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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
Two whistleblowers have accused United Healthcare Services Inc. of intentionally mishandling or concealing hundreds of complaints in order to jack up its quality ratings and get bonus payments it didn't deserve. United Healthcare Services runs the country's largest...
In a case quite similar to a case we settled, the Pacific Alliance Medical Center, a hospital in Los Angeles, has agreed to settle allegations that it paid illegal kickbacks to doctors and submitted false claims to Medicare and Medicaid. The hospital has agreed to pay...
Under the False Claims Act (FCA), the government and private parties alike have an opportunity to sue anyone who fraudulently has made a claim for government-regulated funds. Some examples of violations of the FCA include a company or individual filing a Medicare...
What kind of person contemplates blowing the whistle on his (or her) organization? In the movies, whistleblowers are typically portrayed as heroic figures - risk-takers, with nerves of steel, ethical above all else. In real life, it's not so black and white. In our...
Last time, we mentioned that some states are currently looking at New York's whistleblower statute as a possible model for prosecuting tax fraud. As we noted, there are currently nine states which allow whistleblowers to pursue Qui Tam cases based on tax fraud. Not...
As we've previously written on this blog, whistleblower or Qui Tam litigation is a means for those who have inside information regarding fraud to file a claim on behalf of the government. Qui Tam litigation allows whistleblowers to assist in holding the offending...
When someone blows the whistle on a company, the United States government has a right to step in and move forward with the case. In a recent lawsuit against UnitedHealth Group (UHG), the government has decided to do just that. The lawsuit, reported on May 2, states...
One law that you may not be aware of but that has a major influence on the United States is Lincoln's law. This was the foundation for the current False Claims Act, an act that now plays a consistent role in U.S. history. A case, identified as Universal Health...
The False Claims Act is also known as qui tam, and it is an act that allows those with evidence of fraud against the federal government's programs and contracts to sue. This individual is suing on behalf of the government, which means that the person can receive...
One of the key questions in qui tam cases is whether the services the federal government was billed for were “worthless.” Essentially, the question examines whether the entity at issue provided services that were worth less than they should have cost, or whether they...