Find Corporate Waste

Tag: False Claims Act

  • Arkansas Lab and Owners Pay $30M Over Alleged Kickback-Fueled Testing Scheme

    Arkansas Lab and Owners Pay $30M Over Alleged Kickback-Fueled Testing Scheme

    An Arkansas pathology lab and its owners agreed to pay $30 million to resolve federal allegations that their business model turned physician referrals and add-on testing into a taxpayer-funded billing pipeline.

    The settlement covers Advanced Pathology Solutions PLLC, APS MSO LLC, and current and former owners Kevin Hannah, Donell Burkett, and Daniel Hunter Pledger⁠. According to the Justice Department, APS operated “lean labs” with gastroenterology practices across the country and allegedly provided financial benefits to those practices in exchange for exclusive referrals of pathology specimens to APS’s North Little Rock laboratory.

    Federal prosecutors also alleged APS caused special stains and confirmatory testing to be ordered automatically before a pathologist determined whether the tests were medically necessary.

    In essence, the government alleged extra testing was built into the process first, while medical necessity came second.

    The settlement also resolves claims that APS and CEO Kevin Hannah paid volume-based commissions to Richard Sorgnard⁠ to induce referrals for epidermal nerve fiber density testing. The United States contended the commissions equaled 4% of collections from referred ENFD testing.

    The case originated from three whistleblower lawsuits filed under the False Claims Act⁠. As part of the resolution, APS entered into a five-year Corporate Integrity Agreement with HHS-OIG⁠ requiring compliance reforms, training, auditing, and review of physician referral relationships.

    For Find Corporate Waste⁠, the settlement shows how federal health care fraud can hide inside ordinary-looking referral networks, lab protocols, and billing defaults. When financial incentives shape where specimens go and testing is added before necessity is established, taxpayers are left paying for a system designed around revenue rather than care.

  • Seven Men Arrested in $205K COVID Relief Fraud Case

    Seven Men Arrested in $205K COVID Relief Fraud Case

    Federal prosecutors announced that seven Las Vegas men have been arrested and indicted in connection with allegedly fraudulent COVID-19 relief loan applications.

    According to the U.S. Attorney’s Office for the District of Nevada⁠, the defendants are accused of submitting false information and fake documentation to obtain funds through the Small Business Administration’s Paycheck Protection Program and Economic Injury Disaster Loan program. The alleged fraudulent proceeds totaled $205,639.

    The defendants named by DOJ are Elias Santino Acereto, Sheyland Juakeen Barnett, James Sean Freeman II, Yves Garry Harrison-Pierre, Tyrone Tatrice Johnson, Marcus Dushun McMillian-Bonner, and Nathan Jeffry Scott. Six defendants were charged with one count of wire fraud, while Freeman was charged with two counts.

    The SBA Office of Inspector General⁠ said the arrests followed coordinated law enforcement actions in Nevada, Arizona, and Texas involving the FBI, SBA-OIG, Las Vegas Metropolitan Police Department, and North Las Vegas Police Department.

    For Find Corporate Waste⁠, the case is another reminder that COVID-era relief enforcement remains active. Even smaller-dollar PPP and EIDL cases can expose broader weaknesses in application screening, identity verification, and post-payment review.

  • Utah Men Charged in Alleged $5.5M IRS and SBA COVID-Relief Fraud Scheme

    Utah Men Charged in Alleged $5.5M IRS and SBA COVID-Relief Fraud Scheme

    Federal prosecutors have charged two Provo, Utah men in an alleged scheme to defraud the IRS and the Small Business Administration out of more than $5.5 million tied to COVID-era relief programs.

    According to the SBA Office of Inspector General⁠, David Starling, 61, and Benjamin Young, 39, were charged with conspiring to defraud the United States. Young was also charged with twelve counts of wire fraud. A third defendant, Adam Starling of Oregon, previously pleaded guilty.

    The government alleges the defendants owned or controlled eight companies and falsely listed family members — including spouses and children — as employees. Prosecutors say they created false tax documents reporting more than $4 million in wages, then used those documents to obtain COVID-relief benefits.

    The alleged proceeds included $3 million in tax credits and $200,000 in Paycheck Protection Program loans, which were later forgiven based on alleged false statements.

    The case also includes a separate SBA-backed loan angle. Prosecutors allege Young used fraud proceeds and embezzled funds to buy commercial space in Provo, then relied on fabricated documents to obtain a $2.5 million SBA-secured bank loan.

    For Find Corporate Waste⁠, this case is another reminder that COVID-relief enforcement is not just about the original loan. It is about payroll records, forgiveness certifications, tax filings, affiliated entities, and the paper trail behind taxpayer-backed money.

  • Former Intelligence Contractor Pleads Guilty in Kickback Scheme

    Former Intelligence Contractor Pleads Guilty in Kickback Scheme

    A former Intelligence Community contractor pleaded guilty to conspiring to commit offenses against the United States after admitting that he solicited and accepted illegal kickbacks tied to government procurement.

    According to the DOJ⁠, David Duggin, 55, of Orrtanna, Pennsylvania, was a former senior systems engineer and on-site contractor at a U.S. government Intelligence Community agency. Prosecutors said Duggin and co-conspirators used his on-site access to sensitive information to help obtain government contracts for millions of dollars of hardware and software purchased by U.S. government customers.  

    The DOJ said Duggin received at least $510,000 in illegal kickbacks in exchange for influencing the procurement process to favor his co-conspirators. The alleged conspiracy began at least as early as June 2018 and continued through at least April 2024.  

    The case is being investigated by the Defense Criminal Investigative Service and the FBI Baltimore Field Office, with prosecutors from the Antitrust Division and the U.S. Attorney’s Office for the District of Maryland. The DOJ also highlighted the Procurement Collusion Strike Force⁠, which targets bid rigging, price fixing, market allocation, and related fraud affecting government spending.

    For Find Corporate Waste⁠, the case is another reminder that taxpayer-funded procurement fraud often depends on insiders, access, and certification-driven trust. 

  • North Carolina Woman Charged in Immigration and VA Disability Fraud Case

    North Carolina Woman Charged in Immigration and VA Disability Fraud Case

    The DOJ announced that Britney Sherene Curry, 26, of Charlotte, North Carolina, was indicted in the Western District of Missouri for conspiracy to commit immigration fraud, false statements under oath on immigration documents, unlawfully procuring citizenship, mail fraud, and wire fraud.

    According to the DOJ, Curry is a Jamaican national who entered the United States on a six-month B-2 visa in 2015 and allegedly never left. Prosecutors claim she paid a third party to arrange a fraudulent marriage with a U.S. citizen to obtain immigration benefits. The DOJ alleges Curry and her husband first met on the day of the marriage and never lived together.

    The alleged scheme later reached federal benefit payments. After becoming a lawful permanent resident, Curry joined the U.S. Army, applied for naturalization, and later received VA disability compensation. Prosecutors allege she claimed her husband as a dependent for VA disability purposes, increasing her monthly benefit, despite allegedly never living with him and not seeing him after she enlisted.

    The case was investigated by DHS-OIG, ICE Enforcement and Removal Operations, USCIS, VA-OIG, and Army CID. The DOJ noted that VA disability payments passed through Treasury Payment Operations in Kansas City, Missouri.

    The indictment is only an accusation, and Curry is presumed innocent unless proven guilty.

    For Find Corporate Waste, the case is another reminder that federal benefit programs depend on truthful eligibility claims. Whether the program is immigration, veterans benefits, PPP, PRF, or federal contracting, the core issue is the same: public money moves when applicants certify facts that agencies rely on. When those facts are allegedly false, taxpayer funds become recoverable exposure.

  • Circle Medical to Pay $3.325M Over Alleged False Healthcare Claims

    Circle Medical to Pay $3.325M Over Alleged False Healthcare Claims

    San Francisco-based Circle Medical Care of California, Circle Medical Technologies, Inc., and Chief Medical Officer Dr. Nicole Tsang, D.O., agreed to pay $3,325,000 to resolve allegations that they submitted false claims to federal healthcare programs and California commercial insurers.

    According to the DOJ⁠, Circle operates an online telehealth platform offering mental health and primary care services through contract providers, including nurse practitioners and physician assistants. The government alleged that from January 1, 2018 through May 31, 2025, Circle submitted claims using the names and NPI numbers of rendering providers who did not actually provide or supervise the services billed. The claims allegedly involved programs including Medicare, Medicaid, and TRICARE.  

    The settlement allocates $475,000 to the United States and $2.85 million to California. The matter began as a qui tam whistleblower case filed by Jason Vellen, who will receive $80,750 from the federal recovery and $997,500 from California.  

    This case fits the broader Find Corporate Waste focus on healthcare payment integrity: claims data, provider identifiers, supervision rules, and federal program billing requirements can expose recoverable taxpayer losses. 

  • Ahold Delhaize USA to Pay $40M Over Allegedly Inflated Pharmacy Prices

    Ahold Delhaize USA to Pay $40M Over Allegedly Inflated Pharmacy Prices

    Ahold Delhaize USA Inc.⁠, the parent company behind supermarket pharmacy brands including Giant, Hannaford, Stop & Shop, Food Lion, and others, has agreed to pay $40 million to resolve False Claims Act allegations involving prescription drug pricing.

    According to the DOJ⁠, Ahold Delhaize allegedly reported inflated “usual and customary” prices on claims submitted to Medicare Part D, Medicaid, and TRICARE. Prosecutors said the company operated prescription savings programs that offered discounted prices to enrolled customers, but allegedly failed to report those discounted prices as the pharmacies’ usual and customary prices.

    That distinction matters because usual and customary prices can operate as ceiling prices in federal health care reimbursement formulas. The government alleged that by reporting higher prices, Ahold Delhaize caused federal health care programs to pay more than they should have paid on pharmacy claims.

    Of the $40 million settlement, $32.9 million represents the federal share, with the remainder going to participating states.

    The case began as a whistleblower action filed by Lawrence LaBenne, a Pennsylvania pharmacist at an Ahold Delhaize supermarket.

    He will receive $6,083,587 from the federal recovery.

    The settlement is another example of how pricing representations, claim-level billing data, and insider knowledge drive many False Claims Act recoveries.

    For Find Corporate Waste⁠, the case fits the broader enforcement pattern: federal programs rely on accurate certifications and truthful claim data, and public money can be recovered when those representations are allegedly false.

  • Brooklyn Clinic Manager Convicted in $8M Medicare Fraud Scheme

    Brooklyn Clinic Manager Convicted in $8M Medicare Fraud Scheme

    A federal jury convicted Olga Popovych, a New York clinic manager, for her role in an $8 million Medicare fraud scheme, according to the DOJ.  

    Prosecutors said Popovych managed several physical therapy clinics that paid cash kickbacks to ambulette drivers who brought Medicare patients to the clinics. The DOJ said she was personally involved in paying the kickbacks and falsifying medical records to claim that physical therapists treated patients when they were not actually present.  

    Between 2018 and 2020, Medicare paid the clinics more than $8 million. Trial witnesses also testified that Popovych used coded text messages to discuss kickbacks and took steps to conceal the scheme after suspecting law enforcement was watching the clinics.  

    The jury convicted Popovych of conspiracy to commit health care fraud, conspiracy to make false statements relating to health care matters, four counts of health care fraud, and three counts of making false statements relating to health care matters.

    She faces up to 10 years for each health care fraud conviction and up to 5 years for each false-statement conviction. A federal judge will determine the sentence under the U.S. Sentencing Guidelines and other statutory factors.  

    The case was investigated by HHS-OIG and the FBI.

    Anyone with inside knowledge of kickback arrangements, false billing, fabricated medical records, or patient-recruitment schemes involving federal health care programs may have information relevant to public-fraud enforcement.

    Find Corporate Waste protects confidential sources and helps preserve the right to report fraud.

  • $56.5M Settlement Targets Medicare Diagnosis Codes Scheme

    $56.5M Settlement Targets Medicare Diagnosis Codes Scheme

    Community Care Health Network LLC, doing business as Matrix Medical Network, DPN USA, doing business as HealthFair, and Shahriah “James” Ekbatani agreed to pay $56.5 million to resolve False Claims Act allegations over unsupported Medicare Advantage diagnosis codes, the DOJ announced.

    Matrix will pay $36.5 million, HealthFair will pay $5 million, and Ekbatani will pay $15 million.

    The DOJ alleged the defendants caused Medicare Advantage Organizations to submit false or invalid diagnosis codes to CMS, increasing risk-adjusted taxpayer payments.

    Matrix allegedly used in-home assessments to report unsupported conditions. HealthFair allegedly used mobile assessment buses to report unsupported diagnoses under Ekbatani’s direction.

    The whistleblowers will receive major awards. Former Matrix employee Nancy Cahill will receive $7.3 million. Former HealthFair chief medical officer Dr. Robert Oristaglio Jr. will receive $3.6 million.

    Insiders with knowledge of unsupported diagnosis coding, chart-review pressure, mobile assessments, or Medicare Advantage billing failures may have information relevant to public-fraud enforcement.

    Find Corporate Waste helps protect insiders while exposing fraud, waste, and abuse in taxpayer-funded programs.

  • Contractors to Pay $3.6M Over False Veteran-Owned Small Business Certification

    Contractors to Pay $3.6M Over False Veteran-Owned Small Business Certification

    Two government contractors agreed to pay more than $3.6 million to resolve allegations involving False Claims Act and Contract Disputes Act liability tied to federal set-aside contracts, according to the DOJ.

    The settlement involves Officium Global LLC and Loyal Source Government Services LLC. Prosecutors said Officium Global allegedly submitted false or fraudulent claims for payment on seven service-disabled veteran-owned small business set-aside contracts awarded between May 2017 and June 2018.

    According to the settlement agreement, Officium Global was allegedly not entitled to those contracts because its management and daily business operations were not controlled by a service-disabled veteran. The DOJ said the company submitted, or caused to be submitted, false certifications and statements representing that it met all requirements to be a service-disabled veteran-owned small business when it did not.

    Officium Global will pay more than $1.8 million to resolve the False Claims Act allegations. Loyal Source Government Services will separately pay more than $1.8 million to resolve Contract Disputes Act allegations tied to alleged breaches of the same seven contracts.

    The case began as a qui tam lawsuit filed by relator Jeremy Lavin in the Middle District of Florida. Under the False Claims Act, private citizens may sue on behalf of the United States and share in the recovery.

    The DOJ said Lavin will receive more than $680,000 from the settlement proceeds.

    The case is United States ex rel. Lavin v. Loyal Source Government Services, LLC et al., No. 6:19-cv-958, in the U.S. District Court for the Middle District of Florida. 

    Find Corporate Waste tracks False Claims Act recoveries involving government contracting fraud, small-business set-asides, and eligibility certifications. Anyone with inside knowledge of set-aside control failures, pass-through contracting arrangements, or false small-business certifications may have information relevant to public-fraud enforcement.