promptly identifying employee wrongdoing and responding appropriately. The National Football League continues to be embroiled in a controversy...more
10/28/2014
/ Chief Compliance Officers ,
Discipline ,
Employer Liability Issues ,
Employment Policies ,
Ethics ,
Football ,
Internal Investigations ,
Jerry Sandusky ,
Lloyds Banking Group ,
NFL ,
Penn State ,
Policies and Procedures
Allegheny County Court of Common Pleas Senior Judge R. Stanton Wettick Jr.'s recent ruling in Red Vision Systems v. National Real Estate Information Services, No. 14-0411 (Comm. Pls. Feb. 26, 2014), that the attorney-client...more
Previously, we talked about the legal standards applied to claims of attorney-client privilege between a company's general counsel and outside consultants. Now, let's talk about practical tips for maintaining that...more