Successful Representation Of Qui Tam Whistleblowers In Every Category
The amount of fraud, waste and corruption in federal contracting is staggering. With the help of private-sector whistleblowers, the U.S. government is able to claw back some of that money.
Whistleblower lawsuits under the False Claims Act (FCA) and the Texas Medicaid Fraud Prevention Act (TMFPA) have produced some of the government’s biggest recoveries. The Law Offices of James R. Tucker, P.C., represents those brave individuals who come forward to “blow the whistle” on fraud. For the last 10 years, I have focused almost exclusively on qui tam whistleblower claims, winning monetary awards for whistleblowers in cases across Texas and nationwide.
Blowing The Whistle On Health Care Fraud
Defrauding the U.S. government has been going on forever. The False Claims Act was enacted during the Civil War to prosecute shady arms dealers and suppliers to the Union army. Today much of the fraud occurs in the health care industry, where shady practitioners bilk the government in creative ways that often escape detection even by the watchdogs. Some are nickel-and-dime frauds over several years that add up to real money. Some are large-scale scams intentionally designed to siphon millions of dollars from U.S. taxpayers.
I represent employees, patients, family members and other individuals who refuse to participate or stay quiet about these corrupt practices. I handle qui tam lawsuits in a wide range of fraud schemes:
- Pharmaceutical fraud – Off-label marketing, kickbacks, price gouging, improper billing
- Managed care organization (MCO) – Upcoding, manipulating data, false representations
- Lab and diagnostic testing – Unnecessary tests, unbundling, self-dealing referrals
- Home health care – Phantom billing for “homebound” care not rendered
- Waiver of co-pays – Waiving Medicare copays and deductibles, resulting in false claims, excess services and kickbacks
- Hospice care – Overbilling, eligibility fraud, unnecessary equipment or testing for terminal patients
- Inpatient vs. outpatient billing – Falsely upcoding outpatient services, unwarranted hospital admissions
- Medical transportation – Improper reimbursements for ambulance transport, contract kickbacks
- Durable Medical Equipment (DME) – double billing, kickbacks, unnecessary equipment, fake claims for goods not delivered
- Dentists and orthodontists – Unnecessary dental work, upcoding ortho services, kickbacks, phantom billing
- Hospitals and doctors – The full gamut, including unnecessary services, double billing, upcoding, unbundling, kickbacks, false certifications, grant or program fraud
- Stark Law and Anti-Kickback Violations – Perks and compensation to doctors for referring patients or writing prescriptions; self-dealing referrals where the physician has a financial stake in the referred provider
- Government contracts (including fraudulent inducement) – Bribes or false representations to secure defense contracts, abusing cost-plus contracts, offering defective or substituted products
- SEC whistleblower law – Violations of federal securities laws, such as insider trading, Ponzi schemes, pump-and-dump stock manipulation
Millions Of Dollars Recovered For Whistleblowers
My firm has been involved in record-setting recoveries that exposed multimillion-dollar frauds against the government, including one of the largest home health care fraud scams in U.S. history and a dental provider case that led to the largest Medicaid fraud settlement in Texas.
If you suspect your employer is cheating Medicare or Medicaid or otherwise defrauding the federal government, I can protect your rights and guide you through every step of the whistleblower process. Call my Dallas office today at 214-617-2181 or contact me online to arrange a free, confidential consultation.