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What Is Whistleblowing?

A whistleblower is an employee, former employee, or member of an organization, especially a business or government agency, who reports misconduct to people or entities that have the power and presumed willingness to take corrective action. The misconduct may be a violation of a law, rule, regulation and/or a direct threat to public interest, such as fraud, health/safety violations, and corruption.

Examples of whistleblowers are people who become aware of fraud in matters involving such things as Medicare, Medicaid, and other government programs.  These fraud allegations are often leveled at large corporate entities, and even cities, and other municipalities.

Men and women who blow the whistle on such gross misconduct are actually at the core of how our country fixes problems.  These actions save taxpayer money, and punish the corporate and governmental wrongdoers who misuse the system to their own advantage.  These matters ultimately save taxpayers money, since we all pay taxes to fund government programs and subsidies.

Members of our attorney team are recognized nationally as class action and complex litigation specialists in defective pharmaceuticals and medical devices, toxic chemicals, price-fixing, and antitrust violations. As such, we have the internal expertise and experience to understand the complex underlying factors and issues in whistleblower (Qui Tam) matters.

Whistleblower Sales Reps for “Off-label” Drug Sales?

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The United States federal government is aggressively pursuing criminal and civil whistleblower cases against pharmaceutical companies for promoting off-label uses of prescription drugs. Between 2003 and 2008, U.S. federal prosecutors and state attorneys general brought more than a dozen cases against drug makers for off-label marketing and won more than $6 billion in criminal and civil settlements

As you know, off-label use is the practice of prescribing pharmaceuticals for a purpose outside the scope of a drug’s approved label, most often concerning the drug’s indication.

It is legal in the United States and in many other countries to use drugs off-label, including controlled substances such as opiates, even though it is a common misconception that it is unlawful to do so.

However, it is unlawful to market, advertise or otherwise promote the off-label use of drugs, including controlled substances.

Read more: http://drugwhistleblower.com/ (this is our companion website to this site).

Whistleblower catches Dallas, other cities in questionable ambulance billing

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Douglas Moore was a fraud investigator for Dallas when he noticed something wrong with the way the city billed Medicare and Medicaid for city-dispatched 911 ambulance calls.

All calls were being billed as more expensive advanced life support calls, though some of them were basic life support calls, according to a whistleblower lawsuit Moore filed.

When Moore brought the improper billing to the city’s attention in April 2009, he was told that because all the city’s ambulances are equipped for advanced life support, the city had been billing every call at the higher rate for a long time.

Read more: http://www.star-telegram.com/2011/08/26/3316962/whistleblower-catches-dallas-other.html#ixzz1WmQDejiS

LabCorp pays out $50 million to settle Medicaid fraud allegations

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Laboratory Corp. of America Holdings (NYSE:LH) agreed on a $50 million settlement on a whistleblower lawsuit accusing the company of overcharging Medicaid and giving kickbacks in exchange for referrals for its lab tests.

The complaint accused LabCorp of charging California’s Medicaid program prices as much as five times higher than it charged other customers and offered discounted or free tests to health care providers in exchange for referrals.

“Medical providers and professionals who attempt to abuse Medi-Cal are draining healthcare resources from the millions of California families and children who rely on the program,” California Attorney General Kamala Harris said.

Read more: http://www.massdevice.com/news/labcorp-pays-out-50-million-settle-medicaid-fraud-allegations-massdevicecom-call

Ex-Walgreen druggist gets $1.2M in firing suit

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A federal court jury in Fresno has awarded more than $1.2 million to a one-time Walgreen pharmacist who says he was fired for reporting Medicare fraud at several California stores.

The Fresno Bee reports that Sami Mitri sued the country’s largest drugstore chain under the federal whistleblower statute claiming his January 2010 firing was in retaliation for calling attention to illegal billing practices.

Walgreen Co. said in court documents that Mitri was fired for working beyond his scheduled shifts even after being told to stop while the company was trying to curb overtime pay.

Read more: http://www.mercurynews.com/breaking-news/ci_18728793

Catholic Family Services Whistle Blower Case Over

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The Catholic Diocese of Sioux Falls has reached a settlement with the federal government over Medicare and Medicaid billing errors by its Catholic Family Services counseling program.  The program admitted no wrongdoing but agreed to forfeit $90,000 to the government, which will give $15,000 to whistleblower Diane Cogley of Sioux Falls. She was working as a counselor in June 2009 when she uncovered evidence of false billing claims.

Read more: http://www.kdlt.com/index.php?option=com_content&task=view&id=11694&Itemid=57

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