Healthcare Fraud and Qui Tam Lawsuits


Healthcare Fraud in Newberry Can Lead to a Qui Tam Lawsuit

Qui Tam AttorneyHealthcare fraud can include fraudulent actions against insurance companies, drug or prescription fraud, or government fraud. When healthcare fraud involves government programs like Medicaid or Medicare, the False Claims Act can help witnesses file a qui tam lawsuit against the company misusing or stealing federal dollars.

Qui tam lawsuits rely on one or more whistleblowers, who have witnessed fraud against the federal government, to file an action claiming that the business misused federal money or stole money from the government. In 15-25% of whistleblower filings, the federal government will join the qui tam lawsuit and pursue legal action to recover the money lost.

In the case of Medicaid and Medicare fraud, a company will often file fraudulent healthcare statements for services not actually provided, or overbilling for services, in order to receive more money from the federal government. Sometimes, this money is even funneled into kickbacks to other healthcare providers for patient referrals. These actions are illegal and if you have witnessed this type of fraud in your workplace, you may have grounds for a qui tam lawsuit.

Healthcare Qui Tams in South Carolina

South Carolina has many poor, rural residents, which means that many healthcare agencies rely on federal and state spending to provide healthcare services for those in need. However, too many businesses have developed practices to exploit federal money by lying about home visits or services for home-bound populations; over-estimating hours spent with patients; or overbilling for prescription medications. Not only does the federal government lose money, but needy populations do not actually receive necessary healthcare services, which can put their lives in jeopardy.

If you work for a hospital, insurance company, pharmacist, nursing home, or other healthcare provider and you believe you have witnessed Medicare or Medicaid fraud, a qui tam attorney can assist you in evaluating your potential case.

I Suspect My Employer of Fraud and I Want to Understand Qui Tam Litigation

If you have witnessed suspicious business practices in your workplace, which have defrauded the federal or state government of money, you may have a qui tam lawsuit.

Fraudulent Practices & Qui Tam Lawsuits


Fraudulent Business Practices in Columbia Lead to Qui Tam Lawsuits

Whistleblower AttorneyQui tam (pronounced “key tam”) is Latin for “who as well.” These lawsuits, brought forward by one plaintiff called a whistleblower, request that the federal government join as well, and potentially other whistleblowers, who have witnessed corruption within a specific business that violates a law or government contract.

Common whistleblower lawsuits involve antitrust violations, in which a business tries to become a monopoly; Medicaid and Medicare fraud lawsuits, in which a healthcare company lies about the cost of healthcare, or the type of healthcare provided, in order to receive federal money; and contractor fraud, which includes environmental and defense contractors, and involves the contractor lying about services provided, providing faulty equipment, failure to comply with local laws, or using kickbacks to receive favors.

Before Filing a Qui Tam Lawsuit in South Carolina

If you work for a government agency, work for a business that contracts with a government agency, or work for a business that receives state or federal money, you may have witnessed bad business practices or fraud, and you may not know what to do. Too many employees keep quiet in order to keep their jobs, especially in the wake of the recent Recession.

If you do choose to pursue action, and confront your employer, you are within your legal rights to do so. However, sometimes employers react poorly when they learn that employees have seen fraudulent business practices and will fire the employee that reports it. This is retaliation, and can be added to the indictment you file in your qui tam lawsuit. It is illegal for businesses to retaliate against employees who blow the whistle, whether the employee files a qui tam lawsuit or simply reports the fraud to a superior.

I Might Have Witnessed Fraud in the Work Place, Should I File a Qui Tam Lawsuit?

You may have experienced fraudulent business practices at your workplace, and believe you should file a qui tam lawsuit. This type of litigation takes years, in many cases, and is extremely complex. Do not go into complex litigation alone; contact a qui tam attorney for help.