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Medicaid Fraud Whistleblower Checklist and News Alert: Jury Convicts Doctor for his role in $75+ Million Dollar Scheme

Thumbnail image for top.lawyers.arrive.mag.2011.jpgAccording to government reports, Dr. Gustave Drivas was convicted of health care fraud conspiracy and health care fraud. The government asserted that Dr. Drivas worked for a Brooklyn clinic where cash kickbacks were paid to Medicare beneficiaries and used the beneficiaries’ names to bill more than $75 million for medical services that were never provided or not necessary. These types of schemes are two of the most common types of fraud perpetuated against the federal government. Our Medicaid Fraud Attorneys have counseled many employees and individuals who have confronted fraud in the workplace. Such situations can be complex and, if not handled appropriately, can potentially lead to exposure if the whistleblower becomes involved in the scheme. Below is a checklist of things to consider:

1. Call our office at (800) 893-9645 or other experienced attorneys to schedule a confidential consultation to learn your rights and options.

2. Take care to gather documents that reveal the fraud and support your claims. It is critical to ensure that you do not violate the law or other relevant policies by doing so. This underscores the importance of seeking experienced counsel’s advice before taking any steps.

3. If possible, identify where other sources of documents or information that reveal the extent of the fraud are also located including but not limited to computer records. Again, it is important such efforts are made lawfully and not in violation of any applicable policies.

4. Determine the list of potential witnesses who may be able to support or refute any allegations of fraud.

5. Determine if someone else has already filed a whistleblower complaint regarding the same allegations. It is advantageous to be the first to report the wrongdoing and may limit your rights to a claim if others have already come forward with the same information or it is part of the public record.

6. If possible, identify specifically which sections of the law were violated. For example, there are specific statutes that apply to physicians and pharmacists and fraudulent conduct may violate certain sections.

7. Identify, if possible, the scope of the wrongdoing. Is the perpetrator acting intentionally or recklessly and are the actions part of a larger scheme.

8. Be prepared for a fight. Remember some lawsuits can take years and can be difficult process. Even more reason to have the right counsel by your side.

If you have witnessed any wrongdoing that you believe is defrauding the federal government, contact our team of attorneys to confidentially learn your rights.

Disclaimer: 

Thank you for visiting our Blog. This blog provides general information and thoughts about various employment law issues primarily in the New York Tri-State area and occasionally in other areas. You are welcome to read the posts. However, do not construe any content on this blog as legal advice or the creation of an attorney-client relationship. Again, we provide the content only for informational purposes. You should not make decisions based information on our blog since the application of the law depends on the facts and each situation may be different. In addition, the law in most jurisdictions is different and changes constantly and we make no representations that any information on our blog has been updated. The Blog should not be used as a substitute for competent legal advice from an experienced employment law attorney in your state or jurisdiction.