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Sep 22, 2017 by |

California Whistleblower and False Claims Attorney: False Billing

ATTORNEY NEWSLETTER

 

Large Whistleblower False Claims Case Unsealed

$60 Million Medicaid Fraud Alleged

 

Whistleblowers often help the government recover money under the federal False Claims Act (FCA). Whistleblower applications are sealed initially until it is decided that the case will proceed in the open.  Recently, a whistleblower (also known as “qui tam”) case alleging that a large senior living facility chain submitted approximately $60 million in false acclaims to Medicaid for reimbursement was unsealed.  We at Evans Law Firm have years of experience with complex whistleblower and qui tam cases and want to share some facts of the recent case with you. If you or someone you know has information regarding a whistleblower, qui tam, or false claims case, call Evans Law Firm, Inc. today at 415-441-8669.

 

The facts of the case allege that the senior living facility billed the government without consideration for what the patient themselves might be responsible for under the law. That is, the defendant allegedly billed the government for maximum allowable charges even though rightful charges might have been significantly less.  The case also alleges that defendant was not properly and adequately staffed as reimbursement guidelines require.  Finally, the complaint also alleged extra hours of service were being improperly charged.

 

False claims and billing such as in this case cost Medicaid, Medicare, and the federal government millions and sometimes even billions each year. In fact, healthcare fraud is the largest kind of fraud perpetrated in America today.  Ultimately, we as taxpayers bear the cost of this fraud.  If you have credible information of this kind of fraud, consult a professional and come forward.  These kinds of cases are very complex and take a long time, but the government awards up to 15% of its recovery to the whistleblower.  We at Evans Law Firm know what the government looks for in the cases, how to sift and marshal the evidence required and how to guide your case through application, investigation and discovery and trial.  Call us today at (415)441-8669 and we can help.

Contact Us

 

If you or a loved one has information regarding false claims in any California county, contact the Evans Law Firm whistleblower and false claims attorneys at (415) 441-8669, or by email at <a href=”mailto:info@evanslaw.com”>info@evanslaw.com</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 physical and financial elder abuse, qui tam and whistleblower law, nursing home abuse, whole life insurance and universal life insurance, and indexed, variable, and fixed annuities.

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