What is Qui Tam

Florida Qui Tam

Qui tam is a very interesting niche practice in the law. It has a long history in the United States and today is widely used by the Government.

The qui tam provisions started in the 1800’s during the United States Civil War. President Abraham Lincoln was getting his army requisitions ripped off and he was buying things that were not coming through once he bought them. For instance, the Union army would pay for rifles and instead of getting a thousand rifles they would get 100 rifles and they wouldn’t work.

So, they wanted to figure out a way of making sure that what they were purchasing was what in fact what they were trying to buy. They created a reward system called qui tam, which is short for a Latin phrase which means “he who sues on behalf of the king sues for himself as well.” In other words, if you as someone who knows that a deal is going through, and also knows that the person doing business with the government is going to rip off the government, and you turn them in, commonly called a whistleblower, that you will be included in part of the savings, reward, or recovery that the government gains in that transaction.

In today’s environment fraud schemes are incredibly complex. But here’s a very simple example.

Corporation A makes a deal with the government to sell them a million paperclips a month and that works for a couple of months, but that corporation realizes that nobody on the governments end is trying to count the paperclips or do anything to make sure that they are getting their million paperclips. Instead they decide “you know what, we are going to send them 900,000 paperclips a month.” Since nobody is counting, they are getting away with 10% of the deal. Then they decide to send 800,000. This goes on for five years. Five years go by of ripping off the government 20% on that contract until someone in the company finds out, and when they do and look back and realize that millions of dollars of purchased paperclips have never been sent to the government, they can tell the government about that. When the government recovers, they can recover a reward with the government.

Unfortunately, it doesn’t happen easily. First off, the schemes are very complex, so one needs the paperwork, documentation, etc. Second, the government is very apt to listen to you, and then in the end if you are not properly secured in your claim, the government may not allow you to keep that claim and not give 15-30% of that money.

That’s why it’s necessary to have an qui tam attorney to represent them in going to the government. The people that they should hire for that job should be attorneys with governmental prosecutorial experience. You would want somebody who understands how the government works and to bring the case to them in a format they understand, in a significant organized fashion. In doing so, the person who gives them the claim, the professional name for that is "relator", the "relator" secures their claim so that they can then recover in the end.

It’s a long and arduous process. It can be risky for the "relator" They have to be willing to go out and do these things. But usually, if they have a really valid claim, it can be extremely lucrative.

Mike McQueary - New Whistleblower Case Could Be Filed Against Penn State

Mike McQueary, The Penn State assistant football coach who testified seeing Jerry Sandusky acting inappropriately with a young boy in a Penn State locker room shower, has given notice that he is going to be suing Penn State University. The four page document, filed today by McQueary’s attorney, calls it a whistleblower case and McQueary is seeking damages outside normal arbitration limits.

Whistleblower means that the person you have made the charges against, or someone you have gotten in trouble, is in a position of power and has taken advantage of you, instead of praising you for doing the right thing, they fire you. This is what McQueary is saying. His claim is that Penn State fired him because he blew the whistle on the bad things they were doing.

It’s an interesting whistleblower case, to say the least. There is a federal whistleblower protection law, but that is mainly used by Federal employees. Chances are he will be filing under the Pennsylvania whistleblower protection law. You only have six months to file it and he is right up next to the deadline.

What Does He Need to Prove to Be Successful?

McQueary starts off with a pretty strong case. He blew the whistle, and his allegation is that he went ahead and told about Jerry Sandusky and subsequently got fired. Did he get fired because he blew the whistle or was he fired for other reasons?

It’s obvious that Penn State will claim that they didn’t fire him because he was a whistleblower. They are going to claim that they fired him because he didn’t do what he was supposed to do. Only time will tell as this case unfolds.

What’s The Next Step in This Process?

Probably what will happen first is that both sides will come together and see if they can settle this case before it gets filed. What McQueary’s whistleblower attorney has done is put the University on notice and probably has some kind of effect at stopping the statute of limitations.

If an agreement is not reached, then the lawsuit will be filed, detailing much more information than is currently available. Penn State will then have a chance to answer the lawsuit and give the reasons why they went ahead and fired him. It is highly probable that Penn State will claim that it had nothing to do with McQueary being a whistleblower.

Politics is the only thing that will save the drug companies from their own illegal schemes

Florida Qui Tam

Politics is the only thing that will save the drug companies from their own illegal schemes. Unless they can gather the forces of the pro-business political wing of America, and change the law, I believe the Federal False Claims Act is working literal magic on the US budget by actually prosecuting drug companies for their illegal marketing of drugs for off-label use.

Today, the Department of Justice Announced a staggering $1,600,000,000 settlement with Abbott Labs. According to the Chicago Tribune (http://www.chicagotribune.com/business/breaking/chi-abbott-to-pay-16b-to-settle-depakote-claims-20120507,0,7263674.story), of the total award, $800,000,000 will resolve the civil case and $700,000,000 will resolve the criminal penalties and $100,000,000 will resolve the state consumer protection actions, which sprung out of the investigation.

How much money did Abbott Lab make to be able to buy themselves out of criminal and civil penalties? What was the giant settlement about? It was about Abbott Labs being accused of illegal marketing practices for its blockbuster drug Depakote. Depakote is an anti-seizure medication, and this settlement has generated a lot of negative press for Abbott. Recently ABC World News reported that the drug was being illegally prescribed in nursing homes nationwide. Abbott was allegedly convincing the nursing homes to use the drugs to treat aggression in dementia patients. In fact, they admitted they trained a special marketing force to teach the nursing homes that the drug was not regulated by the federal laws designed to stop the use of medications for unnecessary purposes in nursing homes. They did this even though they had no credible evidence or testing to show Depakote helped the condition.

There is a definite increase in the Justice Department's desire to prosecute illegal marketing schemes in which drug companies engage. This is especially true when the drug company markets their drug for an "off-label" use. Due to the number of calls we are now receiving to investigate this type of practice, it is almost worth specializing in just off-label drug cases as a law firm. Even in the Abbott settlement the Wall Street Journal is saying Abbott will still plead guilty to some criminal charges as well as to stay on probation for five years, during which time it must self report any probable violations of the law to their probation officer. That is amazing! To pay a staggering fine and then plead guilty to a crime is a harsh penalty.

According to the Washington Post (http://www.washingtonpost.com/national/health-science/abbott-laboratories-agrees-to-16-billion-settlement-over-marketing-of-depakote/2012/05/07/gIQAh5098T_story.html) this settlement is the "second-largest" enforcement action that is the result of the increased enforcement efforts by the Justice Department criminal division concentrating on drug makers off-label or misbranding their drugs in the market.

If you have a question regarding the marketing practices of any drug company, please call the LaBovick Law Group. We have staff trained to understand this type of claim and answer your questions.

Qui Tam - Why Is The IRS Not Taking Advantage?

Tax whistleblower cases, often referred to as Qui Tam, have become increasingly important since their inception in 2006. The program has allowed the United States Government to recover a huge amount of money from those trying to defraud the Federal Government. In fact, The Obama Administration recently announced that Qui Tam is responsible for the recovery of over twenty billion dollars, but in addition, even more money has been generated from the fines attached to such cases.

The United States Congress thought the IRS would enjoy this program as well. They envisioned Qui Tam as being a very successful way of getting people to report those that were breaking tax laws by using a cash reward incentive based upon a percentage of the recovery. But in the five years since the law went into effect, the Internal Revenue Service has issued only one, yes one reward under the Qui Tam program.

One does have to scratch their head in wonder as to why the Internal Revenue Service is not taking full advantage of this lucrative program. One would think that the IRS would be jumping at the chance to recover billions of dollars from IRS fraud and other tax violations. It’s not for a lack of Qui Tam claims being filed. Many cases have been filed under the Qui Tam, and there is not a lack of validity in several of these cases. It is reported by the IRS itself that thousands of whistleblower filings have been issued. So why has only one payment been made to a whistleblower?

Why Is The IRS Not Qui Tam Friendly?

The hang-up is the reluctance of the IRS to be on board with the program. It was reflected in a recent interview with the former Internal Revenue Service Chief Counsel, "I believe it is unseemly in this country to encourage people to turn in their neighbors and employees to the IRS." This was a shocking comment to hear from a person whose sole responsibility was to implement the laws, such as Qui Tam.

Many road blocks have been initiated by segments of the IRS, specifically the IRS office of Chief Counsel, which discourages Qui Tam whistleblowers. They have set forth several rules that narrow the sources of recovery and imposed withholding requirements on Qui Tam rewards, to name a few.

It’s a frustrating matter, especially with our current economic condition. The Qui Tam program could potentially recover several billions of dollars which could be utilized for the gap in government funding, but instead, has been road blocked with bureaucratic red tape.

New York State Joins Whistleblower/Qui Tam Case Against Sprint

New York Attorney General Eric Schneiderman announced last week that New York state joined a whistleblower/qui tam case against Sprint-Nextel Corp. "for deliberately under-collecting and underpaying millions of dollars in New York state and local sales taxes on flat-rate access charges for wireless calling plans."

According to a Forbes Investing article*, the attorney general is proactive and engaged in this matter, as he should be, compared to the nonchalant Internal Revenue Service (IRS).

IRS whistleblower cases are complex, but by joining this case against Sprint and pushing the matter into the public eye, Schneiderman is accomplishing a lot for New York taxpayers, in addition to the potential collection of $300 million from the cell phone service provider. This announcement will hopefully encourage others to come forward about significant criminal tax acts and should encourage better New York tax law compliance.

These claims are taken seriously, and all parties need to realize that.

"Clearly, Schneiderman gets the value of whistleblowers," Erika Kelton wrote for Forebes. "The IRS, however, apparently still doesn't."

And we couldn't agree more!

Information to whistleblowers about their cases has been cut off completely by the IRS, and in the five years since the IRS tax whistleblower program was created, only one known award has been made to a whistleblower.

Whistleblower claims can be effectively managed and pursued, and the IRS should take heed from Schneiderman's actions. It's not only in New York that these issues can occur. And hopefully this case against Sprint will help collect owed taxes and narrow the state's budget gap for the greater good of New York taxpayers.

St. Lucie County Woman Files Wrongful Termination Suit Against St. Lucie County Humane Society

Cindy Wade, a former employee at the St. Lucie Humane Society, has filed a wrongful termination suit against the rescue shelter, only weeks after the St. Lucie Humane Society had been cleared of allegations of animal abuse.

Wade, a former veterinarian technician at the shelter, said she had witnessed many occurrences of animal cruelty by some of the employees at the shelter. The sheriff’s office has since conducted a full investigation and found no evidence supporting her claims.

She filed the wrongful termination law suit on Monday. The claim is that she was fired in December as a result of being a whistleblower. She had first reported the allegations to police in November, a month before her termination.

The director of shelter operations said he suspended Wade because of work-related issues and for making false allegations against the shelter — not for being " a whistle blower."

Wade is seeking more than $15,000 in damages and is also seeking reinstatement of her position at the shelter. The whistleblower lawyer is also seeking a court order that would stop the St. Lucie Humane Society from firing her in the future for a related cause.

Wade is quoted as saying "(The suit is) going to get them more exposure, "It's going to bring more attention to their needs. What I want most is the best quality of care they can get."

We will keep you informed as this case develops and further information becomes available.

Banking Industry Settlement Comes On the Backs of Whistleblowers

There is no doubt that whistleblowers are changing America for the better. Just last week a new Act was signed to help homeowners who were the victim of malicious bank persecution trying to steal them of their home. Further, the US Attorney’s office recently announced a multi-state government settlement with five of the largest banking institutions to make up for their foreclosure abuses which caused the financial meltdown in the American Economy over the last three years.

The key to these settlements was not the victims. Due to the culture of our society the victims here are portrayed as wrongdoers, so we needed industry insider’s to gather the information necessary to take down these huge financial institutions. Without the insider’s information we would have never had proof of how the giant banking industry scammed the system and stole from homeowners and all taxpayers.

Thankfully, a few employees did the right thing. Most of them lost their jobs and will be shunned in the industry for many years to come. However, what was happening was almost criminal. We are still fighting with one of these institutions that foreclosed on a couple when they never missed a payment. After 18 months of litigation and going through hell, the bank still will not admit to wrongdoing. We will see what becomes of our suit in the near future after this settlement.

The Grimm Act and Why it Might Hurt Whistleblowers

Florida Qui Tam

At the present time politicians wonder “Why are we so hated?” They sit in total befuddlement about why they are “So poorly regarded.” Basically, politicians are about as loved and trusted as snakes, alligators, used car salesman and ambulance-chasing-low-rent lawyers. But then you get stuff like New York congressman Michael Grimm’s new bill that gives Wall Street and big corporations the right to rip off Americans and not have to worry about Whistleblowers any longer! Of course, the rest of the politicians are lining up to pass the bill because big business and Wall Street needs a little legal protection from being called out for ripping off America.

The Grimm Act, which is listed as House Bill 2483, is being called the “Whistleblower Improvement Act” and was written and created to take down the corporate whistleblower protections we finally have in the United States. It is basically a bill to stop Whistleblowing! America needs to read this bill and write their congressperson to stop being a corporate lackey and vote against the bill.

The bill creates a loophole in the two most important whistleblower laws to come out over the last 50 years. The first is the Dodd-Frank Act, which reformed Wall Street, and the second is the Sarbanes-Oxley Act, which reformed corporate America and their creative accounting departments and led to things like Enron and World Com!

The US Securities and Exchange Commission (SEC) is a busy agency. They cannot investigate every company in America. However, when they receive a tip or a report from an insider, they are able to quickly identify the wrongdoers and bring them to justice. The Grimm Act will undermine the SEC’s ability to take action on those tips.

Under the new law, the SEC would be required to put the wrongdoers on NOTICE and warn them that their company is a suspect. Do you think that may “tip them off,” so they cover their tracks? I DO! This is the same thing as telling the police to warn a drug dealer they are about to come over and arrest him and ask him to “not destroy the drugs and evidence”! Law enforcement cannot be effective in this environment, and the American people deserve better legislation than this corporate protectionist bill.

Federal Law Violations at Countrywide Home Loans and Bank of America

Florida Qui Tam

I have one question: When will the prosecutions start? What prosecutions? Financial institutions across America are filled with high ranking officials who all participated in creating a culture and system of defrauding the American public and crashing the American economy with false and fraudulent loans! Now the evidence is becoming overwhelming. Instead of giving banks bail-out money, we should have asked the government to give them one-way tickets to jail. Not all banks are bad, and not all bad loans are fraud. But the huge amount of loans were issued on fraudulent signatures and false reports, and those fraudulent activities were caused and perpetrated by bank officials who have yet to be called to justice for their misdeeds.

Last month Eileen Foster appeared on a national news show to discuss the numerous federal law violations, which occurred at Countrywide Home Loans while she worked there. Her testimony is proof that the financial debacle that went on at Countrywide and later Bank of America (BOA) was directly related to the fraud created by bank managers and workers to push through home loans. The show was "60 Minutes," and the link to that segment is below. "60 Minutes" is the most trustworthy news program ever produced in TV history. The fact that "60 Minutes" vetted Ms. Foster and found her to be credible and able to testify shows just how bad the corruption was at BOA and Countrywide Home Loans.

Factually, Foster worked at Countrywide starting in 2005 as a senior official. After being promoted a number of times she eventually landed in the position of Senior Fraud Risk Manager. This position put Foster as close to the epicenter of the financial collapse of the US Housing Market as anyone in history. That role allowed Foster access to data that literally detailed a mountain of evidence that corporate employees had forged signatures of clients and borrowers, and altered or simply created fake documents to prove up fake assets or income and push through poorly-placed loans for people who couldn't afford them, on property what was never worth the amount of the loan. The amount of evidence was shocking; the degree of total fraud that was being done to manipulate the bank's automated system of evaluating property value is scandalous as well.

After working in this role for a few months, Ms. Foster realized that the fraud was not local to her city but was being perpetrated across the United States. She found the same mind-blowing fraud in Miami, Las Vegas and Chicago. She then found it in San Diego, Los Angeles and Cincinnati. In other words, the fraud was being perpetrated across the entire business platform. It had become de-facto business as usual and was no longer even viewed as fraud - it was just business!

Ms. Foster figured out that the company was allowing the employee relations department (ER) and their lending managers to collude and not report fraud to the bank's normal internal reporting authority. This was being done to keep the fraudulent activity under wraps and allowed the loan officers to meet inflated closing productivity numbers, which became the norm at the bank. To keep the fraud going as long as possible, the company would allow management to retaliate against any employee who dared to question or "Whistleblow" on the banks fraud!

Prior to Countrywide merging with BOA, Ms. Foster filed a whistleblower complaint with the ER Division at Countrywide. Countrywide never told BOA about Ms. Foster's allegations. Instead they did just the opposite. Countrywide instructed their ER Department to investigate and bring a retaliatory action against Ms. Foster instead. Now that is turning justice on its head.

Once BOA took over, Ms. Foster hoped she was going to a more honest and better run company. BOA took foster in as a Senior Mortgage Fraud Investigator. She accepted that position. It was within that position that Ms. Foster finally learned that Countrywide was wrongfully investigating her. They were trying to use that investigation to cover her complaints and create a reason, outside of needing to get rid of a whistleblower, to terminate her employment with BOA. She found out that the company investigators were trying to bully Countrywide's staff into giving negative testimony against Ms. Foster. When BOA took over Countrywide's investigation of Foster, they decided to ignore the overwhelming evidence that the investigation was simple retaliation and instead they terminated her employment. They only did so after finding out that the US government regulators wanted to question her about Countrywide and BOA's suspicious actions and reporting.

It wasn't until Foster was terminated that she realized she needed to file a Sarbanes-Oxley Act (SOX) whistleblower complaint with the Occupational Safety & Health Administration (OSHA). She did so and challenged the termination. After a relatively short investigation, OSHA ruled on her complaint in September 2011. They found that Foster was the victim of whistleblower retaliation. They also found the retaliation was a violation of the Sarbanes Oxley employee protection guarantees. The Department of Labor wrote in the Order that Foster must be reinstated in her position. Further, BOA must pay her all her damages, including lost wages from the date of termination. Bank of America did not like this ruling, so they are challenging the OSHA ruling and requesting a hearing. We shall see what happens in the future.

Watch the "60 minutes" broadcast here.

2011: A Great Year for Whistleblowers

The Securities and Exchange Commission (SEC) has offered awards totaling hundreds of millions of dollars to employee whistleblowers who reported wrongdoing at their companies. Based on these whistleblowers' information, 220 companies were brought to justice in 2011. The employee reports resulted in the federal government's recovery of billions of dollars. These reports had been made over the past few years to the SEC and the companies' internal compliance programs.

The list of companies forced to repay the federal government is an impressive one. It includes Dell Inc., Qwest Communications, Citigroup, UBS Financial Services, Johnson & Johnson, JP Morgan, Deloitte and Touché, and General Electric Company.

Click here for the full list of companies.

Qui Tam & Whistleblower Cases - Two billion dollar days for the US Attorney in a row!

Two billion dollar days for the US Attorney in a row! On January 6, Johnson & Johnson settled a U.S. probe into their anti-psychotic drug, Risperdal, for $1,000,000,000! According to the Bloomberg news, J&J is going to resolve their long running dispute over Risperdal for a whopping $1 billion. This settlement should cover all the damages each individual state has against J&J as well as the US government’s federal claims. Given GlaxoSmithKlein just settled a claim for $3.2 billion, this settlement shouldn’t hurt J&J too badly. Johnson & Johnson is the largest health product company in the world. If Glaxo can pay $3 billion and that doesn’t count the civil claims against them for Avandia, certainly J&J is better off settling for $1 billion now. The civil settlement may not have included a possible plea deal against Johnson for criminal penalties! Now that is HARSH! They are going to pay $1 billion and STILL pay a criminal price for their allegedly illegal sales practices. The investigation against Risperdal has been going on since 2004. The allegation is that the company was “off label” marketing the drug. That means the drug was being marketed for uses that were not approved by the FDA.

In this case, the Whistleblowing Qui Tam Plaintiff could earn $150,000,000!

Interestingly, the civil cases against J&J for Risperdal have been varied, with two states finding for against the company while two other states found for the company. We will see how this settlement effects the pending civil litigation in the future.

Avandia Cases Are Getting Ready to Settle or Explode

Avandia cases are getting ready to settle or explode:

GlaxoSmithKlien is ready to either pay out or be bleed to death in Avandia cases. Recently they agreed to pay $3 Billion dollars to the Feds to avoid criminal and civil penalties and a trial. That case dealt, at least in part, with improper marketing of their defective drug, Avandia. Over the past few years Plaintiff lawyers have gathered and filed over 30,000 Avandia injury cases in a multidistrict litigation. This is because Avandia was supposed to control diabetes but was actually causing heart attacks. Glaxo knew of the heart attack danger but covered it up. Now Glaxo has settled over 10,000 of 30,000 cases in the MDL but is still fighting the remaining 20,000 claims. So far, (above the $3 billion dollars they paid the government), Glaxo has paid about $700,000 in claims to injured patients.

Now the court is getting impatient with Glaxo. The Judge recently gave Glaxo 75 days to settle up at least 85% of the remaining cases or they would be set for trial. It seems pretty obvious to all of us attorneys involved with Avandia, that after paying a $3 BILLION dollar fine and $700 MILLION in damages, Glaxo KNOWS Avandia was a bad drug and should settle the remaining cases.

We will see that Glaxo actually does, but my bet is their bank account is a lot deeper then the remaining cases. If they can pay the government and the first set of plaintiffs 3 billion 700 million dollars, they can settle up with the rest of the poor people they injured!

Defective Drug Companies Brought to Justice

Florida Qui Tam

HEY WHISTLEBLOWERS! Are you interested in making a huge amount of money? I am betting there are plenty of drug company executives and sales people who are salivating at the possibility of turning their employer into the government for illegal marketing schemes. Over the past few years, the health and drug industry has been busted for multiple violations of federal law and paid huge money in Qui Tam whistleblower cases.

The numbers on some of the cases are staggering. In many health care provider cases, the payouts have been in the hundreds of millions of dollars to settle Qui Tam Whistleblower lawsuits. When this happens, the Whistleblower is entitled to between 15% and 30% of the total funds recovered by the government.

Recently, the mega drug maker GlaxoSmithKline agreed to pay $3 BILLION dollars to the Federal Government to avoid civil and criminal penalties which government prosecutors alleged were created when Glaxo orchestrated an illegal marketing scheme for a group of their most popular drugs. The allegations included ripping off the Medicaid social funds program and promoting off label use for the drugs. This is the largest settlement between a drug company and the government related to illegal marketing practices in US HISTORY! It certainly beats the pants off the 2009 settlement Pfizer paid of $2.3 billion.

This new agreement will close a long running chapter in Glaxo’s history. The US Attorney in Colorado and Massachusetts shared the investigation and prosecution of this mega case. The charges included off-label promotion of Wellbutrin a well known anti-depressant and included the Government’s investigation into the often mentioned defective diabetes drug, Avandia. You may remember Avandia being taken off the market last year by the FDA unless it was given as a drug of last report! This was because it was causing heart attacks instead of helping with diabetes, a somewhat consequential problem for Glaxo. Avandia was promoted as a safe drug when Glaxo knew that Avandia was causing heart attacks and strokes.

I am sure my Qui Tam clients are dreaming about being the Qui Tam Whistleblower’s in a $3 BILLION DOLLAR pay out case. Even at the statutory minimum payout of 15% the Whistleblower in this case should receive a nice check for $450,000,000.00!!! Now that is a good day at the office! The best part of it all is that a company that was breaking the law was brought to justice!

LaBovick Law Group Sues Wells Fargo Bank for Terminating Whistleblower

PALM BEACH GARDENS, FLA. – When a Palm Beach County Wachovia Bank branch manager was reprimanded for not meeting exorbitant numbers, she investigated why her colleagues were. She found evidence of multiple violations of the “Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001” also known as the “Patriot Act.”

The LaBovick Law Group filed a civil litigation lawsuit in September alleging Wells Fargo, N.A. terminated an employee after she brought evidence of these "Patriot Act" violations to her superiors’ attention.

FULL PRESS RELEASE: Wells Fargo Bank Sued for Awareness of Violations of Patriot Act

Beware! Don't play with Qui Tam matches - You Can Get Burned!

Florida Qui Tam Lawyer

Don't Play with Qui Tam Matches without being familiar with the statute - You will get burned!

This week the United States District Court (USDA) Sixth Circuit (6th Cir.) confirmed that the Plaintiff was liable for filing frivolous Qui Tam Actions. In the case of Stalley v. Mt. States Health Alliance, 2011 U.S. App. LEXIS 13895, No. 10-5211/5212 (6th Cir. Jul. 8, 2011) the District Court for the Eastern District of Tennessee held that the Plaintiff had filed a frivolous Qui Tam action against the Defendant for failure to abide by the Medicare Secondary Payer Act (MSPA).

There is no actual authority to file a Qui Tam action for such a violation. However, on it's face, it would seem that breaching any portion of Medicare could straddle you Qui Tam liability. The court said no. To make matters worse, the court granted the Defendant sanctions against the Plaintiff in the amount of $276,589.00. Feeling confident that the MSPA should apply, the Plaintiff appealed.

UH OH! The USCA 6th said WE AGREE and AFFIRM the Sanctions. They also found that the sanctions should be held against plaintiff AND HIS COUNSEL!

The real lesson here is that an unfamiliar legal niche, such as Qui Tam, is a hard place to practice if you don't know the rules.