How Do I Know If I Have A Whistleblower Case?

If you have identified fraud or other unlawful activity by your employer in New York or Florida and you want to blow the whistle, you need to determine if you have a whistleblower case. The following list will help you identify the types of fact patterns that may be grounds for an action under the False Claims Act:

  1. Identify the presence of Federal, State or City money:
    • If your employer is a health care entity: Is a large part of its business reimbursed by Medicare, Medicaid, or Tricare? Is there a sign of Medicare/Medicare fraud?
    • Did your employer receive a substantial State or Federal grant? For example, is your employer an educational institution or a non-profit entity that receives Federal or State funding?
    • Is your employer a Federal contractor or subcontractor to a government contractor such as an aerospace company or Amtrak?
    • Is your employer an importer who pays customs duties?
    • Is your employer engaged in construction of transportation projects such as roads or bridges or do they handle nuclear waste?
    • Has your employer received Federal money and misrepresented itself as a minority business, or an employer of veterans?
  2. Identify the fraud, i.e. why your employer is not entitled to the Federal or State money it received:
    • Are there allegations of direct billing fraud, (i.e.), in the healthcare context, double-billing for a service reimbursable by Medicare?
    • In the healthcare context, are there allegations of kickbacks paid resulting in reimbursement by Medicare/Medicaid?
    • Are there allegations of unlawful claims resulting in Medicare/Medicaid fraud?
    • Are there allegations of violations of any Federal or State Statute, Regulation or contractual term, in connection with the employer's use of the Federal money?
    • Is your employer using Federal money to provide worthless or harmful services?

If you answered 'yes' to at least one of the questions above, you may have a whistleblower case. Click here to learn about whistleblower protection.