The latest news on what’s happening in the world of the False Claims Act and the IRS, SEC and CFTC whistleblower programs.  

For recent TAF newsletter content, see our archive.

| David Griscom


kickbackThe DoJ has announced that Pfizer will pay $785 million to settle False Claims Act violations of their subsidiary company Wyeth. Through a period from 2001 to 2006, Wyeth failed to report discounts to Medicaid that they were offering hospitals for two of their stomach acid reducing drugs, Protonix IV and Protonix Oral. This led to Medicaid overpaying for these drugs by scores millions of dollars, to the detriment of the program and taxpayers, and to hospitals routinely switching patients from a prescribed drug to another similar drug, sometime to the detriment of patient health.

Top Cases | Wyeth, Pfizer, Kickback, Medicaid, FCA
| David Griscom

Fraud never sleeps.  That’s one message to take-away from the “Ed4Mil” scam unbundling right now.

FCA | Education, FCA, GI Bill
| David Griscom

The IRS estimates the annual tax gap to be $406 billion, based on data from 2008-2010.

IRS | taxes, IRS, IRS whistleblower program
| David Griscom


FCA | Getnick, Grassley, House of Representatives, Oversight, Judiiciay
| David Griscom

Attorney General Luther Strange (R) believes that empowering Alabama with its own False Claims Act would be a substantial benefit for the struggling Medicaid program, and for the state at large.

State FCA | Medicaid, FCA, Alabama
| David Griscom

Freedom Mortgage Corporation has settled a DoJ-initiated case with the U.S. Department of Justice for $113 million.

FCA | mortgage, FHA, HUD, FHA Loans
| Patrick Burns

Benford’s Law is named for the Depression-era physicist who discovered (or rediscovered) that the expected frequency of digits in large lists of numbers is not even. 

FCA | Benford's Law, statistics, data mining, fraud detection, fraud patterns
| David Griscom

The Washington state legislature has renewed the Medicaid Fraud False Claims Act, which was set to expire on June 30.

State FCA | State Success, FCA, Washington State
| David Griscom

Florida Pain Medicine Associates have settled a False Claims Act case for $1.1 million. The organization had ordered unnecessary nerve conduction studies, which measure the speed of conduction of an electrical impulse through a nerve, and billed Medicare for the procedures.

FCA | Florida, Penny Pledge, Medicare
| Patrick Burns

Oral arguments before the U.S. Supreme Court in Universal Health Services, Inc. v. United States ex rel. Escobar were heard on Tuesday.

The TAF Education Fund filed an amicus curiae brief in this case, with the assistance of Jennifer Verkamp of Morgan VerkampTAFEF had filed an earlier amicus, in support of the whistleblowers, in the First Circuit.

FCA | supreme court, Escobar, implied certification, Kagan, SotoM