DJO Whistleblower Law Group

05/27/2026

Medicare Advantage fraud harms real patients by leading to unnecessary care or denial of needed services, while billions are lost to fraudulent claims like false diagnoses or phantom services. If you work in Medicare Advantage and see suspicious patterns, your expertise is vital to stopping this fraud.

Learn more about Medicare Advantage fraud schemes and how to report them at https://bit.ly/40Zt3Zq

If your report leads to a successful case, you could earn up to 30% of any funds recovered by the government.

05/22/2026

Insurance brokers are on the front lines of managed care insurance fraud. From kickbacks to enrolling members outside of the established pre-approved periods, brokers are often the first to spot red flags. Staying vigilant can protect our most vulnerable populations and the integrity of the healthcare system.

Learn more about managed care fraud and how to take action in our whitepaper: https://bit.ly/4rhH8gH

If your case is successful, you could earn a potential reward of up to 30% of any funds recovered by the government.

05/19/2026

The Justice Department just announced three new actions targeting more than $500 million in taxpayer-funded programs and related COVID-19 fraud schemes. One whistleblower will receive a reward of $24.3 million for coming forward and helping expose the fraud.

Read the full story here: https://www.justice.gov/opa/pr/justice-department-prosecutes-half-billion-dollars-healthcare-and-covid-fraud-schemes

If you have information about fraud in Medicare, Medicaid, or other government-funded programs, you may be eligible for a whistleblower reward of up to 30% of any government recovered funds if your case is successful.

The Justice Department announced today three separate civil and criminal actions to hold two companies and two individual defendants accountable for schemes that attempted to fraudulently bill taxpayer-funded programs of over $500 million

05/14/2026

Hospice care is meant to support patients during the final stage of life, but fraud can quietly undermine that care. From enrolling patients who do not qualify to billing Medicare for services never provided, hospice fraud harms families and misuses public funds.

Healthcare professionals are often the first to notice when something is wrong. Understanding the most common hospice fraud schemes can help protect patients and preserve the integrity of care.

Learn more about hospice fraud and how to report it at https://bit.ly/466OESG.

If your case is successful, you may be eligible for a reward of up to 30% of funds recovered by the government.

05/07/2026

An Anchorage doctor was sentenced to six and a half years in prison after a $12.5 million healthcare fraud scheme that involved billing insurers for medications the clinic did not actually purchase and then filing false tax returns to hide the profits. Prosecutors said the clinic used free samples, expired medications, and false claims tied to injection treatments over a 15-year span.

Read the full story here https://www.justice.gov/opa/pr/anchorage-doctor-sentenced-prison-multi-million-dollar-health-care-fraud-and-tax-evasion

If you have information about healthcare fraud or tax-related schemes, you may be eligible for a whistleblower reward of up to 30% of any government recovered funds if your case is successful.

An Anchorage doctor was sentenced yesterday to six and a half years in prison and three years of supervised release for executing a $12.5 million health care fraud scheme and evading over $4 million in taxes on the profits of that 15-year scheme. Her husband and co-defendant was sentenced to three y...

04/30/2026

DJO Whistleblower Law Group delivers 12–15 filed healthcare fraud cases annually through specialized origination, including our pivotal role in the $40.5 million Apria Healthcare settlement.

Managing partner Daniel J. Ocasio and Director of Investigations Christopher Piacentile led the qui tam case exposing fraudulent NIV billing since 2016.

04/27/2026

Patient Experience Week reminds us that hospice fraud often means unnecessary tests and care that does not serve patients’ true needs. Reporting such practices helps ensure families receive the support they deserve.

Successful cases may yield up to 30% of government recovered funds. Contact DJO Whistleblower Law Group for a no obligation, confidential case review.

04/21/2026

Aetna Inc. has agreed to pay $117.7 million to resolve False Claims Act allegations that it submitted inaccurate diagnosis codes for Medicare Advantage enrollees to inflate payments from CMS. The case involved two main issues: a "chart review" program where Aetna failed to withdraw unsupported diagnoses identified in its own reviews, and submission of untruthful morbid obesity codes for patients whose BMI records did not support the diagnosis.

A whistleblower, a former Aetna risk-adjustment coding auditor who filed under the qui tam provisions, will receive over $2 million as her share of the settlement.

Read the full story at: https://www.justice.gov/opa/pr/aetna-agrees-pay-1177-million-resolve-false-claims-act-allegations

If you have information about Medicare Advantage fraud, medical billing issues, or managed care schemes, you may be eligible for a whistleblower reward of up to 30% of any funds recovered by the government if your case is successful.

Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees in order to...

04/17/2026

CMS has placed moratoriums on certain home care and DME providers while holding back $259 million in payments amid fraud concerns. As a billing professional, you are positioned to identify these patterns early.

Contact DJO Whistleblower Law Group for a no obligation, confidential case review. Whistleblowers whose information leads to successful cases may earn a reward of up to 30% of any government recovered funds.

04/14/2026

Billing and coding specialists often spot Medicare overbilling first. Reporting confirmed fraud helps protect the healthcare system while offering potential rewards of up to 30% of government recoveries, as seen in cases exceeding $34 million.

Contact DJO Whistleblower Law Group for a free, no obligation, confidential case review to explore your options. If your report leads to a successful case, you could earn a reward of up to 30% of any funds recovered by the government.