‘Qui Tam Whistleblower’ Category

Newly Interpreted Whistleblower Protections Explained

On August 4th, the Securities and Exchange Commission issued an interpretive rule to clarify that the Commission’s whistleblower rules protect whistleblowers who report potential securities violations within the company, as well as those who report directly to the Commission, from retaliation.

The SEC’s whistleblower rules incentivize whistleblowers to bring original information...

Two Managers Of Three California Medical Clinics Indicted In Health Care Fraud Scheme

November 3, 2014 — The False Claims Act empowers health care insiders to file a whistleblower lawsuit on the government’s behalf. Courageous whistleblowers help to protect the integrity of our federal healthcare programs, like Medicare or Medicaid, for those who need them. Under the Act, the United States may choose to intervene in the lawsuit and take primary control for litigating it. The...

Department of Justice to Pursue Medicare Fraud Case Against SavaSeniorCare

Federal Government Joins False Claims Act Lawsuits Alleging National Skilled Nursing Chain Routinely Over-Treated Patients to Increase Revenue from Medicare Payments

 The U.S. Department of Justice (DOJ) announced last week that it has intervened in three whistleblower lawsuits alleging SavaSeniorCare LLC and its related entities have violated the False Claims Act. SavaSeniorCare...

United States Settles With South Carolina Hospital for $72.4 Million After $237 Million Judgment

On October 4, 2005, whistleblower Dr. Michael K. Drakeford, an orthopedic surgeon, filed a False Claims Act lawsuit against Tuomey Healthcare System for violations of the Stark Laws on behalf of the United States. The government intervened and took over the action.

The case alleged that Tuomey violated the Stark Law, which prohibits health care providers from billing Medicare for...

Florida Hospital Pays $69.5 Million to Settle False Claims Act Case

October 12, 2015 — North Broward Hospital District (“Broward Health”), a taxpayer financed system of hospitals and health facilities, agreed to pay $69.5 million to settle federal charges that it made illegal payments to physicians using a secret compensation system that rewarded doctors for patient referrals and penalized them for accepting low income patients. The False Claims...

Drug Manufacturer Coupons as Kickbacks to Medicare Beneficiaries

October 5, 2015 — On September 1, 2015, the Department of Justice announced that Kmart resolved a whistleblower’s allegations that it violated the False Claims Act by offering improper inducements to Medicare beneficiaries. The whistleblower in the case, Joshua Leighr, was a pharmacist who worked in various Springfield, MO-area Kmart pharmacies. While there, he witnessed various Kmart...

What is a Relator Interview and What Can One Do to Prepare for it?

September 28, 2015 — Upon retaining a qui tam attorney and filing a case under seal, the Assistant United States Attorney assigned to investigate the case may contact the qui tam attorney on the record to schedule an in person interview with the relator (also known as a whistleblower). This occurs in a majority of cases that hold merit. The relator interview is one of the first steps...

Multi-Relator Disputes

September 14, 2015 — As summarized in a previous post, whistleblowers (also known as relators) interested in filing a qui tam case must act quickly, because by statute only the whistleblower who is “first to file” her complaint is entitled to pursue the action with or on behalf of the government. Where, however, a whistleblower is able to establish that her allegations are materially...

Private Insurance Fraud and Qui Tam Cases

September 10, 2015 — California is one of two states that has a unique statute that permits qui tam actions in the context of private insurance claims. Generally, qui tam cases involve claims paid for by the government. Any claims paid for by private insurance companies under the False Claims Act are not actionable. Within the False Claims Act context, the idea is that the...

What Happens to My Employment Claims if I Decide to File a Qui Tam Case?

August 27, 2015 – This is an inquiry that comes up relatively often in qui tam cases. Often, when prospective clients tell us their stories, we see multiple actionable claims against the defendant. This may include employment claims such as discrimination, retaliation, wage and hour losses, alongside qui tam claims on behalf of the government. A basic difference between the two is that the...

What are my chances?

That’s the first question everyone asks. The truth is it’s impossible to know. But we can tell you this. Waters Kraus & Paul has what it takes to fight against big corporate interests and win. That’s why we’ve taken more mesothelioma trials to verdict than any other firm. And that’s why we’ve recovered more than $1.3 billion for clients like you. Do you think you have a case? Contact us now to speak with an attorney.

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