Whistleblowing: Medicare Fraud, Fraudulent Conduct, the False Claims Act

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Email David TeSelle: [email protected]

"Hello. My name is David TeSelle. I am the co-leader of the Complex Commercial & Business Fraud trial team at Burg Simpson.

"Do you have non-public or confidential information, or evidence regarding someone cheating or defrauding the state or federal government, false claims or billings by government contractors, medicare or medicaid fraud, illegal kickbacks or referral schemes involving state or federal government, or any other wrongful, fraudulent conduct that is harming the American taxpayer?

"If so, there is something you can do to stop the fraud, and you can get paid for it by the government – typically 15-30% of whatever the government recovers. That is significant when you consider that over $30 billion has been recovered in like claims since 1986.

"What you can do to stop the fraud is file a False Claims Act claim. The False Claims Act imposes liability on people and companies who defraud the government and governmental programs. The FCA allows whistleblowers – regular people like you, who are not affiliated with the government – to file actions on behalf of the government to recoup monies taken by fraud.

"In order to recover a percentage of the recovery, whistleblowers must typically be the first to present direct, independent and non-publicly available information of the fraud to make a claim. States, such as Wyoming and Colorado, also have their own False Claims Act that may apply to fraud committed on state government and governmental programs.

"Please do not attempt to handle these claims on your own. There are certain legal hurdles which must be overcome for your case to succeed. And there are certain potential consequences of the claim that you should discuss confidentially with a lawyer before you proceed.

"Were you involved in the wrongdoing, what liability could you face if you disclose the information you know? For this, and other important questions, you need experienced, competent counsel to advise you confidentially about your rights before you proceed.

"At Burg Simpson, we fight fraud committed against the American taxpayer. We will guide you through the whistleblower process. If you are aware of wrongful conduct and cheating the state or federal government, or otherwise harming the American taxpayer, please contact me, David TeSelle, co-leader of the Burg Simpson Complex Commercial & Business Fraud trial team at Burg Simpson, by phone or email listed below.

"The initial meeting to discuss your rights and whether your case has a potential recovery under the False Claims Act is private, confidential, and without charge to you. We are very selective about the cases we take.

But if your case is the right one, cases can be taken on a contingent fee basis. That means unless we recover for you, we will not collect the fee.

I look forward to your call. Keep fighting for justice.

Whistleblowing: Medicare Fraud, Fraudulent Conduct, the False Claims Act

 

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One thought on “Whistleblowing: Medicare Fraud, Fraudulent Conduct, the False Claims Act

  1. What if a nurse practitioner is suppose to be spending around 45 min with a patient while doing house calls and is billing Medicaid for the full 45 min but she only 10 Max with the patient? She has asked the patient to tell her home office that spends the entire 45 min the patient and to disclose that she only 10 min at most. She asked the patient to make sure to remember to request morning hours for the patient when setting up a home visit but she made patient aware that would visit after hours or like “my last patient so make over time”
    Not only the patient that does for is extremely sick refused to treat her inside her because I patient’s smokes and the nurse practitioner doesn’t like the smell of cigarette smoke so she treats her outside even going as far as setting the cleaning gause on the concrete because remember she is treating her outside. The patient we’re speaking about has staph and has had gangrene. So that is very careless and dangerous to the patient not only to stay of the sun because the nurse practitioner doesn’t the sun, so she treats the patient where the trash cans are stored on the back porch that are taken out to alley once a week therefore on hot days such as where the patient lives in Clarck County NV. It’s not uncommon to see magots crawling out if trashcan on days where the temperature is sometimes 110° therefore the magots form because of the heat but the food that had become rotten naturally breeding magots. Not only but she set her wound cleaning supplies that she is going to use on her patient on the concrete where magots have crawled. Even the the gause that she uses to clean the staph infection area she places where magots have crawled.
    The patient has asked her to please treat her inside but the nurse practitioner refuses to until the husband quit smoking and the cigarette smell has been completely removed. Is what she doing legal as far as asking the patient to lie to her boss if her boss calls to ask how much time she spends with the patient and under no means is the suppose to tell her boss that she only spends the 10 min with her so she won’t get into trouble and will get paid for completing a whole which is suppose to last 45 min to an hour. I know must sound crazy but I have witnessed myself

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