Today, the Supreme Court announced they will decide a case that determines whether a whistleblower who reports securities laws violations internally and is fired is entitled to anti-retaliation protections under Dodd-Frank. The case is Digital Realty Trust, Inc. v. Paul Somers. The company in this case argues that a whistleblower needs to report wrongdoing to […]
Upcoming Pharmacy Conference
We’re excited to announce that BT Pharmacy Consulting is hosting a virtual online conference for independent pharmacists. The virtual conference, which will go live on September 15-19th, will provide advice and tips for independent pharmacy owners and consultants on issues important to them, such as marking, quality control, billing challenges and more. I participated in […]
How Are Whistleblowers Paid?
[This article originally appeared on CafePharma in June 2017, written by Joseph Gentile.] Given the career risk many people take when they decide to blow the whistle, a natural question is how much money you can potentially receive if your information and efforts lead to a successful prosecution? The answer is, a lot. For example, […]
Should You Blow The Whistle?
[This article originally appeared on CafePharma in July 2016, written by Joseph Gentile.] The pharmaceutical industry is one of the world’s most innovative and socially beneficial industries. Every day, pharmaceutical companies and their employees literally save lives. This puts the industry in a tremendous position of trust and power. Unfortunately, this trust is sometimes abused. […]
Risk Adjustment Fraud, Coding Creep, etc.
Risk Adjustment fraud is a major problem estimated to cost Medicare billions of dollars per year. Here is how it works. Medicare pays Medicare Advantage plans a “capitated” rate per insured. That is, they pay a flat rate per covered person per month. However, to compensate plans for the fact that some insureds are at […]
Really Disturbing FCA Case From Los Angeles
Last week the DOJ intervened in a case alleging that federally funded housing developments in Los Angeles were falsely certifying compliance with federal accessibility laws in connection with claims submitted to HUD for millions of dollars in housing grants. According to the DOJ: [T]hese laws require that five percent of all units in certain federally-assisted […]