False Claims Act Cases Against Healthcare Industry
Healthcare fraud costs the nation an estimated $68 billion annually. False claims submitted to Medicare and Medicaid are a big part of that fraud. The government can sue to recover under the federal False Claims Act and whistleblowers initiate most of those recovery efforts. The government in turn rewards whistleblowers with cash awards of anywhere from 10-30% of amounts recovered. The California and San Francisco whistleblower attorneys at Evans Law Firm, Inc. represent whistleblowers with information on healthcare false claims made by pharmaceutical companies, medical device manufacturers, labs, clinics, hospitals, physician groups and others. If you have credible information of false claims or any other whistleblower case in California, call us today at (415)441-8669 and we can help.
Whistleblowers are often employees, former employees and other insiders with information of fraud and false claims. Examples of healthcare false claims include:
- Billing for services not rendered or applying service codes with higher reimbursement rates known as upcoding;
- Billing a noncovered service as a covered service;
- Waiving co-pays and deductibles resulting in higher reimbursements;
- Administering unnecessary tests and services to generate higher reimbursement levels;
- Intentional misdiagnosis resulting in more expensive treatments and longer hospital stays;
- Pharmaceutical companies reimbursed for unapproved or faulty medications;
- Kickbacks to physician groups and other healthcare providers for referrals; and
- False accounting and pricing data that artifically increase Medicare or Medicaid reimbursement rates.
Whatever kind of information you have, do not make any calls to the government about it until you have consulted with counsel. Otherwise you may miss out on an award. To be eligible for a reward under the False Claims Act and other whistleblower programs you must report the fraud through appropriate and timely court filings or an application addressed to the appropriate office of the applicable government agency or court. This is where our California whistleblower attorneys 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 toward securing an eventual reward. The law may also protect you if your employer retaliates against you for your whistleblowing and our attorneys can represent you in any action for wrongful termination as well as in your underling whistleblower case.
If you or a loved one has information regarding false claims in San Francisco or elsewhere in California under Medicare or Medicaid or any other government program, offshore tax avoidance schemes against the IRS, or securities fraud in violation of SEC and CFTC regulations, contact Ingrid M. Evans and the other Evans Law Firm whistleblower and false claims attorneys at (415) 441-8669, or by email at <a href=”mailto:email@example.com”>firstname.lastname@example.org</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 handle cases involving financial elder abuse, whole life insurance and universal life insurance, and indexed, variable, and fixed annuities.