What Is A Qui Tam Lawsuit?

What is a Qui Tam lawsuit? A Qui Tam lawsuit is a legal action filed by a private person against a defendant who defrauded the government out of money and violated the False Claims Act. A Qui Tam lawsuit has several unique features: it is filed on behalf of the government (not by the government

Read More
 

Do I Get Paid For Reporting Fraud?

Do I get paid for reporting fraud? Yes, when you you file a case under the False Claims Act that enables the government to discover the fraud and recover federal money, you get paid. Payment for reporting fraud is one of the main incentives the government offers to encourage people not to remain silent. In

Read More
 

What is upcoding?

What Is Upcoding? “Upcoding” is a type of Medicare fraud. Physicians and hospitals use CPT codes to bill Medicare for procedures and services they perform. When hospitals “upcode” a procedure, they bill Medicare using a CPT code meant for a longer or more complex procedure than the one they actually performed. Upcoding is illegal and

Read More
 

Can I Report My Employer For Fraudulent Billing?

Can I report my employer for fraudulent billing? Yes. A whistleblower can report their employer for fraudulent billing, especially when it involves government money (such as when a hospital accepts Medicare). In those circumstances, federal law protects whistleblowers from retaliation and offers them financial rewards to report fraudulent billing. Filing a qui tam case through

Read More
 

Do Whistleblowers Have To Report To HR?

Do Whistleblowers Have To Report To HR? No. In the United States, whistleblowers are not required to report to HR. Under federal law, whistleblowers can contact their own attorney before filing an internal report of fraud or misconduct. Federal law protects whistleblowers from retaliation and offers incentives to report through an attorney. Internal reports and

Read More
 

What is a Whistleblower Attorney

What is a Whistleblower Attorney? A whistleblower attorney represents someone who alleges that a defendant has broken the law and harmed the public, often through fraud. In the United States, whistleblower attorneys can file “qui tam” suits under federal statutes (such as the False Claims Act). The suit remains a secret until the government has

Read More
 

Is Medicare Fraud A Felony?

Is Medicare fraud a felony? Medicare fraud is a crime in which a person or company uses Medicare patients to defraud the Government. A crime is a felony in which the person convicted can be sentenced to more than one year in prison. Medicare fraud is a felony under the False Claims Act and can

Read More
 

Law Helps California Whistleblower Lawyer

The California Whistleblower Lawyer Has A New Protection For Whistleblowers The California whistleblower lawyer has long been at the forefront of protecting employees and whistleblowers against retaliation, and a new whistleblower law, SB 497, reinforces this commitment. The law gives a California whistleblower lawyer a more powerful method to combat retaliation. Signed into law by

Read More
 

Medicare Fraud Report: $521B Annual Fraud Deficit

A new Medicare fraud report is out. The federal government loses as much as $521 billion per year from fraudulent schemes, a report by the Government Accountability Office found. That accounts for 7% of the federalĀ  budget. One of the worst areas of fraud is in the medical field. More than half of fraud discovered

Read More
 

Nurse Whistleblowers Investigate Johns Hopkins

Nurse Whistleblowers Nurses are often the best whistleblowers. A recent investigation sponsored by AFL-CIO, National Nurses United, and Coalition for a Humane Hopkins has brought to light medical debt lawsuits at one of the largest hospitals in Baltimore, Maryland. The investigation found that even though Johns Hopkins Hospital received public funding to provide charity care

Read More