Rest assured. Every initial consultation with us is highly confidential. Your identity and the information you provide will be safeguarded and protected. It won’t be disclosed to anyone without your knowledge and authorization.
Top Intervention Rate
Having the Government intervene in a Qui Tam False Claims Act case is the best way to ensure its success. That is why we are extremely proud to have been recognized for having the highest intervention rate in the country.
$100 Million + Recovered
To date the False Claims Act work we have done has led to more than $100 million in recoveries for the U.S. and State Treasuries, with corresponding whistle blower rewards for our clients.
Stark Law Violations
A person or organization may violate both the “Stark Law” (42 U.S.C. § 1395nn), the Medicare anti-kickback statute
(42 U.S.C. § 1320a-7b(b)) and the False Claims Act (31 U.S.C. § 3729, et seq.) by giving or receiving improper incentive
payments for Medicare or Medicaid patient referrals. The Stark Law forbids a health care provider from billing Medicare
or Medicaid for certain healthcare services referred by physicians who have a financial relationship with the provider
( a practice known as “self-referrals”) --unless that relationship falls within certain safe harbor exceptions.
A prohibited financial relationship includes a provider’s agreement to compensate a physician in a manner that
takes into account the volume of the physician’s referrals or the revenue realized through those referrals. The
Government prohibits improper self-referrals because of the fear that referring physicians and billing providers
will advance their own financial interests and not the healthcare interests of Medicare and Medicaid patients.
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A Stark Law violation can also result in a False Claims Act violation. That is because a healthcare provider that
accepts a prohibited referral is also prohibited from presenting a claim or bill for its services to the government or
any third-party intermediary. If such claims are presented, Stark mandates that no payment may be made. Typically, a
whistleblower alleges that the healthcare provided made “false certifications” in their cost reports or claim forms
to the effect that the provider had complied with the laws and regulations dealing with the provision of healthcare
services, when, in fact, they had not because they had violated the Stark provisions. A whistleblower can bring a
case based on the False Claims Act violation and possibly share in any recovery by the Government.