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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
The Justice Department has just announced what it calls the "largest health care fraud takedown operation in American history." 412 doctors, nurses, pharmacists and other licensed medical professionals have been charged with a massive kickback scheme involving the...
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...
The University of Rochester's Medical Center (URMC) has agreed to reimburse both the state and federal governments the $113,722.10 that they are alleged to have illegally pocketed. URMC is alleged to have violated both the New York False Claims Act as well as federal...
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...
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...
There are many different forms of fraud that involve billing Medicaid. In some cases, a doctor, billing specialist or medical business will intentionally bill for drugs, procedures or services that were never administered or performed. In other cases, doctors or...
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...
In some cases, doing the right thing can put you in an awkward position. Situations that could severely impact your employment may make you second guess whether you should report the wrongdoing you have noticed. However, not providing information could potentially put...
If you've become concerned that your employer or a coworker is committing Medicaid or Medicare fraud, you may have done online research and come across the term "Qui Tam." Many times, employees discover cases of fraud are handled internally by Qui Tam lawsuits. In...