Do You Have Knowledge of North Dakota Medicaid Fraud?
Taxpayer funded health care programs like North Dakota Medicaid are in place to provide quality health care services to low-income families and individuals who could otherwise not afford care. When dishonest hospitals, physicians, pharmacies or other health care professionals take advantage of North Dakota Medicaid funds, North Dakota’s taxpayers suffer mounting health care costs and tax increases.
Because insider knowledge of North Dakota Medicaid fraud is central to putting a stop to fraud, waste and abuse of government funds, the federal False Claims Act awards whistleblowers with 10% to 30% of the total government recovery in successful actions. Health care professionals who provide services to North Dakota Medicaid beneficiaries are in the unique position to detect and report fraud.
You can help put a stop to North Dakota Medicaid fraud. If you have information regarding Medicaid Fraud, you may be entitled to a significant cash award. Call today for a free, immediate and confidential case evaluation.
Review the Various Types of Medicaid Fraud
Reporting North Dakota Medicaid Fraud
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What Laws Apply to Reporting North Dakota Medicaid Fraud?
When corrupt health care professionals attempt to defraud Medicare, Medicaid, TRICARE or other government funded health care programs, they violate the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 – 3733. The federal FCA allows individuals who have knowledge of false billings, illegal kickbacks, off-label marketing or other forms of fraud to file a whistleblower lawsuit on behalf of the federal government. If the action leads to a successful settlement or verdict, the whistleblower is entitled to between 10% and 30% any money recovered as a reward for their efforts.
In addition, under the federal FCA, whistleblowers whose employers retaliate against them for reporting fraud may sue for damages.
The federal FCA is violated by individuals or companies who:
- Present false claims for payment to a government health care program
- Make or use false statements material to a false claim
- Conspire to submit false claims to a government health care program
- Hold government funds or property that is not eligible for payment
- Submit documents certifying receipt without knowing the information on the receipt is true
- Purchase ineligible property
- Conceal, avoid or decrease an obligation to pay the government
Proof of intent to defraud the government is NOT required. To violate the federal FCA, a person must simply have knowledge of the false information, act in deliberate ignorance of that information, or act in reckless disregard of that information.
Whistleblower cash awards for those who report North Dakota Medicaid fraud often range in the hundreds of thousands to millions of dollars. This is because the government imposes a civil penalty of between $5,000 and $10,000 for each false claim, plus three times the amount of damages sustained and the costs of any civil action. If you suspect your North Dakota health care employer of Medicaid fraud, contact us today and learn your eligibility for a cash award.
Does the Law Provide Protection For Those Reporting North Dakota Medicaid Fraud?
Employers who fire, demote, deny promotion, threaten or harass employees, contractors or agents because they reported or plan to report North Dakota Medicaid fraud violate the anti-retaliation provision of the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 – 3733. If your employer has discriminated against you in any way because of your legal actions or voicing concerns around possible FCA violations, you may be entitled to “all relief necessary to make the employee whole.”
Under the federal FCA, whistleblowers who suffer workplace retaliation can file a lawsuit for remedies, including:
- Job reinstatement with the same seniority status
- Two times back pay
- Interest on back pay
- Special damages sustained from the discrimination
- Costs and reasonable attorneys' fees
Federal whistleblower laws provide rights and protections to individuals who step forward and report fraud. Physicians, nurses, pharmacists, bookkeepers, EMT’s, sales reps and others with inside information on North Dakota Medicaid fraud are an invaluable resource when it comes to stopping fraud, waste and abuse. If you feel you have knowledge of North Dakota Medicaid fraud, don’t hesitate to contact the Medicaid Fraud Hotline.
What Cash Awards Are Available for Reporting North Dakota Medicaid Fraud?
The government pays cash incentives to encourage insiders with information on fraud to come forward. Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, any individual who is the first to report an FCA violation is entitled to between 10% and 30% of any government recovery. Whistleblowers are also entitled to reasonable attorneys’ fees and costs of bringing the action when their report leads to a successful verdict or settlement.
The exact amount of the award is determined based on several factors, including:
- Whether or not the government intervenes
- The extent to which the whistleblower participated in the violation(s)
- The extent to which the whistleblower aids in the investigation
- The significance of the whistleblower’s information
- The amount of government recovery
North Dakota whistleblower laws provide protections to individuals who step forward and report misconduct. In addition, the government pays a significant cash award, often in the hundreds of thousands to millions of dollars, for reporting North Dakota Medicaid fraud when an investigations leads to government recovery. If you feel you have knowledge of North Dakota Medicaid fraud, don’t wait to contact the Medicaid Fraud Hotline.
What is the Statute of Limitations on Reporting North Dakota Medicaid Fraud?
There are several reasons to act fast when you suspect your employer has submitted false claims to Medicaid. First, under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, you must be the first to report the fraud to be eligible for the cash award. If someone else with similar knowledge reports it first, you lose your eligibility to file a claim.
Second, the federal FCA requires that a whistleblower bring their qui tam lawsuit within 6 years of the date on which the violation occurred, or within 3 years after the date when facts material to the right of action are known or should have been known. Whistleblowers may not bring a qui tam lawsuit after the 10-year point (from the date on which the violation is committed).
In addition, a civil action under the anti-retaliation provisions of the federal FCA must be brought within 3 years of the date the first retaliatory incident occurred. If you feel you have knowledge of North Dakota Medicaid fraud, don’t hesitate to contact the Medicaid Fraud Hotline.
2 Easy Steps to Help you Decide
Whether You Should Report Medicaid Fraud
If you have information regarding Medicaid Fraud in the State of North Dakota, contact the Medicaid Fraud Hotline or fill out the online report form. Time is of the essence! 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