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Healthcare Whistleblower FCA Lawyers

Healthcare Whistleblower Lawyers File Claims Under the False Claim Act

The False Claims Act, also called the FCA (or sometimes the Lincoln Law), exists for different reasons. Its purpose is to encourage people to come forward when they encounter fraudulent activity by their employers against the government.

The FCA protects “whistleblowers” from employment-related retaliation to aid in this purpose. The FCA also helps encourage whistleblowing by allowing individuals to file FCA claims on the government’s behalf.

At Alonso Krangle, LLP, our lawyers represent clients who are whistleblowers. If you face retaliation for coming forward with claims of fraud, we can hold your employer responsible for violating your rights under the Fair Claims Act. We can also help you file a qui tam claim on behalf of the government.

Our healthcare whistleblower lawyers have experience handling all types of FCA and qui tam lawsuits related to fraud against the government. Let Alonso Krangle, LLP help you collect the maximum damages allowed by law. Call (800) 403-6191 today for a free case evaluation.

What is Fraud Against the Government?

For the purposes of the False Claims Act, fraud means submitting false claims to the government. It is essentially attempting to get payments from the government for fraudulent reasons. The FCA makes it illegal to submit false claims to the government.
Some examples might include a government contractor submitting invoices for work not performed or a doctor submitting claims to Medicare for patients they never treated.

Fraudulent Claims in the Healthcare Industry

Some of the biggest fraud cases involving false claims against the government are in the healthcare industry. Medicare and Medicaid fraud occurs in different ways and occurs often. Consider the ways Medicare fraud and Medicaid fraud take place:

  • Diagnostic imaging centers ask for reimbursements for tests not performed
  • Companies overestimate clinical costs and submit claims for reimbursements
  • Doctors submitting claims for visits not performed and tests not done
  • Forcing patients to undergo unnecessary tests and seeking reimbursement
  • Performing unauthorized testing on patients and filing claims for reimbursement

Submitting false claims to Medicare or Medicaid is illegal and impacts the taxpayers who fund these insurance plans. Medicare and Medicaid fraud are often uncovered thanks to whistleblowers who want to stop the unlawful behavior. Coming forward can lead to the recoup of millions of dollars for the government and, therefore, the public.

Individuals or businesses that violate the FCA by submitting fraudulent claims to the government can be liable for three times the government’s damages. They can also face civil penalties of at least $5,00 for each false claim.

How Can the FCA Protect You as a Healthcare Whistleblower?

Do you work in a hospital? A federally funded nursing home? A doctor’s office? How can you protect yourself from adverse consequences if you have evidence that your employer is submitting false claims?

The False Claims Act provides very specific protection for health care workers who discover their employer is filing false claims. Given how prevalent Medicare provider fraud is, if you work in health care, you should understand how the laws protect you.

Most importantly, the FCA protects whistleblowers from retaliation in the terms and conditions of their employment. This protection is critical to encourage employees to speak up and report it to their superiors when they suspect their employer is filing fraudulent Medicare or Medicaid claims.

The law states the whistleblower may not be “discharged, demoted, suspended, threatened, harassed, or in any manner discriminated against in the terms and conditions of employment because of lawful acts done by the employee in furtherance of an action” under the FCA.
An employer cannot retaliate if you report fraud to your supervisor or HR department, take steps to investigate suspected fraud, or try to stop the fraud.

If you do experience retaliation, the FCA gives you an opportunity to file a retaliation lawsuit.

Whistleblowers Can File Retaliation Claims

If you experience retaliation after uncovering or reporting Medicare fraud, you might be able to file a retaliation claim.

You will have to demonstrate:

  • You engaged in lawful activity in furtherance of an FCA action
  • Your employer knew about the activity
  • Your employer exercised retaliation against you because of it

If you can prove these things, you might be entitled to relief and damages. For example, if your employer fired you, you could receive reinstatement. If your employer denied your promotion in retaliation, you could be promoted immediately.

You might also receive two times your lost back pay, interest on the back pay, and compensation for other damages sustained. Other damages could include attorney’s fees and litigation costs.

Medicare Fraud Whistleblowers Can Also File Qui Tam Claims

Under the False Claims Act, whistleblowers are granted the authority to file qui tam claims.
A qui tam claim is a lawsuit for FCA violations brought by an individual on behalf of the government. The person who brings the action-the whistleblower- is called a “relator.”

The government may or may not join in the lawsuit.

If the relator proves fraud, the court orders the defendant to pay damages to the government. The relator is entitled to collect a percentage of those damages. In a successful qui tam case, the whistleblower is entitled to 15-30% of the amount awarded to the government, plus legal fees.

For example, if the court orders a doctor to pay $100,000 to the government for FCA violations, the whistleblower could receive $15,000-30,000 for reporting the fraud.

Call Alonso Krangle if You Find Fraud

Consider some questions:

  • Do you work in a medical office, a physical therapy center, or a nursing home?
  • Is someone filing Medicare claims for patients or clients you aren’t treating?
  • Is someone inflating the costs of services you are providing?
  • Is someone ordering unnecessary tests to file more claims?
  • Are you afraid to speak up about your concerns?
  • Are you worried about your job if you do?

If you are dealing with some of these concerns, call our whistleblower lawyers at Alonso Krangle, LLP. We can help you navigate the process of bringing a qui tam claim and, if necessary, enforce your rights under the no-retaliation clause of the FCA.

We know you understand the importance of stopping Medicaid and Medicare fraud and your desire to see that justice is served. We also understand that you have a job to consider. Let our lawyers review your case, lay out your options, and help you reach a resolution that can have benefits for you and the public.

Call our whistleblower lawyers today at (800) 403-6191 for your free consultation.

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Thank you for being there for me
Thank you for being there for me. Thank you for helping me, I so appreciate what you did for me. Please extend my thanks to your staff also
DR
They do what they say
They do what they say. With me they were very professional in every way possible.
N. J.
I am very pleased with the handling of my case by the Law Firm of Alonso and Krangle
I am very pleased with the handling of my case by the Law Firm of Alonso and Krangle. They did an excellent Dave Krangle is an extremely professional and knowledgeable attorney, a true gentleman. Leslie Escobar was helpful and caring at all times I would recommend this law firm to anyone who may have a personal injury case.
SM
Excellent job
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VL
Thank you for everything you have done for me
David-Thank you for everything you have done for me. I appreciate you guys
JB
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I was involved in an accident and needed a good Personal Injury Attorney. A friend referred me to David Krangle of Alonso Krangle LLP. After my initial phone conversation with David, I was confident that I found the right Attorney. David was not only extremely thorough, he kept me updated on every stage of my case. Most importantly, he was always available for questions and followed-up promptly. In most cases, the same day. Since there was a 3-hour time zone difference, I was very appreciative from a client stand point.

With his expertise and guidance, I had a successful outcome. I felt very fortunate that David and his wonderful staff represented me.

If you ever find yourself in need of expert legal advice and guidance. I highly recommend you contact David Krangle of Alonso Krangle LLP. You’ll be in good hands!

F. M.
Thank you for your years of service

I want to take this opportunity to again say thank you for your years of service working on my case, I sincerely appreciate you.

Respectfully,

VL
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Andres,

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RS
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Respectfully,

Parent A B
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All my best to you,

C
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Although in New York, Alonso Krangle could not have been more responsive or accommodating if they were located here in Virginia. I cannot recall a single time when my wife or I called their office and did not speak to either Andres Alonso or David Krangle. They were always completely available and ready to answer any and all of our questions. Their advice and recommendations were always honest, sincere, and accurate enabling us to plan accordingly. Legal proceedings can be a long process, but we never felt left out or forgotten thanks to timely updates initiated by Alonso Krangle. In the end, everything turned out as Alonso Krangle estimated from the beginning. I could not have expected better personal attention or concern from a family member handling my case. As with my friend, I too, would not hesitate to strongly recommend Alonso Krangle as a highly experienced and respected firm that will treat you like family.

LM and MM
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ER
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MC
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I. D.
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Mr. S
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D G
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(Original) Excellent y rápido 100% recomendado a my en cuestión de 7 meses me salió mi demanda son muy buenos me trataron muy bien todos muchas gracias.

RMS
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Gustavo P
Absolutely Instrumental in Helping Me Expose Medicare Fraud That My Former Employer Was Engaging In
When you have to fight Goliath you better call David. Dave was absolutely instrumental in helping me expose Medicare fraud that my former employer (one of the largest pharmaceutical companies in the world) was engaging in. Dave took the time to listen to my concerns and my evidence. He worked tirelessly to bring the best resources to table so that our case would be investigated thoroughly and prosecuted. In the end, the Goliath was defeated thanks to Dave!
Mark W
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F V
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AN
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David – NF
Dave Krangle Worked Restlessly On This Case Until We Won
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K M
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R
Highly recommend
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B. M.

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