Everything you wanted to know about being a Whistleblower
Whistleblowers have courage and integrity. They help combat fraud in many ways. Whistleblowers who successfully report Medicare & Medicaid fraud under the False Claims Act (“FCA”), securities law violations as an SEC whistleblower, and tax fraud as an IRS whistleblower have generated awards of hundreds of millions of dollars through the use of an experienced whistleblower law firm. Whistleblowers may also report private insurance fraud in California and Illinois and tax fraud in New York.
Law Firm Led By Former FBI Special Agent
Serving Clients Nationwide
Tens of Millions Recovered
Medicare & Medicaid Fraud FAQs
What is considered Medicare & Medicaid Fraud?
Medicare fraud occurs when an entity systemically puts in for Medicare money it is not entitled to, fails to return improperly received funds, engages in self-dealing, and/or pays kickbacks to obtain Medicare patients. Medicaid Fraud is the same unlawful conduct as Medicare fraud, but generally implicates the state Medicaid programs. A good rule of thumb in the healthcare space is to properly report any suspicious or fraudulent activity by using a whistleblower law firm to protect the integrity of the system, patient welfare, and taxpayer dollars. The most common forms of Medicare & Medicaid Fraud are:
- Billing for services not rendered
- Kickbacks and self-dealing
- Upcoding and billing for unnecessary services or items
- Provider enrollment and accreditation fraud
- Pharmaceutical & FDA fraud
Visit our Medicare & Medicaid Fraud page to learn more.
How do I report Medicare & Medicaid Fraud as a Whistleblower?
Medicare & Medicaid fraud claims are brought under the False Claims Act (“FCA”), which allows anyone with a whistleblower attorney and evidence of fraud to bring a lawsuit on the government’s behalf.
Brown, LLC has a whistleblower division led by Jason T. Brown, a former FBI Special Agent and Legal Advisor. Our team has recovered tens of millions of dollars for the government and significant whistleblower awards for our clients. Because the whistleblowing process is complex and rife with pitfalls, it is essential to have a trusted lawyer by your side who can direct a thorough investigation and help you present the strongest case to the government.
What are the Whistleblower Rewards?
Medicare & Medicaid whistleblowers receive hundreds of millions of dollars each year for exposing unlawful activity, on top of saving lives and taxpayer money. Under the FCA, an intervened whistleblower case can result in an award of around 20% of the total recovery, with an average settlement of around $13 million dollars. If the whistleblower proceeds and succeeds without the government’s intervention, the whistleblower award can be between 25% to 30% of the total amount recovered.
The whistleblower lawyers at Brown, LLC work hard to maximize your whistleblower award if successful, because the firm is only paid if you win your case.
Will I lose my job if I report Medicare & Medicaid Fraud?
The law has very rigorous mechanisms to prevent you from losing your job as a whistleblower under the False Claims Act for Medicare Fraud. But you must blow the whistle in the right way. Also, even though the company is not supposed to retaliate, it may illegally try to do so, it may conduct a mole hunt when they are alerted there is a whistleblower and may act in other unconscionable ways to make life more difficult.
Is there a time limit to file a Medicare & Medicaid Lawsuit?
Yes, there are strict timelines for filing whistleblower lawsuits, and it could be a very short time. Furthermore, only the first whistleblower to file is entitled to a whistleblower award. You are not only racing against the clock, but also against other potential whistleblowers. The below video featuring former FBI Special Agent Jason T. Brown, the head of Brown, LLC provides more details about the first to file rule:
Why Consult Brown, LLC?
Brown, LLC has a track record of success with litigation nationwide and is passionate about protecting the whistleblowers. There are numerous reasons to consult them.
First, the consultation is free and confidential and we are only paid if we win your case.
Jason T. Brown, the head of the whistleblower law firm, is a former FBI Special Agent and Legal Advisor. These cases often require interfacing with the United States Attorney’s Office, and he has extensive experience doing so.
Brown, LLC is only paid if we win your case.
- You don’t pay anything up-front.
- If the case is lost you don’t owe the firm anything, but if you win, the reward is usually in millions.
Our whistleblower operations cover the entire United States. We handle cases nationwide, in conjunction with local counsel, and will travel to you if needed.
We are aware of the risk of retaliation Medicare whistleblowers face from the healthcare industry; despite all the protection provided by the whistleblower law. We work with you to maintain anonymity first and a strategy to help cushion any actual or perceived retaliation.
The First to File Rule means the first person to file can obtain a recovery if the case succeeds, the second obtains nothing. Time is of the Essence, Act Now.
In 2016, there were over $500 Million awarded to whistleblowers under the False Claims Act. We at Brown, LLC have a track record of nothing but success.
Additional Whistleblower FAQs
How do I know if I qualify as a whistleblower?
A whistleblower must have concrete information about fraud based on personal knowledge and evidence — not from public sources like the internet or the news. To understand whether you can qualify as a whistleblower under the False Claims Act or other statutes you should speak with a whistleblower law firm that specializes in protecting whistleblowers like Brown, LLC.
Reporting what other types of fraud can generate whistleblower awards?
– Securities fraud takes place when companies seek to manipulate stock prices by, among other things, making false and misleading statements to investors, or in their filings with the Securities and Exchange Commission (SEC) or put the best interest of the client after their own economic interest by insider trading, churning accounts, excessive fees, failure to give best pricing or other fraudulent behavior. With the use of an SEC whistleblower lawyer you can potentially remain anonymous from start to finish.
– Commodities fraud is addressed through the Commodity Futures Trading Commission (“CFTC”) Whistleblower Program, which targets manipulations of commodity futures, options, and swaps that harm investors and consumers. If you know of abusive or deceptive conduct by banks, financial firms, and other entities involved in the sale and exchange of derivatives and other financial instruments, you may be entitled to a significant whistleblower award.
– Tax fraud can be reported to the IRS if you have credible information that an entity or individual is knowingly not paying federal taxes. If the value of the underpayment exceeds $2 million, you may be entitled to a portion of the amount collected. Additionally, if the tax fraud occurs in New York, the New York False Claims Act permits whistleblowers to privately sue on behalf of the government those who knowingly fail to pay state taxes.
– Money laundering occurs when money is routed through banks and other financial entities and conceals the source of those funds. The recently-enacted Anti-Money Laundering Act awards whistleblowers up to 30% of the proceeds recovered in any judicial or administrative proceeding against a financial institution, business or other entity committing money laundering. One example of money laundering is in the cannabis industry, where banks and other entities have held or routed proceeds of marijuana sales, which, although legalized in some states, remain illegal under federal law.
Some example of actionable vs non-actionable whistleblower cases:
Actionable: You have insider knowledge that a hospital is providing kickbacks to non-employees in exchange for incoming referrals of Medicare or Medicaid patients. This is actionable under the False Claims Act and the Anti-Kickback Statute.
Non-Actionable: Your neighbor is receiving Medicare benefits despite not being eligible. This is not actionable under the False Claims Act because it is too particularized with no evidence of systemic Medicare fraud. The conduct may still be criminal, but is unlikely to lead to a whistleblower award under the FCA.
100 Million Dollar Settlement Fund for Women Injured by a New Birth Control Product
Jason T. Brown was the first attorney in the country to file a battery of cases on behalf of women who sustained blood clots, such as deep vein thrombosis, pulmonary embolisms, strokes and death from a new Birth control Product. Jason T. Brown’s prior firm was on the PSC (Plaintiff Steering Committee) and served as liaison counsel in the state mass tort action. The firm is no longer accepting new cases.
Tens of Millions in Settlements for Mass Tort Injuries and Class Actions
$7 Million Plus Settlement for Consumer Fraud
$7 Million Dollar Commercial Litigation Settlement
Millions in Settlements for Women Injured by New Generation Hormonal Product
Women who sustained blood clots from a new Generation Hormonal Product received and continue to receive compensation for their injuries. Compensable injuries include Pulmonary Embolisms (PE), Deep-Vein Thrombosis (DVT), Strokes and Death. The firm is still investigating and accepting cases.
Nationwide $3.5 Million Settlement for Wage & Hour Class Action Case
Case brought on behalf of at home call center workers who were not paid for all their time worked including boot up time, technical time and other time. Workers were told by the company that boot up time which lasted 15 minutes or more was not paid because it was considered their commute to work. Fair Labor Standards Act (FLSA).
$3.2 Million Settlement for Wage & Hour Class Action Case
Case brought on behalf of workers who were misclassified as salaried exempt from overtime. The employer led employees to believe that they had to work unlimited hours over 40 without overtime compensation even though based on their job duties it was alleged they were entitled to overtime pay.
$2.4 Million Dollar Settlement for Wage & Hour Class Action
Lawsuit was brought as a class action on behalf of workers who worked in excess of 40 hours a week and were not paid overtime. The employer was forcing them to work “off the clock” for those hours and failed to pay proper overtime compensation.
$2 Million Dollar Settlement for False Claims Act (Whistleblower Case)
“$2 Million Dollar False Claims Act (FCA) Settlement – Unnecessary Services”
A case against GenomeDx was brought alleging violations of the False Claims Act (FCA) and the California Insurance Claims Fraud Prevention Act regarding unnecessary services such as the testing of tissues that did not need to be tested. The case resulted in a $350,000 whistleblower award.
$2 Million Dollar Settlement for Truck Accident Victim
Our firm was Of Counsel to a serious truck accident case involving a trucking accident with multiple injuries.
Nationwide $1.3 Million Judgment against Future Income Payments and Scott Kohn for Consumer Fraud
Scott Kohn and Future Income Payments conspired to defraud veterans out of their hard earned pensions by offering them loans at loanshark rates and claiming it was a “purchase” not a loan.
$1.7 Million Dollar Settlement for Wage & Hour Case
Misclassified employees under the FLSA were not paid overtime for hours worked in excess of 40. Due to a confidentiality agreement specific details are intentionally omitted.
Judgment with Maximum Damages for Employment Litigation
Judgment for misclassification under the FLSA including maximum damages under State and Federal Laws, plus an incentive fee for the lead plaintiff with attorney fees paid separately. The case involved a worker who was paid a day rate regardless of the amount of hours worked per day and per week.
Class Action Jury Trial
Workers alleged that they were misclassified according to their job duties. The Defendant claimed an administrative exemption under the FLSA and state law. Misclassification cases under the FLSA are the cases most often tried due to non-monetary considerations. Jury Trial lasted three weeks. Settlement offered in lieu of appeal.
Acquittal at Trial
Despite videotaped evidence that the prosecutor alleged incriminated the defendant, Mr. Brown was able to obtain an acquittal at trial for his client. Please note, that while we, the Brown, LLC will provide consultations in defense matters, the firm spends most of its time litigating complex litigation such as class actions, mass torts and catastrophic injuries.
Judgment with Maximum Damages for Wage & Hour Dispute
Wage & Hour dispute on behalf of hourly employees who were not paid time and a half for hours in excess of 40. Employees were granted double damages for all their time with attorney fees and costs paid separately.
Million Dollar Settlement for Wage & Hour Class Action Case
Workers were compelled to come into work 15 minutes early to set up, but were not paid for their set up time. Gap issues aside, workers received double damages for the time worked for 3 years’ worth of pay with attorney fees paid separately.
This is a non-exhaustive list of prior results and successes of Jason T. Brown and the Brown, LLC. Past results do not guarantee a similar outcome.
For more information about each award see Awards & Accolades – All cases involve Jason T. Brown and/ or Brown, LLC
No aspect of this advertisement has been approved by the Supreme Court of New Jersey.
Results may vary depending on your particular facts and legal circumstances.