How to File a Claim
Keep It ConfidentialDo not freely discuss details, evidence or other information that you have about the potential claim. Disclosure to the media or any other individuals prior to filing may prohibit you from sharing in any recovery. Contact an AttorneyOnly discuss your potential claim with a qualified qui tam attorney who can assist you in evaluating the merits of your case. It is recommended that you choose a qui tam law firm, like LPK, that offers an initial "free consultation" and one that will accept your case based on a contingency fee. Timing Is CriticalIf you plan to bring a case, it is important to do so before another "whistleblower" beats you to the courthouse. The first person to file a case under the False Claims Act for a particular fraud virtually preempts all other cases. Potential whistleblowers should keep in mind that the timing of a lawsuit is critical because the False Claims Act has a statute of limitations that may be as short as six years. The Investigation Is "Under Seal"Your lawsuit in federal court will be filed "under seal," meaning it is not available to the public and cannot be discussed with anyone except the government officials investigating the case. Even the defendants - the individual or organization charged with committing fraud - are not initially told about the lawsuit. This gives the government time to investigate the fraud allegations without alerting the defendant. The government then has 60 days to review the case and decide whether it looks like one that is worthwhile to pursue. In reality, seals on qui tam cases are routinely extended for one or two years. The Defendants Are ServedIf the government decides to intervene in the case, the lawsuit is unsealed, a copy is served on the defendant(s), and the government, the "whistleblower" (relator) and their attorneys work together in the case as co-plaintiffs. If the government declines to intervene, the relator may still go forward with the lawsuit, but the chances of a successful outcome are much greater with the government’s participation. Remember… You Are Protected!The Whistleblower Protection Enhancement Act of 2007 (HR 985), an amendment to the False Claims Act, protects you from harassment, demotion, and wrongful termination for reporting fraud against the federal government. If you are aware of or suspect any person, company or entity involved in defrauding the government, do not delay… call Levy Phillips & Konigsberg, LLP, for a free consultation today.
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Latest Qui Tam News
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March 23, 2012 - WellCare Health Plans, Inc. (NYSE: WCG) today announced that the settlement agreements, which resolve the pending inquiries of the Civil Division of the United States Department of Justice (Civil Division) and the United States Attorneys' Offices for the Middle District of Florida and the District of Connecticut, are now effective. These settlements are related to four qui tam complaints filed by relators against WellCare under the whistleblower provisions of the False Claims Act.
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February 24, 2012 - After a year of upcoding accusations and in the face of a reported federal investigation, Prime Healthcare Services President and CEO Lex Reddy has resigned, the California-based health system confirmed yesterday. The company did not mention the reason for his departure, but Reddy reportedly will form a new hospital management company, according to Payers & Providers.
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February 14, 2012 - Up 50% from 2009, Federal authorities say they have recovered $4.1 billion in health care judgments in 2011, marking a record high. The Department of Justice and the Department of Health and Human Services say agencies are doing a better job to stop the fraud by performing on site visits for moderate risk providers and performing criminal background and finger print checks for higher risk providers. In 2011, 323 defendants were charged in a $1 billion Medicare fraud scheme involving nine states, over 100 doctors, nurses and physical therapists.
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February 10, 2012 - The United States Government has reached an $11 million settlement with Dava Pharmaceuticals, Inc. ("Dava"), involving allegations that it violated the False Claims Act by misreporting drug prices to in turn reduce its Medicaid drug rebate obligations.
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February 8, 2012 - Last month, Boeing was forced to pay $4.3 million to resolve federal allegations that it improperly billed the Pentagon for work at the company’s Ridley Park, Pennsylvania facility.
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There are a number of important steps that you should be aware of before filing a potential claim under the False Claims Act. If you follow these steps, you can avoid many problems and pitfalls along the way.
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How to File a Claim