Contractor Fraud: Winning a contract through kickbacks or bribes.

 

Defense Industry Fraud: Supplying guidance systems that do not guide; supplying faulty weaponry, supplying faulty equipment that does not operate in the field.

Environmental Fraud: Extracting resources, such as oil, timber, and minerals from public lands without paying for that right.

Grant Fraud: Misuse of grant funds and making false statements in grant applications to obtain funding.

Mischarging: Billing for goods or services that were never delivered or rendered. For example, charging employee labor to a government contract even though the employee did not work on the contract, or making claims to the government for medical services that were not rendered.

False Negotiating & Defective Pricing: Involve submission of false cost and pricing data to the government during the negotiation of a contract in order to obtain an inflated contract price.

Product and Service Substitution: Providing an inferior product and then falsely certifying that the product met specifications or that reliability testing was performed.

Healthcare, Medicare and Medicaid Fraud: Healthcare fraud cases can involve various activities, such as: falsely certified medical necessity determinations; physician identifier numbers being misused to bill Medicare or Medicaid; mischarging Medicare or Medicaid for the cost of experimental devices; mislabeling unapproved medical devices in order to obtain Medicare or Medicaid reimbursement; billing for tests not performed; performance of inappropriate, unnecessary, and/or duplicative procedures; billing for equipment or supplies never ordered; billing for new or expensive equipment but providing the patient used or inexpensive equipment; completion of a Certificate of Medical Necessity by a drug or equipment supplier instead of the physician; using false diagnosis codes to get Medicare or Medicaid coverage; double billing which is charging more than once or the same service; bundling which is billing more for a panel of tests when a single test was asked for; unbundling which is using multiple billing codes instead of one billing code for a drug panel test in order to increase payment; upcoding which is inflating bills by using diagnosis billing codes that suggest a more expensive illness or treatment; billing at doctor rates for work that was actually conducted by a nurse or resident intern; prescribing a medicine or recommending a type of treatment or diagnosis regimen in order to win kickbacks from hospitals, labs or pharmaceutical companies; Billing for unlicensed or unapproved drugs; and Forging physician signatures when such signatures are required for reimbursement from Medicare or Medicaid.