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Oct 7, 2019 by |

California and San Francisco Whistleblower Attorney: False Claims Under Medicare Advantage


Healthcare Fraud Against The Government

Fraud Under Medicare Advantage Program

Big Cases and Big Rewards

Under the False Claims Act (FCA), the federal government rewards whistleblowers who present credible, original information of false claims made to government agencies for payments and reimbursements. Much of the fraud occurs in the health care field.  Healthcare companies may overcharge, improperly classify Medicare patients for services they do not need, bill for unapproved drugs or pay illegal kickbacks.  The companies responsible include pharmaceutical and medical equipment manufacturers, hospitals, clinics, labs and physician groups.  Lawyers at our firm are currently involved in a large false claims act case against one of the world’s largest pharmaceutical companies.  If you have credible information of fraud against the government, call the whistleblower attorneys at Evans Law Firm, Inc. today at (415)441-8669 and we can help.

Whistleblowers initiate the majority of cases for false claims in the healthcare industry. In a recent example of a successful whistleblower action, the government announced a $5 million settlement false claims act settlement with a medical group that allegedly submitted false diagnoses of senior patients covered by Medicare Advantage.[1]  The false data inflated reimbursements payable for patients under the plan. This type of fraud under the Medicare Advantage program has become a real problem for the government.  In this case, a former employee of the clinic brought the fraud to light.  He will receive approximately $850,000 as a reward for the government’s recovery.

If you have credible information of fraud under the False Claims Act we recommend you consult with counsel regarding how best to proceed.  To be eligible for a reward, whistleblowers must report the fraud through appropriate and timely court filings or an application addressed to the appropriate government agency.  That is where the California whistleblower attorneys at Evans Law Firm can help.  Our attorneys know the appropriate procedures for your type of allegation and know how to organize and present your credible, original information and documentation in the most effective way.  Additionally, our California whistleblower attorneys can represent you in any action for retaliation by an employer for bringing a case. The FCA and other whistleblower statutes protect you from retaliation by your employer for blowing the whistle on fraud. You may be entitled to sue your employer in federal court and seek double back pay (with interest), reinstatement, reasonable attorneys’ fees, and reimbursement for certain costs in connection with the litigation. 

Contact Us

In addition to False Claims Act cases, our whistleblower attorneys handle cases involving bank fraud under FIRREA/FIAFEA, the Commodities Futures Trading Commission Whistleblower Program, the Securities and Exchange Commission Whistleblower Program, , the FINRA Whistleblower Office and the Internal Revenue Service Whistleblower Office. If you have information regarding federal or California false claims, offshore tax avoidance schemes against the IRS, or securities fraud in violation of SEC and CFTC regulations, contact Ingrid M. Evans and the other California whistleblower and false claims attorneys at Evans Law Firm at (415) 441-8669, or by email at <a href=””></a>. Our attorneys have experience with complex financial contracts and large insurance companies.  We can help guide your case through a jury trial or toward an equitable settlement.  We also handle cases involving physical and financial elder abuse, nursing home abuse, whole life insurance and universal life insurance, and indexed, variable, and fixed annuities.

[1] Evans Law Firm, Inc. was not involved in the reported case.

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