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DOJ Enforcement Actions

The is the principal federal agency authorized to enforce the laws and defend the interests of the United States. As such, it oversees the enforcement of the False Claims Act, the foundation of the American whistleblower system, as well as numerous other laws.

The agency traces its origins to the Judiciary Act of 1789 which created the Office of the Attorney General, and the 1870 Act to Establish the Department of Justice, which established the agency as “an executive department of the government of the United States” with the Attorney General as its head.

The agency is comprised of numerous divisions with the Civil Division and in some instances, the Criminal Division, overseeing investigations and prosecutions under the False Claims Act. The of the federal district where the False Claims Act case is filed also plays a key role in False Claims Act enforcement.

Below are summaries of recent DOJ settlements or successful resolutions under the False Claims Act as well as other successful prosecutions for fraud and misconduct. If you believe you have information about fraud which could give  rise to a claim for a whistleblower reward, please contact us to speak with one of our experienced whistleblower attorneys.

August 1, 2018

Wells Fargo Bank has agreed to pay a civil penalty of $2.09 billion to settle allegations that it knowingly misrepresented the quality of its mortgage loans to investors, in violation of FIRREA, in order to double its production of subprime and Alt-A loans. Nearly half of those loans subsequently defaulted, leading to billions of dollars in losses for investors, including federally insured financial institutions. ;

August 1, 2018

Early Autism Project, Inc. (“EAP”) agreed to pay the United States $8,833,615 to settle allegations brought by whistleblower and former employee of EAP, Olivia Zeigler, that it submitted false claims to TRICARE (a military insurance program) and South Carolina’s Medicaid program for therapy services for children with autism. The therapy services were misrepresented or were never provided. EAP allegedly also created a program under which it billed Medicaid for functions that were not related to therapy services at all and permitted its therapists to regularly bill for more hours than they actually provided therapy services. Olivia Zeigler will be awarded $435,000.

August 1, 2018

Gena Randolph, a speech therapist in Mount Pleasant, South Carolina who owned and controlled Palmetto Speech and Language Associates and Per Diem Healthcare Services, was convicted after committing a health care fraud scheme amounting to a total of $2 million by, among other things, submitting claims for services provided by others or not provided at all. Ms. Randolph faces over ten years in federal prison.

July 31, 2018

Compassionate Home Care Services, Inc., its owner Carol Anders, and her son Ryan Santiago will pay a $3 million judgment for violating the federal and North Carolina False Claims Acts by filing reimbursement claims for services not rendered or rendered by unlicensed aides and family members. Anders and Santiago were also found to have falsified documents to conceal evidence of fraud upon being investigated by the government.

July 30, 2018

South Korean citizen Young Yi was convicted of conspiracy to commit health care and wire fraud, among other charges, for directing employees at her sleep clinics, 1st Class Sleep Diagnostic Center, to solicit patients for additional, medically unnecessary studies, which she then billed to Medicare and private insurance. To hide the fraud, Yi concealed study results, lied about patient co-pays, and shifted bills across various entities she controlled. In all, Yi acquired more than $83 million from the scheme. ;

July 26, 2018

3M Company has agreed to pay $9.1 million to resolve allegations that it knowingly sold dual-ended Combat Arms Earplugs, Version 2 (CAEv2) to the US military without disclosing defects that hampered the effectiveness of the hearing protection device.  As part of the settlement, the whistleblower who initiated the lawsuit will receive $1,911,000.

July 26, 2018

George Barnard was sentenced to five years in federal prison and ordered to pay restitution of $12,774,941.89 and forfeit $4,262,279.38 for defrauding lenders of almost $13 million. Barnard, who owned several title companies and was partial owners of a mortgage corporation, used money intended to fund mortgage loans and pay off the borrowers’ existing mortgages for his personal benefit.

July 26, 2018

Sorensen Gross Construction Company (Sorensen) and its corporate vice president, Khalil Saab, have agreed to pay $2.481 million to resolve allegations that they submitted false claims for payment under a construction contract funded by USAID. Sorensen allegedly subcontracted almost all of the work on a project to build or renovate 16 schools in Aqaba, Jordan to a local Jordanian company, Concorde, in violation of its contract with USAID.

July 23, 2018

Jenelle Robyn Pinkston has been sentenced to three years in prison ordered to pay $63,338 in restitution for her involvement in a scheme to fraudulently obtain income tax refunds.  Pinkston filed 143 fraudulent tax refunds in 2012 resulting in refunds totaling $403,615.00.

July 20, 2018

The Northern District of Illinois announced criminal charges against David Ballard, the vice president of an insurance underwriting group, for fraudulently issuing and collecting premium payments on “matching deductible” policies. Ballard allegedly stole more than $13.5 million through the scam.
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