Is Your Oregon Employer or other Medical Provider Guilty of Medicaid Fraud?
Hospitals, clinics, physicians, pharmacists and other medical professionals who defraud Oregon Medicaid for their own benefit steal from Oregon taxpayers and take quality health care services out of the hands of less-fortunate children, adults and elderly who rely on government funding for their health care needs.
Oregon’s Medicaid Fraud Control Unit is dedicated to protecting affordable health care resources for Oregon residents and prosecutes those who attempt to defraud Oregon health care programs.
In 2015 alone, Oregon’s Medicaid Fraud Control Unit prosecuted 39 criminal convictions and obtained 8 civil settlements or judgements – recovering over $597,000 in stolen Oregon health care funds.
Tips on fraud from honest Oregon health care professionals are crucial in recovering these stolen funds. If you have information regarding Oregon 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 Oregon Medicaid Fraud
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What Federal Laws Apply to Reporting Oregon Medicaid Fraud?
The federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, allows individuals who have knowledge of persons or companies attempting to fraudulently obtain or avoid payment of Medicaid, Medicare or TRICARE funds to file a claim on behalf of the government. Under the federal FCA, the whistleblower, or “relator,” must have original, non-public information regarding fraud against the government to file a claim.
No proof of an individual or company’s specific intent to defraud is required to file a whistleblower claim. To violate the federal FCA, a person must only:
- Have actual knowledge of a false or fraudulent claim, AND
- Act in deliberate ignorance of the false or fraudulent claim, OR
- Act in reckless disregard of the false or fraudulent claim
Whistleblowers are entitled to between 10% and 30% of any government recovery for their efforts in reporting fraud. Since penalties for violating the federal FCA include a civil penalty of between $5,000 and $10,000 per violation, plus three times the amount of damages that the government sustains because of the violations, whistleblower awards often range in the hundreds of thousands to millions of dollars.
Putting a stop to Oregon Medicaid fraud relies heavily on health care professionals and citizens working in the health care industry. Doctors, pharmacists, sales representatives, bookkeepers, nurses and other insiders have unique access to cases of fraud, waste and abuse of government funds.
Federal law provides large cash awards and powerful protections against employer retaliation to those who chose to report fraud.
If you suspect your Oregon health care employer or other medical provider is guilty of Medicaid fraud, you are potentially eligible for a whistleblower cash award. Contact the Medicaid Fraud Hotline today to learn your options in an immediate, confidential, no-obligation case evaluation.
Does Federal Law Protect Those Reporting Oregon Medicaid Fraud?
Reporting fraud can be intimidating. Disgruntled employers may act to thwart a whistleblower’s attempts to expose fraud. Therefore, the federal FCA includes anti-retaliation provisions to protect whistleblowers. Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, any employee who is discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against by his or her employer because of lawful acts done to prevent or stop a violation of the federal FCA is entitled to all relief necessary to make the employee whole.
Individuals who have been subjected to retaliatory actions in response to reporting fraud, attempting to report fraud or participating in an FCA investigation may file a claim for damages, including:
- Reinstatement with the same seniority status the employee would have had but for the retaliation
- Two times the amount of back pay
- Interest on the back pay
- Compensation for any special damages sustained as a result of the retaliation, including litigation costs and reasonable attorneys' fees.
Health care fraud information reported by whistleblowers has helped to recover over $15.1 billion for the U.S. Department of Justice over the last six years. If you suspect your Oregon employer or other medical provider is committing Oregon Medicaid fraud, report it now. You may be entitled to a significant cash award. Call today for a free, immediate and confidential case evaluation.
What Cash Awards Are Available for Reporting Oregon Medicaid Fraud?
Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, if the government proceeds with an action brought by a whistleblower, the whistleblower is entitled to receive between 10% and 25% of the proceeds from a verdict or settlement.
If the government does not intervene in the whistleblower’s action, the whistleblower can proceed with his or her own private counsel. In this case, the whistleblower is entitled to receive between 25% and 30% of the proceeds from a verdict or settlement.
In both cases, the whistleblower is also entitled to collect an amount for reasonable expenses, attorneys' fees and costs.
You can help recover stolen funds taken through fraud, waste and abuse in the Oregon Medicaid program and may be eligible for a large cash award. To report suspected fraud of the Oregon Medicaid Program and solidify your role as whistleblower, call the Medicaid Fraud Hotline now.
What is the Statute of Limitations on Reporting Oregon Medicaid Fraud?
If you feel you have knowledge of fraud against the Oregon Medicaid program, it is important to report that knowledge as soon as possible. Due to the first to file bar and original source requirements, If another individual reports the knowledge before you, or it the information is released to the public via the media or internet, you lose your eligibility to file a claim and collect a cash award.
Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, a whistleblower action may not be brought:
- More than 6 years after the date on which the violation is committed; or
- More than 3 years after the date when facts material to the right of action are known or reasonably should have been known by officials; but
- In no event more than 10 years after the date on which the violation is committed, whichever occurs last.
Substantial cash awards, often ranging in the hundreds of thousands to millions of dollars, are offered to whistleblowers whose report of Oregon Medicaid fraud leads to government recovery. In addition, the federal FCA gives anti-retaliation protections to individuals in cases of employer retaliation. If you feel you have knowledge of Oregon 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 Oregon Medicaid Fraud, contact the Medicaid Fraud Hotline or fill out the online report form. Timing is critical - you must be the first to report the knowledge to secure your role as whistleblower and be eligible for a cash award. Statutes of limitations may limit your time to file a claim.
Over $1 Million in Cash Awards for Tips Leading to Government Recovery