Find Corporate Waste

Category: Medicaid Fraud

  • Michigan Health Care Provider Ordered to Pay $334,807 to Settle False Claims Act Allegations

    Michigan Health Care Provider Ordered to Pay $334,807 to Settle False Claims Act Allegations

    In the Eastern District of Michigan, M&Y Care, LLC, a Michigan-based home health provider, has agreed to pay $334,807.20 to resolve allegations that it defrauded the Medicare and Medicaid programs by billing for services rendered by unqualified staff.

    According to the Department of Justice, M&Y Care caused the United States Government to be billed for services provided by unqualified staff. Using the incorrect CPT code, G0156, which refers to a home health aide, they defrauded the federal government for services at a reimbursement rate higher than the non-skilled rate to which their employees were entitled.

    The misconduct came to light thanks to a False Claims Act lawsuit filed under the law’s qui tam provisions. The investigation was prompted by a whistleblower complaint under the False Claims Act (FCA), showing the critical role private citizens play in holding corporations accountable for wasting our money.

    At Find Corporate Waste, we applaud this outcome and the whistleblower who made it possible. Every time a company siphons money from Medicare or Medicaid, they are not just defrauding a system—they are stealing from the sick, the elderly, and the taxpayer.

    We are committed to ensuring that fraud like this doesn’t go unanswered.

    If you have information about misconduct involving government programs or contracts, visit our page on how whistleblowers protect public funds. You might be the reason the next $300,000 gets returned to the American people.

    • Takeda to Pay $13.6M Over False Claims Act Allegations Tied to Physician Payments

      Takeda will pay $13.6 million to resolve False Claims Act allegations involving physician payments, speaker programs, meals, and Trintellix prescriptions.

    • HealthSplash Owner Convicted in $1 Billion Medicare Fraud Conspiracy

      HealthSplash owner convicted in $1B Medicare fraud conspiracy involving false doctor orders, telemedicine networks, DME suppliers, and federal health care billing abuse.

    • Perfectus Aluminum to Pay $549.5M in Major False Claims Act Trade Fraud Settlement

      Perfectus Aluminum and related companies agreed to pay $549.5 million to resolve False Claims Act allegations involving an alleged scheme to evade antidumping and countervailing duties on aluminum imports from China. The case shows how trade fraud can become taxpayer fraud when companies use false descriptions, certifications, or records to avoid money owed to the…

    • Florida Manufacturer Pays $2.6 Million To Resolve False Claims Act Allegations

      Micro Matic USA, Inc., a beverage dispensing equipment manufacturer based in Brooksville, Florida, has agreed to pay $2,593,219.18 to resolve allegations that it improperly obtained a Paycheck Protection Program (PPP) loan. The settlement was announced by the U.S. Attorney’s Office for the Middle District of Florida on May 12, 2026. According to DOJ, Micro Matic…

    • DOJ’s Fraud Reorganization Could Shape the Next Wave of FCA Enforcement

      The Justice Department’s latest COVID-relief fraud case shows where federal enforcement is heading. In California, tax preparer Kerwin Aldric Jordan pleaded guilty after DOJ said he helped file false tax returns and fraudulently obtained pandemic relief loans. Prosecutors said the conduct caused more than $25 million in tax losses and involved false claims for PPP…

    • FCW Welcomes DOJ FOCUS Initiative to Combat Waste, Fraud, and Abuse With Data Science

      The Department of Justice’s Civil Division has announced the new FOCUS initiative, short for Fraud Oversight through Careful Use of Statistics. The initiative is aimed at data miners who use public government records to identify potential False Claims Act cases. Find Corporate Waste has developed a sophisticated methodology for addressing Medicare Fraud committed during the…

    • Michigan Couple Pleads Guilty in $1.2 Million PPP Fraud Conspiracy

      Federal prosecutors allege that D’Angelo Ferguson helped submit three PPP loan applications using false business income, fake payroll expenses, and fictitious employee information. His wife, Catherine Spidell-Ferguson, admitted she participated in submitting one of the bogus applications. Together, prosecutors said the couple fraudulently obtained approximately $1.2 million in pandemic relief funds. Fake Payroll. Fake Documents.…

    • Misuse of NIH Grants: Dana-Farber’s $15M Legal Consequences

      Dana-Farber Cancer Institute settled allegations of violating the False Claims Act by agreeing to pay $15 million for misusing NIH funds from 2014 to 2024. The DOJ found falsified research data and unallowable expenses linked to six NIH grants. A whistleblower will receive $2.625 million under the settlement terms.

    • Setterstix Inc. Settles $1.76M Over PPP Loan Fraud

      Setterstix Inc., a manufacturer of paper sticks, has settled for $1,757,603.65 over allegations of improperly obtaining a $571,862 Paycheck Protection Program loan. The U.S. Attorney’s Office claimed the company failed to meet required eligibility criteria, constituting a false claim. Under the False Claims Act, companies face treble damages and penalties for false certifications. Find Corporate…

    • $6 Million Settlement for Fraudulent Lab Testing Kickbacks

      A former lab CEO and two Texas physicians, among others, have settled for over $6 million over kickback schemes involving fraudulent lab tests.

  • DOJ-HHS Launch New Initiative to Combat Healthcare Fraud

    DOJ-HHS Launch New Initiative to Combat Healthcare Fraud

    July 2, 2025

    Washington, D.C.


    In a decisive move to enhance the fight against healthcare fraud, the U.S. Department of Justice (DOJ) and the Department of Health and Human Services (HHS) have taken significant action. They have launched the DOJ-HHS False Claims Act Working Group.

    This strategic alliance formalizes long-standing cooperation between the two agencies.

    It also shows how the False Claims Act (FCA) is used. This law protects federal healthcare programs from fraud, waste, and abuse.

    The Working Group will concentrate enforcement in seven key areas:

    • Medicare Advantage fraud, such as upcoding and inflated risk scores
    • Drug and device pricing manipulation, such as undisclosed rebates and improper discount arrangements
    • Access to care violations, including non-compliant provider networks
    • Kickback schemes, involving drugs, medical devices, and durable medical equipment
    • Defective medical devices that compromise patient safety
    • Electronic Health Records abuse, such as system manipulation to boost Medicare billing
    • Data-driven investigations, powered by cross-agency analytics and audit findings

    The new Working Group encourages whistleblowers to report false claims involving federal healthcare dollars related to specific enforcement priorities.

    At Find Corporate Waste, we spotlight whistleblower-driven accountability.

    If you become a relator under the False Claims Act, your role would expose fraud and recover taxpayer dollars.

    Becoming a relator is a serious decision.

    If you have inside information on healthcare contracts or schemes, we’re here to assist you.

    Report Fraud

  • How States Game the System: Medicaid Fraud and the FMAP Loophole

    Medicaid was originally created as a partnership between the federal government and individual states. The concept was simple: every time a state spends a dollar, the federal government matches a portion of that investment.

    This is known as the Federal Medical Assistance Percentage (FMAP).

    Over time, some states discovered a way to manipulate the system by shifting the burden entirely to the federal government while padding their own budgets.

    How Medicaid Fraud Works

    1. The state taxes hospitals or nursing homes.
    2. The state pays this tax back to the provider as Medicaid reimbursements.
    3. The federal government matches a percentage of the returned funds through FMAP.
    4. The provider gets their money + the FMAP.
    5. The state contributes nothing, while the federal government is on the hook.

    Why It All Adds Up to a Big Problem

    This fraud is one of the major factors contributing to the systemic weakness of our entire healthcare system.

    When states are allowed to run these schemes, Medicaid becomes more expensive, draining money away from the people who actually need help.

    Instead of creating a safety net, the system becomes a slush fund for state coffers—and the federal government (read: taxpayers) gets stuck with the tab.

    At Find Corporate Waste, we dig deep into these kinds of backdoor deals because we believe in a system that’s honest, accountable, and actually works for the people it’s supposed to serve. Not one that lets bureaucrats and politically connected hospitals game the rules for a payday.

    But here’s the thing—we can’t do it alone.

    If you’ve seen this kind of scheme from the inside—maybe you work in healthcare, government, or finance—you might be sitting on information that could make a real difference. Thanks to the False Claims Act, whistleblowers who step forward not only help protect public funds—they may also be eligible for a financial reward if the government recovers money based on their tip.

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