ILNews

AG encourages whistleblower lawsuits to fight fraud

August 19, 2010
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The Indiana Attorney General’s Office wants health care and pharmaceutical industry workers to know that they have the ability to file lawsuits and get protection as whistleblowers, and that could mean getting a portion of any settlement or damages that results from the suit.

With Medicare and Medicaid fraud a multi-billion dollar problem nationally, the state’s highest attorney is reaching out to workers who may be impacted by these issues to alert them of their rights as whistleblowers in stopping this type of state and federal fraud.

Attorney General Greg Zoeller is trying to raise public awareness on the topic, which comes as the health care and pharmaceutical industries face sweeping reforms in the coming years and more people are exposed to these scenarios.

“The idea is to persuade workers already concerned about fraud to raise those claims under the False Claims Act,” Zoeller said. “If individuals on the inside are aware of fraud … and reporting it internally has not stopped the fraud, they may be reluctant to come forward for fear of being ostracized from future employment in their chosen profession. While we would hope people would report fraud because that’s the right thing to do, we understand that the potential of a substantial financial reward may be necessary to prompt insiders to come forward.”

The AG’s Medicaid Fraud Control Unit is supervising the effort, which involves the False Claims Act that’s existed in federal and state law for years and applies to government contract work. A whistleblower action starts when someone like an employee files a private lawsuit against a provider or company, alleging that business committed fraud on a government contract. That employee-plaintiff basically brings the suit on the government’s behalf, the AG said. If the government wins at trial or reaches a monetary settlement with the provider or company where the fraud occurred, then that whistleblower may receive 15 to 30 percent of the proceeds.

During the past year, the state has been involved in a handful of these whistleblower actions that have alleged billions of dollars in fraud, according to the AG’s Office. Those include suits against Pfizer, Eli Lilly, AstraZeneca Pharmaceuticals, and the South Bend mental health services facility called Madison Center. Some causes have been settled while others remain ongoing.
 

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  1. A traditional parade of attorneys? Really Evansville? Y'all need to get out more. When is the traditional parade of notaries? Nurses? Sanitation workers? Pole dancers? I gotta wonder, do throngs of admiring citizens gather to laud these marching servants of the constitution? "Show us your billing records!!!" Hoping some video gets posted. Ours is not a narcissistic profession by any chance, is it? Nah .....

  2. My previous comment not an aside at court. I agree with smith. Good call. Just thought posting here a bit on the if it bleeds it leads side. Most attorneys need to think of last lines of story above.

  3. Hello everyone I'm Gina and I'm here for the exact same thing you are. I have the wonderful joy of waking up every morning to my heart being pulled out and sheer terror of what DCS is going to Throw at me and my family today.Let me start from the !bebeginning.My daughter lost all rights to her 3beautiful children due to Severe mental issues she no longer lives in our state and has cut all ties.DCS led her to belive that once she done signed over her right the babies would be with their family. We have faught screamed begged and anything else we could possibly due I hired a lawyer five grand down the drain.You know all I want is my babies home.I've done everything they have even asked me to do.Now their saying I can't see my grandchildren cause I'M on a prescription for paipain.I have a very rare blood disease it causes cellulitis a form of blood poisoning to stay dormant in my tissues and nervous system it also causes a ,blood clotting disorder.even with the two blood thinners I'm on I still Continue to develop them them also.DCS knows about my illness and still they refuse to let me see my grandchildren. I Love and miss them so much Please can anyone help Us my grandchildren and I they should be worrying about what toy there going to play with but instead there worrying about if there ever coming home again.THANK YOU DCS FOR ALL YOU'VE DONE. ( And if anyone at all has any ideals or knows who can help. Please contact (765)960~5096.only serious callers

  4. He must be a Rethuglican, for if from the other side of the aisle such acts would be merely personal and thus not something that attaches to his professional life. AND ... gotta love this ... oh, and on top of talking dirty on the phone, he also, as an aside, guess we should mention, might be important, not sure, but .... "In addition to these allegations, Keaton was accused of failing to file an appeal after he collected advance payment from a client seeking to challenge a ruling that the client repay benefits because of unreported income." rimshot

  5. I am not a fan of some of the 8.4 discipline we have seen for private conduct-- but this was so egregious and abusive and had so many points of bad conduct relates to the law and the lawyer's status as a lawyer that it is clearly a proper and just disbarment. A truly despicable account of bad acts showing unfit character to practice law. I applaud the outcome.

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