Posts Tagged ‘false claims act’

James Hoyer Partner Leads Panel Discussion at TAF Conference

(L to R) Elaine Stromgren, Susan Gouinlock, Sean Keefe, Kristen Folding

James Hoyer partner Elaine Stromgren had the honor of leading a panel on statistical sampling at this year’s annual Taxpayers Against Fraud conference in Washington D.C.  Statistical sampling can be an essential tool in False Claims Act cases, especially when the fraud is too widespread to prove each false claim on an individual basis.

Elaine was able to successfully use statistical sampling to aid in settling the recent Prime Healthcare case for $65 million. She proposed the topic for this year’s conference and worked to assemble stellar panel members to share their expertise.

The distinguished panelists included attorney Susan Gouinlock, co-counsel in the Prime Healthcare Case, Assistant U.S. Attorney Sean Keefe (former James Hoyer partner), and statistics expert Kristen Folding of Amenity Consulting.

The panel discussed important aspects of statistical sampling to help relators’ counsel understand the basic concepts involved in developing an effective and reliable statistical sampling plan. They also tackled tough issues like aggressive challenges by defendants who have attacked sampling as a method to prove liability.  Attendees learned ways to overcome legal challenges to sampling and extrapolation.

As always, this panel and others at this year’s TAF conference provided a wonderful forum to share ideas and help fellow attorneys in our efforts to represent whistleblowers and fight fraud against the government.

 

$65 Million Prime Healthcare Whistleblower Settlement

Prime Whistleblower

Whistleblower’s Fearless 7-Year Pursuit of Justice:

Los Angeles, CA- August 3, 2018— The 5th largest for-profit hospital system in the country has agreed to pay $65 million to settle civil charges of healthcare fraud against the government. Prime Healthcare has also agreed to abide by a Corporate Integrity Agreement with strict requirements and oversight to ensure it will follow Medicare rules in the future. Prime, headquartered in Ontario, CA, has 45 hospitals in 14 states. It was a long-fought battle against the healthcare giant lasting nearly a decade, but whistleblower Karin Berntsen is grateful to finally see Prime held accountable.  Read More…

 

Puerto Rico Tackles Medicaid Fraud with the Passing of its own False Claims Act

The Commonwealth of Puerto Rico recently announced the enactment of House Bill 1627, simultaneously enacting a Puerto Rican False Claims Act and authorizing the establishment of a Medicaid Fraud Control Unit. The new law allows whistleblowers to report any fraudulent act against the Puerto Rican government.   Read More…

 

James Hoyer Chief Investigator Meets with FBI Director

Al Scudieri (Center- 5th from the right) stands next to FBI Director Christopher Wray during a recent meeting in Washington D.C. with former agents.

James Hoyer law firm Chief Investigator Al Scudieri recently had the honor of meeting with FBI Director Christopher Wray in Washington D.C.  AL is the former Supervisor of the FBI White Collar Crimes/Fraud Unit in Tampa and is also the former President of the Society of Former Special Agents of the FBI.

Al’s experience in handling government investigations is an invaluable asset for the James Hoyer law firm. He is able to evaluate and manage incoming cases with a keen understanding of fraud and how the Department of Justice works. His expertise is integral in our many successful whistleblower cases.

 

James Hoyer Attorney Speaks at Annual Certified Fraud Examiners Conference

James Hoyer Attorney Clark Bolton (center) speaks on panel at 19th Annual ACFE Fraud conference in Tampa Bay.

James Hoyer Attorney Clark Bolton offered unique insight at the 19th annual Association of Certified Fraud Examiners conference in Tampa Bay. As a former fraud examiner turned whistleblower turned False Claims Act attorney, Clark provided a rare look at what it’s like to be an insider exposing fraud and now an attorney litigating fraud against the government.

Clark first came to James Hoyer as a client a decade ago. He was one of four whistleblowers in the $137.5 million WellCare settlement with the Department of Justice. Click here to learn more about Clark’s experience as a whistleblower in his own words.

Following the WellCare settlement, Clark took a long, hard look at his life and decided to make a career change. After more than two decades as a fraud examiner, he committed to becoming an attorney.  In his senior year of law school, he joined James Hoyer as an investigator, and with his trademark  discipline and determination, graduated cum laude.  All the hard work paid off when Clark passed the Florida Bar Exam in April 2018 and became an Associate with the James Hoyer firm. It was an incredible accomplishment after a roller coaster decade that took him from the whistleblower to the lawyer who now helps whistleblowers seeking justice.

Clark shared his story with members of ACFE and explained how important it is for companies to listen to employees when they come forward to voice their concerns internally.  Too often, however, he said “greed” gets in the way and businesses ignore employee concerns.  That’s where Clark and James Hoyer come in. As one of the premiere Whistleblower/False Claims Act firms in the nation, we listen when employees feel they have nowhere else to turn.

If you have knowledge and evidence of fraud against the government, click here to contact us.