whistleblower

Virginia Healthcare Whistleblower Case: Sentara Health Insurance Investigation Moves Forward

Virginia Healthcare Whistleblower Case: Sentara Health Insurance Investigation Moves Forward 1472 832 Bo Frith

At Frith & Ellerman Law Firm in Roanoke, we handle significant Virginia whistleblower cases, particularly those involving healthcare fraud in the Western District of Virginia. A recent development caught our attention as it demonstrates the powerful impact whistleblowers can have in holding large healthcare organizations accountable. Important Case Advances in…

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Whistleblowers: Protecting Virginia’s Healthcare Integrity

Whistleblowers: Protecting Virginia’s Healthcare Integrity 1200 800 Bo Frith

As attorneys specializing in whistleblower cases, we’ve witnessed firsthand the critical role whistleblowers play in safeguarding our community’s healthcare system and protecting taxpayer dollars. The U.S. Department of Justice’s latest report for fiscal year 2024 confirms what we’ve long known: whistleblowers are the unsung heroes in the fight against fraud.…

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Chesapeake Hospital: Fraud, Betrayal, and the Fight for Accountability

Chesapeake Hospital: Fraud, Betrayal, and the Fight for Accountability 800 800 Bo Frith

Chesapeake, Virginia—not exactly the place you’d expect to find a hotbed of medical malpractice and conspiracy. Yet here we are, staring down the barrel of an indictment that has it all: unnecessary surgeries, bloated billing schemes, and a betrayal of trust so deep it makes you question everything you thought…

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DOJ Launches New Incentive for Whistleblowers

DOJ Launches New Incentive for Whistleblowers 533 800 Bo Frith

On August 1, 2024, the U.S. Department of Justice (DOJ) launched a new cash-for-tips incentive for whistleblowers. Individuals who turn over original information or analysis relating to: financial crimes bribery or healthcare fraud are eligible for an award of up to 30% of any assets forfeited by the company as…

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Whistleblowers for Opioid Fraud

Whistleblowers for Opioid Fraud 150 150 Bo Frith

One of the most common areas for whistleblowers is the opioid crisis. As chronicled in countless books, podcasts, and TV shows, the opioid industry is rife with fraud. In 2020 and 2021 alone, the Justice Department secured settlements in excess of $3 billion arising from whistleblower and False Claims Act…

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Whistleblowers for COVID-19 Fraud

Whistleblowers for COVID-19 Fraud 150 150 Bo Frith

We have written extensively about fraud in the Paycheck Protection Program (PPP). See prior stories here and here. Now, the U.S. Attorney’s Office for the Western District of Virginia is launching a special taskforce for COVID-19 fraud. As detailed in a front-page story on the March 31, 2022 edition of…

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Education Fraud

Education Fraud 150 150 Bo Frith

Fraud in federal and state education programs may be reported by whistleblowers. Under the False Claims Act and other statutes, whistleblowers are entitled to significant financial rewards and are protected from retaliation. The U.S. higher education system is excellent. But like many things, it requires significant financial investment. Each year,…

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Whistleblowers for PPP Fraud

Whistleblowers for PPP Fraud 150 150 Bo Frith

In response to widespread economic uncertainty due to COVID-19, the federal government enacted the Paycheck Protection Program (PPP). Because that program is especially vulnerable to fraud, whistleblowers are key players in addressing illegal conduct. Just last week, a Roanoke city jury convicted Roanoke City Councilman Robert Jeffrey of fraudulently obtaining…

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What are medically unnecessary procedures?

What are medically unnecessary procedures? 150 150 Bo Frith

Medically unnecessary procedures are health care items and services that are not “reasonable and necessary for the diagnosis or treatment of illness or injury.”[1] The False Claims Act provides a mechanism for individuals to “blow the whistle” on instances of waste, fraud, or abuse for systemic unnecessary procedures in healthcare…

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Healthcare Fraud at Universities

Healthcare Fraud at Universities 150 150 Bo Frith

Earlier this month, the University of Miami agreed to pay $22 million to resolve a lawsuit brought under the False Claims Act for fraudulent healthcare billing.[1] Four former healthcare executives at the University of Miami filed the suit. The Department of Justice will award the whistleblowing executives a share of…

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