Is Your Alaska Employer or other Medical Provider Guilty of Medicaid Fraud?
Alaska State Medicaid uses taxpayer dollars to provide quality medical care for over 100,000 Alaska children, disabled, elderly and adults in need. When dishonest health care professionals take advantage of Alaska State Medicaid for their own financial gain, all Alaska residents suffer.
Blowing the whistle on Alaska Medicaid fraud keeps the cost of health care down, ensures patient safety and promotes corporate integrity. In 2015, the Alaska Medicaid Fraud Control Unit conducted 130 investigations resulting in 15 criminal convictions and 8 civil settlements, recovering over $2.4 million in stolen taxpayer funds.
Alaska physicians, pharmacists, nurses, EMTs and other health care professionals who report knowledge of fraud play a major role in recovering these dollar amounts.
Because of this, the government pays whistleblowers who report knowledge of Alaska Medicaid fraud between 10% and 30% of any successful government recovery.
If you feel that your Alaska health care employer has submitted false or fraudulent claims to Alaska Medicaid, they most likely are. Whether the conduct is illegal or merely questionable, reporting your concerns to the Medicaid Fraud Hotline can lead to a substantial cash reward. If you have information regarding Alaska Medicaid Fraud, call today for a free, immediate and confidential case evaluation.
Review the Various Types of Medicaid Fraud
Reporting Alaska Medicaid Fraud
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What Laws Apply to Reporting Alaska Medicaid Fraud?
The federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, allows Alaskan citizens to file a qui-tam lawsuit on behalf of the government against entities they suspect have submitted false claims to Medicare, Medicaid, TRICARE or other government-funded health care programs. The FCA awards whistleblowers between 10% and 30% of any money recovered when their information leads to a successful verdict or settlement. Whistleblowers may also sue for damages when employers retaliate against them for reporting fraud.
Though Alaska does not have its own state FCA, the activities that support a claim under state FCAs are often also in violation of the federal FCA. The federal FCA is violated by any person who:
- Knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval;
- Knowingly makes, uses, or causes to be made or used, a false record or statement material to a false or fraudulent claim;
- Conspires to commit a violation of the federal FCA
- Has possession, custody, or control of property or money used, or to be used, by the government and knowingly delivers, or causes to be delivered, less than all of that money or property;
- Is authorized to make or deliver a document certifying receipt of property used, or to be used, by the government and, intending to defraud the government, makes or delivers the receipt without completely knowing that the information on the receipt is true;
- Knowingly buys, or receives as a pledge of an obligation or debt, public property from an officer or employee of the government, or a member of the Armed Forces, who lawfully may not sell or pledge property; or
- Knowingly makes, uses, or causes to be made or used, a false record or statement material to an obligation to pay or transmit money or property to the government, or knowingly conceals or knowingly and improperly avoids or decreases an obligation to pay or transmit money or property to the government.
“Knowing” and “knowingly” mean that a person has actual knowledge of the information; acts in deliberate ignorance of the truth or falsity of the information; or acts in reckless disregard of the truth or falsity of the information. No proof of specific intent to defraud is required.
Individuals who violate the federal FCA are liable to the United States government for a civil penalty of between $5,000 and $10,000, plus three times the amount of damages sustained by the government and the costs of any civil action brought to recover any such penalty or damages.
If you feel you have knowledge of Alaska Medicaid fraud, call the Medicaid Fraud Hotline now. Act fast. First-to-file requirements make only the first person to report knowledge of fraud eligible for a whistleblower cash reward.
Does The Law Provide Protection For Those Reporting Alaska Medicaid Fraud?
Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, no employer, contractor or agent may discharge, demote, suspend, threaten, harass or in any other manner discriminate against an employee, contractor or agent because of lawful acts done by the employee, contractor, agent or a person associated with the employee, contractor or agent in furtherance of an FCA action or other efforts to stop a violation of the FCA.
Whistleblowers Are Entitled To Remedies When Subjected to Employer Retaliation
Under the federal FCA, Alaska whistleblowers who experience workplace retaliation are entitled to remedies including:
- Reinstatement with the same seniority status the employee, contractor or agent would have had but for the discrimination
- Twice the amount of back pay
- Interest on the back pay
- Compensation for any special damages sustained as a result of the discrimination
- Litigation costs and reasonable attorneys' fees
If you feel that your Alaska employer has taken retaliatory action against you for reporting or intending to report Alaska Medicaid fraud, call the Medicaid Fraud Hotline for a free, confidential consultation to discuss your options and potential remedies.
What Cash Awards Are Available for Reporting Alaska Medicaid Fraud?
Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, a whistleblower who files the initial complaint is entitled to the following amounts if the government prevails in the action:
- If the government choses to intervene, the whistleblower is entitled to between 15% and 25% of the proceeds of the action or settlement, plus reasonable attorneys’ fees and an amount to cover the expenses and costs of bringing the action.
- If the government opts not to intervene, the whistleblower is entitled to between 25% and 30% of the proceeds of the action or settlement, plus reasonable attorneys’ fees and an amount to cover the expenses and costs of bringing the action.
The court determines the actual award amount based on the significance of the whistleblower’s information and the extent to which the whistleblower aids in the investigation and advancing the case to litigation.
A whistleblower’s decision to report Alaska Medicaid fraud directly affects the government’s ability to stop fraud, waste and abuse of Alaska taxpayer dollars. Help put a stop to Alaska Medicaid fraud. Call now for a free, no-obligation case evaluation.
What is the Statute of Limitations on Reporting Alaska Medicaid Fraud?
Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, a whistleblower lawsuit must be brought:
- Within 6 years after the date on which the violation is committed, or
- Within 3 years after the date when facts material to the right of action are known or reasonably should have been known, and
- No longer than 10 years after the date on which the violation is committed.
A civil action under the anti-retaliation provisions of the federal FCA must be brought within 3 years of the date the retaliation occurred.
Because the federal government fines fraudsters for each false claim, health care fraud cases often involve substantial amounts of money. Alaska whistleblower cash awards frequently fall in the hundreds of thousands to millions of dollars range. If you have knowledge of Alaska Medicaid fraud, contact the Medicaid Fraud Hotline immediately to discuss your eligibility for a cash award.
2 Easy Steps to Help you Decide
Whether You Should Report Medicaid Fraud
If you have information regarding Medicaid Fraud in the State of Alaska, 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