False Claims Act and Whistleblower Lawsuits
A California False Claims Act Lawyer for Whistleblowers and Qui Tam Lawsuits
Whistleblowers who witness fraud or uncover crimes going on in their companies have a choice to make, as whistleblower lawyers in California know: to tell or to keep quiet. As a California False Claims Act lawyer will caution you, you could risk professional repercussions if you decide to reveal what you know—being snubbed, losing your job or being blackballed within your company and other related lines of work. But when you keep quiet, especially about fraud that affects a large number of taxpayers or beneficiaries, the criminal activity could continue indefinitely, draining federal funds and jeopardizing legitimate services that Americans need.
To offset the risks, the government has put laws in place to protect whistleblowers who come forward about fraud that involves government agencies or programs, such as Medicare and Medicaid, from negative results, and, in some cases, rewards their risks. One of these laws is the False Claims Act, which allows a whistleblower to file a qui tam lawsuit to report government fraud.
What is a Whistleblower Lawsuit?
False Claims Act lawsuits are known as qui tam claims. According to the False Claims Act, any whistleblower whose qui tam suit results in the recovery of government money will receive financial awards and job protection, in recognition of the personal and professional risks that have been taken. Many qui tam lawsuits are aimed at high-level fraud schemes within the federal government and the media attention and potential for blowback from an employer or government official can put a person who uncovers or witnesses fraud in fear of losing his or her job or suffering other negative consequences.
Some common types of false claim whistleblower cases include:
- Medicare Fraud
- Medical Fraud
- Government Contractor Fraud
- Mortgage Fraud
- Billing the Government (local, state or federal) for goods or services there were not provided
- Overcharging the Government (local, state or federal) for good or services
- Illegal Kickbacks (by pharmaceutical or other companies)
- Healthcare, Pharmaceutical, and Medical Equipment Fraud
Filing a Qui Tam Lawsuit with a California False Claims Act Lawyer
Once a person has gathered evidence of fraudulent activity being committed against a government agency, the first step is to obtain legal representation from a California False Claims Act lawyer. A lawyer will be able to navigate legal responsibilities and the protections afforded in the False Claims Act, which will help a whistleblower retain his or her job (if wanted), and avoid illegal consequences from being incurred.
A qui tam lawsuit will be filed “under seal,” so that the information is kept secure from all parties except the government. During this time, the Justice Department will conduct an investigation into the allegations, without informing the accused parties about the case. If the government then decides to intervene in the lawsuit, the case will be sealed for 60 days, although this can be extended if the government investigation takes longer than 60 days.
If a defendant is found guilty of fraud under the False Claims Act, he or she may be forced to pay three times the amount lost by the government, in addition to penalties assessed for each instance of fraud. The whistleblower will then receive a portion of this award, depending on the information provided.
What Kinds of Conduct Does the False Claims Act Cover?
Generally the Act imposes civil penalties on government contractors who defraud the government. It applies to individuals who:
- Knowingly present, or cause to be presented, a false or fraudulent claim for payment or approval, or
- Knowingly make, use, or cause to be made or used, a false record or statement material to a false or fraudulent claim, or
- Conspires to commit a violation of 1 or 2. 31 U.S.C. § 3730(a)(1)(A) and (B).
These provisions cover a wide range of fraudulent activities, such as:
- Submitting invoices for goods or services that were never delivered or rendered
- Submitting invoices for research that was never conducted
- Double billing
- Billing for drugs, medical devices and other equipment that has not been approved by government agencies
- Failing to notify the government of overpayment
- Submitting a false application for a government loan
- Selling the government worthless or defective products
- Misrepresenting the value of imported goods or where the goods came from
- Inflating the number of hours a contractor worked
- Misrepresenting that the contractor is a member of a minority group or a veteran
- Performing unnecessary medical procedures for Medicare reimbursement
To “knowingly” present a false claim does not necessarily mean that the individual in question is certain that the information is false. It also encompasses individuals who:
- Act in deliberate ignorance of the truth or falsity of the information, or
- Act in reckless disregard of the truth or falsity of the information
The “knowingly” standard also does not necessarily require a specific intent to defraud; rather, the mere submission of a claim containing false information is enough. See 31 U.S.C. § 3729(b)(1).
Please contact a California False Claims Act lawyer for more information about the kinds of fraudulent conduct that can give rise to qui tam actions.
Are There Any Exceptions to the False Claims Act?
Yes, in a few limited circumstances. The following types of actions are barred under the False Claims Act:
- Actions by a former or present member of the armed forces against another member of the armed forces arising out of such person’s service
- Actions against a member of Congress, a member of the judiciary, or a senior executive branch official if the action is based on evidence known to the government when the action was brought
- Actions based on allegations or transactions that are the subject of a civil suit or an administrative civil money penalty proceeding in which the government is already a party
- Actions based on information that is disclosed in judicial documents, congressional documents, or the news media, unless the person bringing the action is an original source of the information.
See 31 U.S.C. § 3720(e).
What Is the Statute of Limitations on False Claims Act Cases?
The statute of limitations in false claims cases is the later of:
- Six years after the date on which the violation was committed, or
- Three years after the date when facts material to the right of action are known or reasonably should have been known by the official of the United States charged with responsibility to act in the circumstances, but in no event more than 10 years after the date on which the violation is committed. See 31 U.S.C. § 3731(b).
Individuals who are in possession of information that could lead to a False Claims Act case are encouraged to move quickly, as the government looks favorably upon promptness when considering the amount of the relator’s share in False Claims Act case
You Will be Protected by a California False Claims Act Lawyer When You Hire Evans Law Firm
Even though whistleblowers are protected by law, speaking out against a company or institution committing government fraud can be risky, California IRS whistleblower lawyers say. For this reason, it is important to understand your rights as a whistleblower and the protections you are granted.
When allegations about a company arise, the Securities and Exchange Commission wants to see that the company is taking these allegations against them seriously and separating the allegations from the actual person making them. Although the Securities and Exchange Commission will consider information on the whistleblower’s credibility, the Commission is concerned with employer’s whistleblowers policies and seeing what the company actually does with the whistleblowers allegations. Additionally, the Securities and Exchange Commission wants to see how the employee is treated after the allegations are made, including making sure that the employee/whistleblower is not discriminated or retaliated against because of the allegations he or she makes against their employer.
Such discriminatory actions include termination, demotion, suspension, harassment and any other act that would dissuade a reasonable person from reporting violations. Moreover, if an employee has been wrongfully retaliated against, they may bring a private action in federal court against their employer. If they prevail, they may be entitled to reinstatement, double back pay, litigation costs, expert witness fees, and attorney’s fees. The Securities and Exchange Commission can also take legal action in an enforcement proceeding against any employer who retaliates against a whistleblower for reporting information.
To discuss a potential case, and start the process of filing a qui tam lawsuit, contact a California False Claims Act lawyer at the Evans Law Firm, Inc. today. We can be reached by email at firstname.lastname@example.org, or by telephone at (888) 503-8267 or (415) 441-8669.