Reporting Fraud

Considering becoming a whistleblower?

We all have a patriotic duty to report government fraud and abuse. If you suspect that fraud may be occurring at your workplace, please contact us to report it. StopFraudNOW was founded to help ordinary people like you who just want to do the right thing. Our process is efficient and effective:

YOU…

  • Confidentially confer with our team of attorneys, specialists and investigators
  • Provide details explaining how the company is committing fraud

WE…

  • Investigate and collect documents, files, emails, and evidence
  • Vet your claim while protecting your privacy
  • File a sealed complaint on behalf of the United States Government
  • Act as the relator’s legal representatives on the case
  • Provide the authorities with a “disclosure statement” containing all evidence
  • Assist the U.S. Department of Justice in pursuing the case
  • Pursue the case ourselves should the DOJ decide not to pursue

Doing the right thing has its own rewards.

Taking part in exposing and punishing the companies and individuals committing fraud is reward in itself. Aligned with a winning team, whistleblowers can also share in the reward with a percentage of the money recovered by the government as a result of their false claim lawsuit. In many cases, the government will even recover up to three times the amount of money it lost as a result of claims fraud.

Knowing where to file is critical.

WHERE: The team at StopFraudNOW understands that not every court is created equal. Different courts can interpret the statutes and regulations associated with a fraud case in a surprising number of ways. Having the experience and insights to determine which court (or courts) would be best for filing a certain type of false claims is an essential part of a winning strategy.

MISREPRESENTATION OF PATIENT DATA – POPULATIONS

  • Billing inaccuracies and false claims involving patients in nursing homes

Knowing when to file is easy…NOW.

WHEN: The False Claims Act limits the time period during which a lawsuit can be filed. Most must be filed within six years while certain exceptions can extend the period to ten years. If a whistleblower waits too long to file a false claims lawsuit, there is the risk of another relator filing first, in which case, subsequent filings would be dismissed. The faster the filing, the better the chances are that a case will be successful and increase government rewards.

Knowing what not to say.

The fastest way to have a qui tam case dismissed is to make the fraud claim allegations public. To protect the relators and the investigation of their charges, qui tam lawsuits are filed under seal and are not available to the public until the federal government decides whether to pursue the case. Sharing the allegations with friends, posting on social or discussing with anyone other than the legal team can tip off the accused and seriously jeopardize the case.

Doing the right things can be stressful.

Relators take personal and professional risks when they blow the whistle on fraud. While we will protect your privacy, the government also has whistleblower protection programs for claims associated with the False Claims Act and the Dodd-Frank Act as well as with the Internal Revenue Service to mitigate inherent risks. These programs protect the whistleblower against being discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against in the terms and conditions of employment.

 

Types of Fraud

Hospital

Help us fight healthcare fraud.

Fraud and abuse costs Medicaid, Medicare and taxpayers about $120 billion per year – almost 10% of total government Medicaid and Medicare spending.

To fight this rampant fraud, the qui tam lawsuits under the False Claims Act have been used to recover billions of dollars fraudulently taken from Medicare, Medicaid, and TRICARE by healthcare schemes including:

  • Medicaid/Medicare Fraudulent Billing
  • Pharmaceutical Fraud
  • Treatment Issues
  • Misrepresentation of Credentials
  • Billing for services not provided
  • Upcoding or Improper Coding of Goods and Services
  • Bundling and Unbundling Procedures
  • Misrepresentation of Patient Date – Populations
  • Billing Cap Services
Hospital

MEDICAID/MEDICARE FRAUDULENT BILLING QUI TAM CASES

  • Total Neglect or Failure to Provide Services – Submitting claims for services that were not provided
  • Worthless Services – services that are so deficient that there was no medical value.
  • Inadequate Services – denying tests or services at facilities that are paid on a per diem basis
  • Standard of Care – healthcare provider fails to meet required quality of care standards
  • Aggressive Treatment – ordering unnecessary medical tests and medical services
  • Misrepresenting the credentials of the person who provided healthcare services

UPCODING OR IMPROPER CODING OF GOODS AND SERVICES

  • Incorrectly coding healthcare services to be reimbursed at a higher rate

BUNDLING AND UNBUNDLING PROCEDURES

  • Doubling Medicare reimbursements by submitting the same procedure under both bundled and unbundled service claims

MISREPRESENTATION OF PATIENT DATA – POPULATIONS

  • Billing inaccuracies and false claims involving patients in nursing homes

PHARMACEUTICAL FRAUD

  • Off-label marketing promoting prescription drugs for uses not approved by the FDA
  • Bribing or paying kickbacks to obtain business and referrals
  • Sale of adulterated medications — low quality, dangerously made, or harmful drugs

 

COLLUSIVE BIDDING

  • Collusion to secure government contracts

Help us fight securities fraud.

The Dodd-Frank Act (fully known as the Dodd-Frank Wall Street Reform and Consumer Protection Act) is a United States federal law that places regulation of the financial industry in the hands of the government. The legislation, which was enacted in July 2010, created financial regulatory processes to limit risk by enforcing transparency and accountability.

The Dodd-Frank Act contains a whistleblowing provision to encourage those with original information about security violations to report them to the government. Whistleblowers receive a financial reward. If you have evidence of securities fraud, please contact us immediately.