The contracting of federal, state and local public works projects is a lucrative business. Many construction firms and their subcontractors turn a handsome profit by bidding on and then completing these public projects. New York taxpayers should remember that, in a...
Blow The Whistle
And Do The Right Thing
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New York Qui Tam Law Blog
How to cope with the stress of whistleblowing
Blowing the whistle on your employer or the government can be frightening. You might be putting your career and your own personal well-being on the line, leaving you uncertain and scared for the future. However, you shouldn’t let your fears prevent you from standing...
How do insurance providers commit adjustment fraud?
The intersection of private insurers and government-sponsored programs often gives rise to unique challenges. One such challenge is insurance providers taking advantage of the federal government’s Medicare Advantage program through adjustment fraud. Medicare...
Whistleblower provisions and protections in the Dodd-Frank Act
The Dodd-Frank Wall Street Reform and Consumer Protection Act came into effect in July 2010. Named after its sponsors, Senator Christopher J. Dodd and Representative Barney Frank, the Dodd-Frank Act was in response to the huge financial crisis of 2007-2008, with the...
The Supreme Court considers whistleblower retaliation protections
This fall, the U.S. Supreme Court heard arguments in a case involving whistleblower retaliation. The ruling in that case is highly anticipated because it will determine whether a whistleblower who alleges that their employer retaliated against them must provide...
When to speak up: identifying and reporting Medicaid fraud
As a Medicaid recipient, you have the right to receive necessary medical care and services that help improve your health and well-being. However, sometimes, health care providers may bill for services that are not medically necessary or may upcode (bill for more...
How to secure evidence before blowing the whistle
Do you intend to “blow the whistle” on your employer and report what you believe to be misconduct to the government? Would-be whistleblowers are usually actively encouraged by the government to stay in their positions and keep working as long as they can (so long as...
Medical professional kickbacks must be addressed
Medical kickbacks involve the exchange of anything of value in return for patient referrals or the purchase, lease or order of goods or services reimbursed by federal health care programs. These kickbacks are often disguised as legitimate transactions, which makes...
What signs of Medicaid fraud should providers look out for?
Medicaid fraud is a severe issue in New York, costing the state valuable resources that could have been allocated for other urgent needs. This type of fraud can involve one or more parties, including patients, health care providers and practitioners. If left...
Beyond internal reporting: 3 signs you should take action
The decision to escalate suspected illegal activity to the government can be a complex one. A specific provision under the False Claims Act, known as qui tam, allows individuals to take legal action on behalf of the government against fraud. But it is not always...