Evidence guide4 min read
Highway Construction Fraud: Claims and Evidence
How specifications, testing records and payment claims fit together in construction fraud allegations.
Case Studies
FCA Settlement Case Studies
Abstract explanations of qui tam law only go so far. The cases below show how the False Claims Act works in the real world — how fraud was uncovered, how the government responded, and what the outcomes mean for people deciding whether to come forward.
Evidence guide4 min read
Medicare Therapy Billing: Evidence and Payment Rules
Medical necessity, documentation and the difference between historical RUG-IV incentives and current PDPM.
Case discussion4 min read
Metropolitan Hospital’s $6.25M Settlement
A sourced summary of DOJ’s December 2003 announcement about physician financial relationships and Medicare claims.
Evidence guide4 min read
Hospital Billing Fraud: Common Settlement Issues
How billing records, coding practices and knowledge of false claims affect hospital fraud allegations.
Professional education4 min read
TAF Relator-Counsel Conferences: What to Evaluate
Topics and professional responsibilities to consider when choosing continuing education for qui tam practice.
Legislative history4 min read
Hawaii Act 48 (2004): Attorney Liens and Taxes
The historical purpose of Hawaii’s attorney-lien law and why current settlement-tax advice is a separate question.
Evidence guide4 min read
Returned Medication and Duplicate Billing
How medication returns can raise billing questions, distinct from lawful return and reuse procedures.
Resources4 min read
Advising the Qui Tam Whistleblower: Book Guide
Robin Page West’s ABA practitioner text: authorship, audience and issues to check in the edition you use.
Professional education4 min read
ABA False Claims Act Institute: Program Overview
How to assess an FCA education program’s coverage of enforcement, litigation and professional responsibilities.
Have Information About Fraud?
If you have knowledge of fraud against the government, compare the patterns in these case studies with what you have seen — then use our eligibility guide or request a confidential consultation.
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