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Oct 26, 2017 by |

California Whistleblower and Qui Tam Attorney: Manipulating Medicaid


Hospital Settles Whistleblower Case for $12.2 Million

False Claims Act Suit

Whistleblower/qui tam cases brought under the federal False Claims Act (FCA) typically involve direct, illegal claims for reimbursement under government programs such as Medicare and Medicaid.  Sometimes, however, the alleged fraud is more complicated as a recent case illustrates.  In it, a hospital manipulated federal funding rules for indigent care in order to boost hospital revenues. The scheme continued for many years and allegedly allowed the hospital to receive increases in discretionary Medicaid payments to which it was not entitled. Evans Law Firm was not involved in this case in any way. Our attorneys do, however, have extensive experience with whistleblower/qui tam cases under the federal and California False Claims Acts, including cases of government contractor fraud, Medicare and Medicaid fraud, and whistleblower cases of tax avoidance schemes and securities and investment fraud. If you have credible information for a whistleblower or qui tam case in California, call the Evans Law Firm Inc. today at (415) 441-8669.

The False Claims Act entitles private individuals, acting as whistleblowers or “relators,” to bring private actions against parties who have submitted false claims to the government for reimbursements or contract awards, or, as here, alleged accounting misrepresentations around Medicaid eligibility rules. The relator (or “whistleblower”) in this case was a former county official who became aware of the hospital’s allegedly fraudulent practices.  After investigation the whistleblower’s information, the US Department of Justice intervened to prosecute the action on behalf of the government.

Whistleblower/qui tam cases are long and very complex. This particular case involved years of discovery and investigation.  Whistleblower or qui tam cases begin with original and credible information of false claims and include hard documentation and other evidence supporting that information.  We here at Evans Law Firm have years of experience with whistleblower and qui tam cases brought under the False Claims Act and US tax laws against tax avoidance schemes.  We know what the kind of evidence the government looks for in these cases and know how best to structure, organize, and present your evidence and documentation through initial application or complaint, discovery and investigation, and trial and/or settlement negotiations.  

Contact Us

If you or a loved one has information regarding a whistleblower or qui tam case in any California county brought under the False Claims Act for Medicare and Medicaid fraud or other false claims or under the Internal Revenue Code for prosecution of tax avoidance schemes including offshore schemes, contact the Evans Law Firm whistleblower and qui tam attorneys at (415) 441-8669, or by email at <a href=””></a>. Our attorneys have experience with large whistleblower cases, complex financial contract litigation, and large insurance companies. We can help guide your case through whistleblower false claims applications, discovery and investigation, 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.

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