Spinmeisters try to smear the new False Claims Act Correction 2008

I want to laugh when people buy into corporate propaganda. Don't you just love people who believe in a "trickle down" theory will actually trickle down to them. I also laugh when the oil companies cry that OPEC is charging too much and Exxon posts multi-Billion dollar profits. Do you believe them? How about the insurance industry that cries about how lawsuits are killing them, and turn around and post multi-billion dollar profits year after year. Corporations spin this propaganda until the average American believes it. Isn’t it Amazing?

The new spin from Beck/Herman legal bloggers for the Drug and Device Law blog claims that The False Claims Act is a "stealth tax". I was shocked by this sentiment when I came across their post “By Litigation - A Dubious Proposal To Expand False Claims Act Liability”. I am not sure what they are reading, but the last time I read the act, the purpose of the act was to catch companies and individuals that are ripping off the Federal Government. How anyone can refer to the False Claims Act as a Stealth Tax is an act of spin that is worth memorializing.

The Beck/Hermann post acts as if the poor company is being looted by pirates instead of realizing that it is the pirates who are being brought to justice. So, don't let the “spinmeisters” confuse you. What would you prefer, letting the poor companies continue to rip off your tax dollars so they can get richer and richer while you pay more and more in taxes?

If you are new to qui tam and the False Claims Act, it is a piece of legislation that involves privately owned companies doing business with the Federal Government that are caught defrauding the government. If found guilty, the private business must pay back the money stolen from the government, plus three times the stolen amount, plus attorney fees, plus costs, plus a fine. The goal of the False Claims Act is to send a warning message to the corporate community that stealing from the government does not pay.

Tough love, right? But it makes sense. If you are caught defrauding the government, you should pay up. Not pay back, but really pay up. A company needs to be penalized hard because it is easy and sometimes profitable (until caught) for a company to defraud the government. So much so, that many companies do it every year. However, it does not make it right for companies to make “billions” of dollars from defrauding from our government. Now, how does the government get the money to pay these defrauders? TAXES. How else?

Is it a "stealth tax" to get money back from companies that stole it in the first place? Isn't that absurd! Yes, there is severe punishment as well. But is that the "stealth tax"? Of course not. Taxes are not punishment. They are the social compact investment in the infrastructure of our nation. Some people may believe we need less infrastructure. Some people want more. That is not the issue. The issue is that we have a solid foundation of representative government that works when the people at the top are honorable and working for the people. (That is a whole other issue I simply can't digress into here). Taxes are simply not punishment and the False Claims Act has nothing to do with taxes.

The fact that the False Claims Act rewards Whistleblowers with between 15% and 30% of the take is not relevant to the act itself because the government uses the False Claims Act all the time without whistleblowers. However, private whistleblowers are awesome. They dig out the fraud and the report it to the authorities. For this, they usually lose their job, lose their homes, and lose their standing in the professional community. They turn their lives upside down. Then 7 years later when the case settles, most of them get a small payout of about 16% (that is a common statistic used for the typical payout) of whatever the government collects. Yes, collects. Not "sues for", collects, which can be hundreds of millions shy of the original fraud claim. Why would anyone do it, If there were no hope for the whistleblower to recover anything,. Who would report the fraud? The intent of the law is to motivate people with money to report fraud.


What happened last year was that the Supreme Court changed the rules. They created a situation where the company doing the fraud could set up a fall guy companies to act as subcontractor intermediaries. These subcontractors would then dilute the fraud between the layers of corporate chaos and by the time, you get to the underlying fraud scheme it is so diluted and mixed up that no fraud charges can be made. The new law cleans up that loophole. Nothing more then a stopgap to a great fraud scheme that our very literal Supreme Court felt they could not stop without a change in the law.

Sorry for the rant, but the position that this is a "Tax" is so absurd as to deserve both the sarcasms and the diatribe.

Off the soapbox till next time: I would love to know your thoughts on this. Drop me a line or post a comment on the Whistleblower Law Blog.

Brian


ABA holds annual Qui tam and Civil False Claims Act Seminar

The annual ABA Seminar on Civil False Claims Act and Qui Tam Enforcement will be held in Washington, D.C.  June 11-13, 2008. 

Since, the civil False Claims Act is a growing area of federal litigation, particularly because of its unique qui tam enforcement, the conference will have experts from all areas – healthcare, defense, pharmaceutical, oil and gas, accounting and consulting, construction, higher education and grant recipients – in which qui tam lawsuits under the FCA have been filed.

Click here for the ABA Brochure on the Qui tam and False Claims Act Conference.




Florida-based AccuLab settles Medicare false claims allegations for $461,000

Florida based, Acculab Laboratories has agreed to settle a qui tam suit alleging false claims and fraudulent billing to Medicare. The company has agreed to pay the United States $461,000 according to the Justice Department. The allegations surrounding the Sarasota based company included included billing Medicare for laboratory services that were not ordered, were not provided, were not medically necessary or were improperly unbundled.

The whistleblower will receive $92,200 of the settlement. The whistleblower provisions of the False Claims Act, allows private parties, called "relators," to file an action on behalf of the United States and receive a portion of the proceeds of a settlement or judgment awarded against a defendant.

It is the American taxpayer who is victimized when a provider submits false claims to Medicare," said acting Assistant Attorney General Jeffrey S. Bucholtz.

The case was handled by the Justice Department's Civil Division, Commercial Litigation Branch; and the U.S. Attorney's Office for the Middle District of Florida. 

Click here to read more from the Department of Justice

Senator Grassley joins in the filing of a whistleblower tax fraud briefs to the Supreme Court

On January 19, Senator Charles Grassley filed an Amicus Curiae ("friend of the court") brief in the U.S. Supreme Court case of Allison Engine Co., Inc. v. United States ex rel. Sanders. The Sanders case will have far-reaching impact on the viability of America's most important whistleblower protection law: The False Claims Act.

According to Stephen Kohn, President of the National Whistleblower Center, "If the Supreme Court were to find against the whistleblowers in this case, it will open a loophole by which fraudulent companies will launder their dirty contracts through subcontractors, thereby defeating the presentment requirement."

The Whistleblower Protection Blog and TAF generously provided the briefs filed by the Petitioner's, Respondents, Senator Grassley and Tax Payers Against Fraud.

Click here to see the release issued by the Whistleblower Law Center.

Gettysburg Vacation and History of The False Claims Act

Hello readers,

I am off on my annual family vacation. I picked my children up from North Carolina and off we went to drive the eastern wilderness of Pennsylvania. There are seven of us, my three children, my niece and nephew, and my wife/partner, Esther Uria LaBovick and yours truly. All seven of us cram into my wife’s SUV. Yes, it is a gas hog. However, traveling with seven people and a ton of luggage, there are limited choices. Think also, about how much fuel we are saving by not flying. As an attorney, who deals with whistleblower issues, trying to free himself from the burdens of work, the pressure of the daily grind, where should I take my family?

We chose Gettysburg. Gettysburg, the famous battleground that changed the momentum of the Civil War. Good history. Good drama. I love it.

It does little to take my mind off my work. Why, you ask? Because anyone who is anyone in the world of whistleblowers knows that the Army of the Potomac won at Gettysburg because President Lincoln had the Federal False Claims Act penned, drafted, signed into law by the time Gettysburg was fought. This saved the Union Army from dealing with empty rifle boxes and having sawdust filled ammunition boxes show up at the battlefield, while the Confederate’s Rebel Yell rained down hellfire upon them. Instead, the Union Army had six shot 35lb sharpshooter rifles to hold off the Confederates with their muskets and swords.

Yes, the whole sawdust filled boxes thing really did happen during the Civil War. I won’t bore you with the historical details, but let’s remember and pay homage to our whistle-blowing roots and realize that part of the reason slavery ended was because the North won the war and part of the reason the North won was because of the False Claims Act.

However, more importantly, why is it an issue today? It is an issue today, because our women and men in Iraq, Afghanistan and other parts of the World do not get the supplies or services they need because of fraud on the government. The Federal Government is not set up to detect fraudulent transactions. We, the citizen taxpayers, count on the courage of whistleblowers to report and prosecute fraud. Oops, I am preaching again. Okay, back to vacation.

I love the history. I am trying to figure out if General Longstreet was actually smarter then the revered General of the Army of Virginia, Robert E. Lee, or if he lost the war by not attacking Culp’s Hill on time because he was sulking after General Lee shot down Longstreet’s revised attack plan. As I said, good drama; and a great vacation spot for kids.

Gettysburg is a beautiful town. From the center of town, you are forty-five minutes from Hershey Park, an hour from Lancaster Pennsylvania and Amish country and about an hour and a half from Philadelphia. We are planning to hit all those areas this week on a whirlwind tour of Americana and American history. I bet my kids feel like vacationing with me is like being trapped in the History Channel. I actually think they are happy to go back to school so they can give their brains a rest.

Enjoy your summer and your kids (if you have them). They grow up as we grow old. Both things happen way too fast!

Signing off from the battlefield!

Brian

Houston Firm Pays $300,000 to Resolve Qui Tam suit for military containers in Iraq

Eagle Global Logistics, paid the United States $300,000 to settle a qui tam suit. The company’s local agent in Kuwait allegedly overcharged the military for rental charges on shipping containers to Iraq for the period from January through June of 2006, according to the Justice Department. The Houston-based company’s containers were for shipments of military cargo to Iraq under an EGL subcontract with KBR, the prime contractor for the U.S. Army’s LOGCAP III contract for logistical support of military operations overseas.

This matter stems from allegations in a suit filed against EGL under the qui tam or whistleblower provisions of the False Claims Act. Under the False Claims Act,  private persons may bring a suit on behalf of the United States alleging the submission of false claims to the government and may receive a portion of the proceeds of the suit. The whistleblowers, David Vavra and Jerry Hyatt, will receive $36,000 as their part of the settlement. Congratulations to these brave whistleblowers for speaking up.

Click Here to read more on this case from the Department of Justice.

Rural/Metro Corporation settles Qui tam suit for $2.5 million

The Department of Justice celebrates another win in the fight against fraud and False Claims Act (Qui tam) violations in a recent settlement by a major ambulance provider.

Rural/Metro Corporation, one of the nation’s largest ambulance providers, has agreed to pay the United States over $2.5 million to resolve allegations that the company violated the False Claims Act. The company was accused of providing illegal inducements to hospitals in Texas in exchange for referrals.

The settlement arose out of qui tam or whistleblower lawsuits filed in 2000 and 2001 by Daniel Block and Adam Wightman, former employees of one of Rural/Metro’s competitors. Block and Wightman  will receive approximately $450,000 as a result of the qui tam settlement.

Click Here to read more from the Department of Justice.

Medicis Pharmaceutical Pays $9.8 Million to Settle False Claims Allegations

Medicis Pharmaceutical Corporation of Scottsdale, Ariz., agreed to pay the United States $9.8 million to settle allegations that the company violated the False Claims Act with respect to claims submitted to Medicaid, according to a Department of Justice announcement earlier this week. The settlement resolves allegations that Medicis promoted the use of a topical skin preparation, Loprox, for use on children under the age of 10, without approval by the Food & Drug Administration (FDA).

The United States and the whistleblowers – four former Medicis employees – alleged that from approximately November 2001 through April 2004, Medicis sales personnel targeted pediatricians, urging the doctors to use Loprox as a treatment for diaper rash.

According to Assistant Attorney General Peter D. Keisler, "Pharmaceutical companies need to know that they will be held accountable for off-label marketing schemes and other illegal activities that affect those programs.” More pharmaceutical companies should be put on notice, they will pay for their illegal activities.

The four whistleblowers will collectively receive in excess of $1,078,000 as their statutory award. Under the qui tam provisions of the False Claims Act, whistleblowers can file an action on behalf of the United States and receive a portion of the settlement if the government reaches a monetary agreement with the defendants.

Click Here to read more on this Medicis Settlement from the Department of Justice.

Medicis announced this week, their first quarter 2007 profits were better than expected. I guess confession is good for the soul. They are trying to put their past misdeeds behind them and move forward. Hopefully, they will learn from the past.


The Supreme Court refuses to dismiss False Claims Act lawsuit against University of Phoenix

The U.S. Supreme Court recently refused to throw out a massive False Claims Act suit against University of Phoenix, that charged the private university with defrauding the government of millions of dollars in federal education loan funds.  The suit will proceed to Trial in Sacramento. It will be interesting to see the developments of this high profile education case.

In 2003,  a False Claims Act suit  was filed  by two former employees who alleged that the University of Phoenix, which offers degrees to midcareer workers, violated federal rules that bar giving incentives to employees to recruit students to enroll in the college.

Two years ago, after a probe by the U.S. Department of Education, the University of Phoenix paid the government $9.8 million in compensation to settle the False Act suit.

Click Here to Read more of the story in the L.A. Times

Loma Linda Behavioral Medicine Center settles Qui tam suit

The Loma Linda Behavioral Medicine Center in Redlands has paid the government more than $2 million to settle allegations that it fraudulently overbilled federal health insurance programs. The government received notice that a federal judge had unsealed allegations against Loma Linda BMC contained in a "whistle blower" qui tam lawsuit.

The qui tam settlement - includes interest -resolves allegations made against Loma Linda BMC in a lawsuit filed pursuant to the qui tam provisions of the False Claims Act. The qui tam lawsuit  was filed in 1998 by a former employee of Health care Financial Advisors (HFA). The lawsuit alleges that HFA helped its hospital clients seek reimbursement for unallowable costs.

The Loma Linda BMC qui tam settlement is the latest in a series of settlements with defendants in the suit. Last year, Jackson Memorial Hospital in Miami paid more than $14 million and St. Elizabeth Regional Medical Center in Lincoln, Neb., paid more than $4 million to settle qui tam allegations that they had failed to disclose and return overpayments made by the Medicare and state programs.

Click Here To Read about the case in the Corporate Crime Reporter and Redlands Daily Facts

DOJ will intervene in the Kerr-McGee FCA post verdict

The Department of Justice filed papers indicating that the government may want the $7.5 million  dollars the jury said was defrauded from the government by Kerr-McGee.

The DOJ requested that Judge Figa to not enter a judgement of dismissal in the case for 30 days while it takes time to consider whether or not to intervene.

“The Supreme Court has instructed that where a court dismisses a relator because he is not an original source, the court nonetheless retains subject matter jurisdiction if the United States intervenes,” government attorneys argued. “Thus, if the United States intervenes in this case, the court will retain jurisdiction despite its March 30, 2007 order that it lacks jurisdiction over Maxwell’s allegations.”

Attorneys for Maxwell filed papers with the court arguing that the jury’s verdict belongs “to the United States of America.”

Attorney Robert Christensen's blog makes an interesting point, when he states in his blog post "that It should not come to anyone's surprise that our government is oftentimes too close to the industries it is regulating. And that many regulatory agencies are run and staffed not by regulators but industry profiteers. Time will tell, how the course of events will play out in this case Uniter Sates v. Kerr-McGee. Keep watching.....

Jury Verdict for Kerr McGee Corp Oil Whistle-Blower is Overturned

Judge Phillip Figa, a federal judge in Denver, overturned a jury verdict in favor of Bobby Maxwell, a whistle-blower at the Interior Department who charged that the Kerr-McGee Corporation cheated the government out of millions of dollars for oil and gas it pumped in publicly owned coastal waters.

According to a Denver Post article citing the ruling, Kerr-McGee's attorney, Scott Barker  "Judge Figa's order is a vindication of Kerr-McGee's position from the very outset of the case. This result is especially appropriate since ... Kerr-McGee had properly and fully paid all the royalties that were due." Bobby Maxwell's attorney, Richard LaFond states "They will definitely appeal. A jury determined in January that Kerr-McGee underpaid $7.6 million. With additional fines and penalties, Kerr-McGee was liable for up to $39 million in damages, according to LaFond.

The ruling could have big implications for whistle-blowers, as well as for the oil and gas industry. According to a New York Times  article (subscription required), three other federal auditors in Oklahoma City have filed similar fraud lawsuits against more than a dozen oil companies; those auditors also say that they were ordered by superiors to stop making their accusations. 


In the New York Times (subscription required), Judge Figa is noted as saying "the False Claims Act requires that a person first ''voluntarily disclose'' any evidence of fraud to the government before filing a lawsuit". Mr. Maxwell presented his evidence of fraud in 2002, and the judge noted that his supervisor in Denver agreed in principle that Kerr-McGee had probably violated the law. But senior lawyers for the Interior Department in Washington said they did not want to proceed, and ordered Mr. Maxwell to retreat.

Menominee tribe charged with False Claims Act suit by the Federal Government

The federal government brought suit against the Menominee tribe 's business arm, alleging it falsely billed the Bureau of Indian Affairs for fire suppression and roadwork while spending more than $1 million for unauthorized purposes.

It seeks triple the amount of the damages, as well as civil fines, fees and costs under the False Claims Act. It didn't elaborate on a total dollar amount for its five claims but seeks a jury trial because of the alleged breach of contracts.

Click Here to Read more details on the story in the Wilwaukee Journal Sentinel

Engineering Firm settles False Claims Act suit for $6.4 million

A Florida engineering firm, PBSJ, paid over $6.4 million to settle allegations that it submitted false and fraudulent claims to the government thereby violating the False Claims Act, according to the Department of Justice.

A $36 million embezzlement scheme that took place over 13 years was perpetrated by PBSJ’s former Chief Financial Officer and two other employees. The scheme involved shifting funds and fabricating entries in the company’s books and records to cover up the fraud, and resulted in PBSJ’s audited overhead rates being overstated. More than a dozen federal agencies were affected by the fraud, including the Departments of the Army, Transportation, Interior and Homeland Security. All three involved parties plead guilty to criminal charges.

DOJ Release on this case

Medicare Fraud - False Claims Act

Medicare is a lifeline to millions of Americans. For the elderly it is often the only source of medical care, treatment, and nursing facility options. Medicare also creates jobs for thousands of doctors, nurses, technicians and other health care workers, whose livelihoods are funded by Medicare programs. The program is massive, and like many large government programs, opportunities for fraud frequently arise. The Medicare Ombudsman's Office is devoted to controlling waste and fraud, but can only do so much with limited resources. Thus the bulk of the responsibility for identifying unscrupulous medical billing practices is placed upon front line health care workers including caregivers, specialists, and medical billing and office staff.  

Our nation's sick and elderly depend on everyday Americans employed in the health care industry to police waste, fraud, and corruption. Thanks to a law called The False Claims Act, honest health care workers are empowered to correct wrongful behaviors of powerful providers such as hospitals and pharmaceutical companies. Once the wrongful conduct is reported through a lawyer, the health care professional is given special “whistle-blower status” and cannot be fired for reporting the fraud. As if preserving precious Medicare resources weren't reward enough, the worker exposing the corrupt provider may share a portion of the government's recovery—potentially millions of dollars.

Vigilant health care workers have exposed numerous forms of Medicare fraud, including:

Billing brand-named drugs where generics were actually provided
Billing for phantom tests and services
Up-coding inexpensive procedures as more expensive
Up-coding nursing or intern work as doctor services Kickback schemes

For example, after bringing hospital podiatry fraud scheme to Medicare's attention, one health care worker was awarded $400,000 of the $2 million recovery. Another hospital worker reported that the hospital had received over $14 million in erroneous payments, and received a $2.1 million award for coming forward. A hospital billing employee discovered a $2 million “up coding” scheme, where his employer had billed Medicare for premium services that were never provided. He was awarded over $300,000.

If you have reason to believe your employer is defrauding Medicare, however large or small, becoming a whistle-blower is easy. Your first step is to speak with a lawyer, assured that any information you give will be held in the strictest confidence. After reviewing your case, your lawyer will help you decide if becoming a whistle blower under The False Claims Act (a qui tam relator in legalese) is right for you. Your lawyer will prepare your case, and submit it to the proper authorities for review. During every step of the process, your lawyer will make sure that your interests as well as your job are protected. Most lawyers skilled with False Claims Act cases like yours will accept your case at no charge to you, asking only for a share of the eventual settlement. 

Stop losing sleep over doubts about your employer's Medicare billing practices. Talk to a lawyer experienced in Medicare False Claims Act cases who can investigate and evaluate your case, giving you an opinion as to where your employer really stands. Doing so is a blessing to vulnerable Americans who depend on Medicare, as well as a potential windfall for the whistle blower.

Preparing for a False Claims Act case

When preparing for a False Claims Act case, you can never be over prepared. Documentation with dates, files, records and detailed accounts are required to move forward with a False Claims Act case.  See below for a few questions that need to be answered when you are preparing for a False Claims Act case:

Do you have a list of the documents, computer files and other proof? Are these documents in a safe place?

Do you have a list of everyone that has knowledge of the matter? Can you locate them?

Do you have names of supervisors and others who would have participated in the false claim?

Do you have a breakdown of the Corporate structure of the company involved in the false claim?
Do you know specific laws, regulations, rules and procedures that were violated by the false claim?

All of the above information is necessary to determine if a false claim or fraud has taken place.