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.

    • California Man Pleads Guilty in $16 Million Medicare Hospice Scam

      In a striking example of Medicare fraud, a California man has pleaded guilty to laundering over $4.6 million in connection with a massive hospice fraud scheme that bilked Medicare out of nearly $16 million. Mihran Panosyan, 46, of Winnetka, admitted to orchestrating a complex money laundering operation designed to hide the proceeds of fraudulent Medicare…

    • 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…

    • U.S. Fashion Manufacturer Pays $7.6M to Resolve Tariff Evasion Case Under False Claims Act

      MIAMI – A high-end fashion manufacturer has agreed to pay $7.69 million to settle allegations of customs fraud. They have also agreed to pay for tariff evasion. This agreement follows a whistleblower lawsuit. It was filed under the False Claims Act (FCA). Alexis, LLC, a Miami-based womenswear company, faced accusations. They allegedly deliberately undervalued imported…

    • South Carolina Man Charged in Medicare and Private Jet Fraud Schemes

      This next case exemplifies how taxpayer dollars have been abused, and demonstrates the importance of recovering such funds when obtained under false circumstances. Two separate federal indictments allege that Patrick Britton-Harr, a 41-year old businessman from Charleston, South Carolina, used his company, Provista Health, to fraudulently bill Medicare more than $15 million for respiratory pathogen…

    • Swiss-Owned Company Pays $2.3M to Settle PPP Fraud Case Triggered by Whistleblower

      In a decisive action against pandemic relief fraud, Zund America, Inc., based in Oak Creek, Wisconsin, has agreed to pay $2.3 million to resolve allegations it falsely certified eligibility for a federal Paycheck Protection Program (PPP) loan. The investigation was prompted by a whistleblower complaint under the False Claims Act (FCA), once again affirming the…

    • Texas Physician to Pay $3.5M for Fraudulent COVID Billing Scheme Targeting Uninsured Program

      The U.S. Attorney’s Office for the Eastern District of Texas announced that Dr. Samad Khan has agreed to pay $3.5 million to resolve allegations of fraudulent billing to the federal government—thanks to a federal investigation targeting misuse of emergency pandemic funds. Dr. Samad Khan, owner of SK Primary Care, PLLC, was accused of submitting false…

    • Lockheed Martin Pays $70 Million to Settle False Claims Allegations Over Defective Pricing in Missile Contracts

      In a significant enforcement action announced by the U.S. Department of Justice, Lockheed Martin Corporation has agreed to pay $70 million to resolve allegations that it violated the False Claims Act (FCA) by submitting defectively priced contracts for missile sales to the Department of Defense. This case was brought to light by a private whistleblower,…

    • Whistleblower Action Exposes Corporate Waste and Tariff Evasion in $8.1 Million FCA Settlement

      In a recent settlement announced by the U.S. Department of Justice, a California-based flooring company agreed to pay $8.1 million to resolve allegations of customs fraud—thanks to the actions of a whistleblower acting under the False Claims Act’s qui tam provision. Evolutions Flooring Inc., along with its owners Richard and Brian Abcarian, was accused of…

    • Whistleblower Action Uncovers Medicare Billing Fraud in Lehigh Valley

      In a recent settlement announced by the U.S. Attorney’s Office for the Eastern District of Pennsylvania, a Lehigh Valley-based doctor agreed to pay $45,000 to resolve allegations of healthcare fraud—thanks to the actions of a whistleblower acting under the False Claims Act’s qui tam provision. Dr. Stephen Renn of Bethlehem was accused of submitting claims…

    • GPS Manufacturer Agrees to Pay $2.6 Million to Settle False Claims Act Allegations Relating to Improper PPP Loan

      PHOENIX, AZ – Hemisphere GNSS (USA) Inc., a satellite-based GPS manufacturer now owned by CNH Industrial, has agreed to pay $2.6 million to settle allegations that it improperly obtained and received forgiveness for a second-draw Paycheck Protection Program (PPP) loan by misrepresenting its eligibility under federal rules. The allegations were brought to light by GNGH2…

  • 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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