Is Your Missouri Health Care Employer Guilty of Medicaid Fraud?

Missouri Medicaid is a collaboration between the State of Missouri and the federal government that funds health care services for less fortunate families and individuals.

Data suggests that up to 10% of all Missouri Medicaid dollars - equaling billions of dollars every year - are lost to fraud and abuse of taxpayer dollars. Dishonest health care professionals continue to waste taxpayer dollars and increase the cost of health care for all Missouri residents.

The Missouri Medicaid Fraud Control Unit (MFCU) investigates and prosecutes allegations of health care fraud committed by Medicaid providers. In 2015 alone, the Missouri MFCU prosecuted 15 criminal convictions and 29 civil settlements, recovering more than $12 million stolen via Missouri Medicaid fraud and abuse.

Whistleblowers are an invaluable tool in the recovery of stolen funds.  Missouri health care professionals who have inside knowledge of Missouri Medicaid Fraud are able to file lawsuits on behalf of the government. The whistleblower provisions of the federal False Claims Act offer large cash awards to individuals who step forward and report knowledge of Missouri Medicaid fraud. If you have information regarding Medicaid Fraud in the State of Missouri, contact the Medicaid Fraud Hotline or fill out the online report form.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

Review the Various Types of Medicaid Fraud

Reporting Missouri Medicaid Fraud

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What Federal Laws Govern Whistleblowers Reporting Missouri Medicaid Fraud?

The federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, codifies the most powerful whistleblower provisions in the nation. The FCA allows persons with original source knowledge of fraud against federally funded health care programs to sue the wrongdoer on behalf of the government. A wide variety of actions constitutes fraud under the FCA, including:

  • Knowingly presenting a false or fraudulent claim for payment to the federal government
  • Knowingly using a false statement or record to obtain federal government funds
  • Knowingly using a false statement or record to disguise, evade, or reduce a money or property debt to the federal government
  • Conspiring to submit false or fraudulent claims to the federal government for payment

Individuals or entities who violate the federal FCA are liable for three times the amount of damages the government suffers, plus civil penalties of $5,000 to $10,000 for each false claim. Whistleblowers are awarded between 10% and 30% percent of the total government recovery.

To be eligible for the whistleblower cash award, those with knowledge of fraud must be the first to file an action based on the fraud, the information on fraud must come from an original, non-public source, and the whistleblower must file an action within the proper time frame.

Whistleblower (“qui tam”) actions are filed under seal in federal district court. Complaints must remain confidential until the seal is lifted. Because of the complex requirements involved in the preparation of the written complaint, the disclosure statement, and release of all relevant evidence, it is crucial that whistleblowers report their claims via the proper forum and obtain proper counsel to assist in their claim.

Contact the Medicaid Fraud Hotline to solidify your role as whistleblower and maximize your potential cash whistleblower award.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

How Does the Law Protect Missouri Medicaid Fraud Whistleblowers?

Under Section 3730(h) of the federal FCA, no employee may be discharged, demoted, harassed, threatened or otherwise discriminated against because of lawful actions that employee takes to further an action under the FCA. If an employer, contractor or agent violates the anti-retaliation provisions of the FCA, the employee is entitled to all relief necessary to make that employee whole, including:

  • Job reinstatement
  • Double back pay
  • Interest on back pay
  • Compensation for special damages
  • Litigation costs and reasonable attorneys' fees
Medicaid Fraud Hotline: 888.742.7248 or Report Online

What Cash Awards Are Available for Reporting Missouri Medicaid Fraud?

With the massive numbers of false claims submitted every day, government resources are limited as to how many cases of fraud they can detect. Studies have shown that financial incentive is the most powerful incentive to encourage insiders with knowledge of fraud to come forward. Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, whistleblowers whose original source knowledge leads to successful government recovery are entitled to the following cash whistleblower award amounts:

  • Between 10% and 25% of the government recovery, plus reasonable attorneys’ fees, expenses and costs of bringing the action, when the government choses to intervene.
  • Between 25% and 30% of the government recovery, plus reasonable attorneys’ fees, expenses and costs of bringing the action, when the government declines to intervene.

Combatting Missouri Medicaid Fraud is crucial to protecting our nation’s health care funding for future generations.

If you suspect Medicaid Fraud is occurring in your place of business, the federal FCA offers you rights and protections as a whistleblower and may entitle you to a substantial cash award for your information. Contact the Medicaid Fraud Hotline Now.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

Are There Statutes of Limitations on Reporting Missouri Medicaid Fraud?

Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, whistleblowers must file an action within six years from the date of the violation, or three years after the government discovers or should have discovered the violation, but no longer than ten years after the FCA violation occurred.

Employer retaliation cases must be brought within 3 years of the date the retaliation occurred – or according to Missouri state statutes of limitations.

The government recovered approximately $3 billion dollars in 2014 alone through federal False Claims Act lawsuits filed by whistleblowers who chose to come forward. American whistleblowers received $435 million in 2014 as a reward for their disclosures. Time is of the essence! You must be the first to report fraud to secure your role as whistleblower and be eligible for a cash award.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

2 Easy Steps to Help you Decide

Whether You Should Report Medicaid Fraud

If you have information on Missouri Medicaid Fraud, contact the Medicaid Fraud Hotline or fill out the online report form. Remember, you must be the FIRST to report to secure your role as whistleblower and be eligible for a cash award. Statutes of limitations apply.

Over $1 Million in Cash Awards for Tips Leading to Government Recovery
Medicaid Fraud Hotline: 888.742.7248 or Report Online