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Five More Ambulance Companies Whacked for Medicare Fraud

Medicare fraud by ambulance companies is epidemic! The problem has become so bad that regulators can’t keep up. Last year Medicare and Medicaid officials in Philadelphia and Houston were forced to issue a moratorium on new registrations of ambulance companies. What is the problem? It’s either “up coding” or billing Medicare for transports of people [...]

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PharMerica Whistleblower Suits Settles – $31.5 Million!

The Department of Justice today announced that a Waukesha, Wisconsin woman will receive $4.3 million for blowing the whistle on PharMerica Corporation, a Kentucky based pharmacy chain that caters to nursing homes and hospitals. Jennifer Denk, a pharmacist employed in the company’s Pewaukee, Wisconsin facility, filed a whistleblower complaint against PharMerica in 2009. She accused [...]

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Swiss Bank Vadian Latest to Cooperate with IRS

According to a wire report from Reuters, Vadian Bank AG, a small bank located in St. Gallen, Switzerland, is the latest bank to cooperate with the U.S. Department of Justice. In 2013, the U.S. government offered a voluntary disclosure program for Swiss banks that helped Americans hide their assets from the IRS. Earlier this spring, [...]

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Hospitals Take Rap for EMS Medicare Fraud

There have been many Medicare fraud prosecutions involving ambulance services in recent years. Common schemes include falsely billing basic life support runs as advanced life support and taking otherwise ambulatory and healthy dialysis patients to and from their appointments. In just one city, Philadelphia, no less than 30 individuals affiliated with eight ambulance services have [...]

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Mahany Speaks With IRS About New FBAR Initiatives

Several days ago I had the opportunity to attend an offshore finance conference in Miami. Present were several senior managers and lawyers assigned to the IRS’ Offshore Compliance Initiative. These are the IRS folks in charge of FATCA and FBAR enforcement. After the conference, I also had the opportunity to speak with several of the [...]

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Texas Lawyer Suspended for EMS Medicare Fraud

Here is an unusual one… a lawyer in Texas lost her license to practice law because of a Medicare fraud conviction. Gwendolyn Climmons not only can’t practice law, she can’t even use her name in conjunction with the words “lawyer” or “attorney.” According to court records, Climmons was sentenced to 8 years in prison for [...]

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Auditors as Whistleblowers

CPAs sometimes have conflicting obligations. The Code of Ethics for Professional Accountants says that accountants must maintain client confidences. That makes sense; no one wants to hire an accountant or auditor who blabs trade secrets or a client’s expansion plans. But what if the accountant learns of wrongdoing by the client? Can accountants become whistleblowers? [...]

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Hospitals Liable for Medicare Fraud by Ambulance Services

Hospitals have the deep pockets that many local ambulance services don’t have. When the government intervened in a Medicare fraud case filed by a former employee of Century Ambulance in Jacksonville, Florida some wondered how the local hospitals served by Century would fare. The answer is, “not well.” Last week the Justice Department settled the [...]

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Rest in Peace – TIC Scams

2002 marked the beginning of an era for tenant in common (TIC) scams. That year, the IRS issued a revenue rule that said TIC investments qualified for deferred taxation under Section 1031 of the tax code. It wasn’t long before Wall Street and several slick promoters jumped on the bandwagon. People and companies like Carlton Cabot, [...]

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Whistleblower Ordered to Pay Legal Fees

When a whistleblower that filed cases under the False Claims Act is successful, he or she can anticipate a large check and the lawyers can get substantial legal fees too. Sometimes, however, the court orders the whistleblower to pay legal fees. Those cases are rare but a federal judge in Virginia this week sanctioned a [...]

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