Experienced, Dedicated,

and Compassionate

Request Free Consultation

12 Apr Common Types of False Claims Act Cases

False Claims Act cases often come up in the Medicare arena. In such cases, a healthcare provider may bill the government for medical services that are covered by Medicare, and the bill is false or fraudulent for one reason or another. Either they over bill, or they provide unnecessary services or, in the most extreme cases, don’t provide any treatment at all, and they just submit a bill. There are a lot of rules on how a healthcare provider can bill for Medicare, so there are a lot of potential pitfalls, and they have to be very careful. Another type of False Claims Act case that often comes up is against pharmaceutical companies, for instance, if they violate FDA regulations in how they advertise or push their particular drug. Another common type has to do with government contractors. For instance, a defense contractor contracts with the government to update their weapons system or some other kind of military machinery, and they violate some term of the government contract such that had the government known of the violation, or that the person or business was going to violate the contract in the way they did, they would not have awarded that contract or made the payments to that business or person. There are other types, but those are some of the main areas in which the False Claims Act comes up.  ...

Read More

08 Apr The Role of the “Relator” in a False Claims Act Case

When a person files a False Claims Act case, it is filed under seal, and the person who brings it is known as a “relator.” By being filed under seal, the perpetrator of the false claim is not initially aware that the case is brought. While the case is under seal, the relator notifies the U.S. Attorney or Attorney General of the fraud, and the Department of Justice or the Attorney General will investigate the allegations in the complaint. The government has sixty days to complete its investigation, but more often than not, they don’t complete their investigation in under sixty days. The government will typically ask the court for more time, which is almost always granted, with a lot of deference given to the government. At some point after the government conducts its investigation, it will decide whether or not to intervene. If it does intervene, the government essentially takes over the case and prosecutes it. When the government prevails, they obtain an award through either a settlement or a trial judgment. From the award, the relator (the person who brought the false claim to the government’s attention), can receive between fifteen and twenty-five percent of the amount recovered by the government, which can often be a substantial amount of money. There have been some very large awards for False Claims Act, upwards of five hundred million. So, it could be quite a large award to the relator. Now, if the Government decides not to intervene, and the relator pursues the action on their own, then they are entitled between twenty-five to thirty percent of whatever they recover. The judge in the action has the discretion to reduce the amount that the relator receives, but there is a limit to how much a judge may reduce the relator’s share.  ...

Read More

01 Apr What’s a “Qui Tam” action?

A “qui tam” action is short for a long Latin sentence that means “He who sues in this matter for the King as well as for himself.” A “qui tam” action refers generally to any kind of reporting of fraud. In my practice, a qui tam more specifically refers to the False Claims Act. The False Claims Act was enacted by Congress in the 1800’s to prevent or to penalize business or individuals who supplied goods to the Union Army during the Civil War and it was meant to prevent those suppliers from defrauding the Army. Since that time, the False Claims Act has expanded significantly to encompass a wide variety of fraud on the government. Specifically, The False Claims Act makes a person liable for knowingly submitting a false or fraudulent claim to the government, or that causes another to submit a false or fraudulent claim to the government, or knowingly makes a false record or statement to get a false claim paid for by the government (and these are all knowingly doing so). There are other aspects of the False Claims Act, for instance, what is called a “Reverse False Claims Action,” where the person avoids paying money to the government, for instance in an overpayment, where the Government pays too much, and the person or entity has to pay it back. Those False Claims Act cases are rarer, with the more common type being knowingly submitting a false or fraudulent claim to get paid by the government. Under the False Claims Act, a person who is found liable must pay a civil penalty of around $5,000-$10,000 for each violation. And, there is a treble damages aspect to it, so the fines can be tripled depending on how egregious the fraud is. One of the key factors for a False Claims Act case is that the person or business knowingly submits a false or fraudulent information. “Knowing” is defined to be actual knowledge, deliberate ignorance of the truth, or falsity of the information, or reckless disregard of the truth or the information. Unlike a fraud claim, where you have to prove intent to defraud, there is no such requirement under The False Claims Act. All that is required is that it is done knowingly. ...

Read More

24 Mar North Carolina Law Effectively Legalizes Discrimination Against LGBTQ Community

On March 23, 2016, North Carolina's governor signed into law a bill that effectively legalizes discrimination against the LGBTQ community. It is a broad and far reaching bill that is rightly being met with outrage. The Huffington Post has an article about this law that I think is worth sharing with readers of this blog. There is currently a bill being considered in California that would prohibit California state agencies from requiring its employees "to travel to any state with a law in effect that sanctions or requires discrimination on the basis of sexual orientation, gender identity, or gender expression." If passed, this bill could send a strong message to North Carolina and other states that have, or are considering, such laws. It will be interesting to see how this pans out, and I will provide any noteworthy updates on this blog. If you have experienced discrimination at your workplace because of sexual orientation, gender identity, or gender expression, contact the Khadder Law Firm today to speak with a labor and employment attorney about your rights....

Read More

24 Feb Forced arbitration and the Supreme Court

As readers of this blog might have guessed, I am not a fan of forced arbitration clauses for employment and consumer cases. For more information about the injustices of forced arbitration, check out my previous post with a link to a fabulous New York Times article on the subject. Justice Antonin Scalia was in large part responsible for the recent decisions permitting employers and businesses to force people into private arbitration, thereby taking away their right to have their legal claims heard in court and by a jury. With his passing, there are some indications that with the right justice nominated to replace Scalia, there may be a chance that these disastrous decisions could be reversed. The Huffington Post has a blog post suggesting that there may yet be hope based on comments by Justice Ruth Bader Ginsburg. I will keep you posted on any developments that might affect this very important issue. In the meantime, it is important for everyone to keep in mind that elections have consequences on many fronts, including the Supreme Court. The next President (assuming that Republicans do in fact block President Obama's constitutional obligation to nominate a Supreme Court Justice to replace Scalia, as they have threatened to do) will likely appoint two or three justices during his or her term that could change the course of our justice system in profound and important ways. Stay tuned! If you are the victim of unlawful conduct by your employer, and you have signed a forced arbitration agreement, contact the Khadder Law Firm today to speak with a labor and employment attorney about your rights....

Read More