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:
- 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?
- 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.