The Qui Tam Team Blog Join In the Fight Against Fraud

19Aug/100

How Fraud Can Follow You

This post was written by Bonnie Harris

Do the names Richard Grasso and Mark Hurd mean anything to you? No? How about the New York Stock Exchange (NYSE) and Hewlett-Packard (HP)? Still, no answer? Both Grasso and Hurd are former CEO’s of the companies mentioned, Grasso at NYSE and Hurd at HP. Grasso and HP committed fraud, and both Grasso and Hurd left their positions with damaged reputations. How about a more obscure name to those of us not in Florida: Rick Scott.

Scott is a Republican candidate running for Governor of Florida. A native of Illinois with no former experience in the government, Scott joined the gubernatorial race on April 9. The primary election for the Republican candidate for governor will take place on August 24. Scott is running against Bill McCollum, Attorney General of Florida, and Florida Senator Paula Dockery for the Republican candidacy. Due to Scott’s personal commitment of $4.7 million to his own campaign (more than McCollum has raised in a year), he has been able to buy advertising slots. Thanks to his ads, he is becoming increasingly popular as reflected in polls. Scott, in his few months in the race, only trails McCollum by 14 percentage points. The most recent Mason-Dixon poll, places McCollum at 38 percent and Scott at 24 percent. However, this 14 percent lead is not a good sign for McCollum according to Brad Coker, a Mason-Dixon pollster. He stated, “’McCollum’s 38-24 lead over Scott doesn’t look impressive given his long tenure and high visibility as a Republican office holder.’” McCollum’s place as the front-runner is not secure as Scott’s campaign gains more momentum and support.

Despite the fact that the author of this article has droned on about the race, the question remains, “why would this entry characterize Grasso of the NYSE, Hurd of HP, and new-to-the-political scene Scott, as similar to one another?” The key: the past will always be questioned in the future, and fraud will follow you in future endeavors. While Grasso and Hurd have left their respective companies, they have not decided to run for office. Scott, fraudulent company CEO on one hand, and self-proclaimed honest-politician on the other, is running. The largest Health Care Fraud case in U.S. History took place against Columbia/Hospital Corporation of America (HCA). Rick Scott was CEO of Columbia/HCA when the company committed fraud and during the time of the investigations.

Scott helped to found the Columbia Hospital Corporation in 1987, which merged with HCA in 1989. During Scott’s time as CEO, Columbia/HCA committed fraud against the government by improperly billing Medicare, Medicaid, and Tricare. The cases included evidence that Columbia/HCA overbilled, paid kickbacks, billed for treatments and drugs that weren’t covered and billed for hospitality costs not related to healthcare costs (sports tickets, country club dues, etc.) Scott resigned in 1997 after it was proven that the company kept two books: one that was shown to the government, and one that had listed the actual truthful expenses of the company. Columbia/HCA paid $1.7 billion to settle the case. According to the “Rick Scott for Governor” website when Scott left Columbia/HCA it was revered as “one of the most admired companies in America.” It is unknown how much the average American buys this statement, but then again, the website says nothing about the fraud committed.

Despite Scott’s position as CEO of a fraudulent company, he left with $10 million in severance, $300 million in stock options, spent $5 million to oppose President Obama’s healthcare plan, and it looks as through he will spend $25 in the governor’s race, according to Caputo. Scott was not charged or interviewed in the investigation of Columbia/HCA and claims that he “’denies the chain committed any criminal acts that he was aware of.” To be fair, it is possible that Scott did not know of the fraud committed when he was CEO. However, he has made it known that, “Mistakes were made at the company, and as CEO I have to accept responsibility for those mistakes.’”

So thirteen years after his resignation, Scott returns to the limelight, this time as an “honest-politician” instead of a “fraudulent company’s CEO.” However, Scott’s return certainly has not been easy, as his opponents (McCollum and Democratic frontrunner Alex Sink) have used the lawsuit against Columbia/HCA against him in attack ads. McCollum’s campaign stated that, “’The fact that Rick Scott is running for Governor as a ‘reformer’ would be funny if it wasn’t so outrageous…Rick Scott not only oversaw fraud, Rick Scott is fraud.’” However, when McCollum was in Congress during the investigation of Columbia/HCA, he noted that the crackdown on health care providers was overzealous, and sponsored the Health Care Claims Guidance Act, which tried to cut back on the investigations.

The company’s fraudulent activity aside, Scott thinks that his background prepares him for governor. While he may have a prestigious business background and be quite the entrepreneur, the fraud committed by Columbia/HCA will draw negative attention to his campaign. When asked why he’s running for governor when never holding a political position before, Scott answered, “‘I’m an outsider, I’m a business person, I know how to create private sector jobs, I know how to balance a budget.’” To Scott’s credit, he did create jobs as CEO of Columbia/HCA by employing 285,000 workers, making it the seventh largest employer in the U.S. at the time. But Scott’s budget-balancing skills may be in question when looking at Columbia/HCA’s budget under his watch. Scott responded further to the initial question stating, “‘I know how to get results by holding people accountable.’” This was probably not his best choice of words, considering those who hold him accountable for defrauding Medicare.

The most ironic part of the former-CEO-turned-politician’s campaign must be the type of fraud committed by Columbia/HCA with respect to the state that Scott is running in. William March of the Tampa Tribune was likely half serious, half joking, when he questioned, “Can the man who ran the company that committed the biggest Medicare fraud in history get elected governor in a state full of retirees?” This is an ironic possibility.

NOTE: This blog is meant to inform viewers of fraudulent activity and qui tam laws and lawsuits. The Qui Tam Team has no personal or professional feelings on Rick Scott’s campaign, nor the outcome of the election. This entry was written with the intention to educate, not to state an opinion.

Sources:
Appleby, Julie. “HCA to settle more allegations for $631M.” USA Today. 18 December 2002. http://www.usatoday.com/money/industries/health/2002-12-18-hca-settlement-_x.htm.
Caputo, Marc. “Poll: Former healthcare exec Rick Scott trails Bill McCollum in GOP primary.” The Miami Herald. 5 August 2010. http://www.miamiherald.com/2010/05/08/1620055/poll-former-healthcare-exec-rick.html.
March, William. “Rick Scott criticized for heading company that committed fraud.” The Tampa Tribune. 28 May 2010. http://www2.tbo.com/content/2010/may/28/281228/gop-candidate-scott-criticized-heading-company-com/news-politics/.
“Meet Rick.” Republican Rick Scott For Governor. 2010. http://www.rickscottforflorida.com/home/meet-rick/.

This article is brought to you by the QTT, the epicenter for whistleblowers and people interested in the False Claims Act, Qui Tam Provisions, and Medicare and Medicaid fraud. To discuss a potential case, please call Eric Young at 1 (800) 590-4116.

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5Aug/103

Why It’s Worth It To Be a Whistleblower

This post was written by admin

Many question the worth of being a whistleblower.  “Is it worth the time and effort?”  “Will I lose my job?”  “What good will it bring me?”  Overall, “is it worth it?” Being a whistleblower is a tedious process—cases can take years, to hire lawyers you need to have money, and many people seem to think that it may even make you lose your job.  Let’s go through each of these pieces to the whistleblowing process: time, money, and risk.

Whistleblowing is a time commitment.  It requires gathering first-hand specific information about fraudulent activity, working with lawyers, spending time in negotiations or court, etc.  Many qui tam cases take years to settle.

Whistleblowing also requires money as hiring lawyers is necessary.  However, the money used to pay lawyers may be reimbursed to you after winning a case.  In our recent article on quitamteam.com, “Jury: College & Faculty Member Committed Fraud,” the whistleblower in the case, Dr. Daniel Feldman, is likely to be reimbursed.  Dr. Feldman filed the case in 2003, and it has taken 7 years for the final ruling to be issued.  Dr. Feldman’s fees and costs to his lawyers cost several hundred thousand dollars, which may be reimbursed to him in full!

Many think whistleblowing is a risky business.  But, contrary to popular belief, the risks are not very high as whistleblowers are protected by law.  For instance, many people think that whistleblowing involves the risk of losing your job, but under the False Claims Act (FCA), the Occupational Safety and Health Act (OSH Act), and other laws that protect whistleblowers, whistleblowers cannot be fired for whistleblowing.  According to the Department of Labor website, “Whistleblowers may not be transferred, denied a raise, have their hours reduced, or be fired or punished in any other way because they have exercised any right afforded to them under one of the laws that protect whistleblowers.”  So while whistleblowing may seem risky, the law is on the whistleblower’s side to protect him/her from any punishment as a result of whistleblowing.

So whistleblowing takes time, can take money, but is not very risky.  But still “why do it?”  “Is it worth it?” “What good will it bring you?”  The reward of being a whistleblower is not only self-satisfaction, but a heavy pay-off if you win the case.  In order to receive a reward for being a whistleblower, the government must recover at least $1 million in the case. Whistleblowers receive a mandatory minimum of 10 percent, to a maximum of 30 percent of what is recovered.  Therefore, if whistleblowers are awarded in cases recovering $1 million or more, a whistleblower will make between $100,000 and $300,000 at least.  For larger cases, a whistleblower must still receive at least 10 percent of the claim, and can make more than $100,000 to $300,000.  In the HCA case in 2003, the numerous whistleblowers received $151,591,500.  The largest Healthcare fraud settlement in U.S. history, against Pfizer Inc., paid six whistleblowers more than $102 million.  So while whistleblowing may take time, it is worth it. Overall, you can be reimbursed for payments to attorneys, you will not incur much risk, and you will make at least $100,000 if your case wins.

Dr. Feldman sums up why it’s worth being a whistleblower.  He stated that, “being a whistleblower is not something you undertake without tremendous sacrifice,” because of the time and risk involved.  However, he agreed that “In the end, prevailing certainty feels great and worth the cost to do the right thing” (Source: Salmanson Goldshaw).

Sources:
Henning, Peter J. “Come Blow Your Horn for the S.E.C.” The New York Times DealBook Blog. 26 July 2010. http://dealbook.blogs.nytimes.com/2010/07/26/come-blow-your-horn-to-the-s-e-c/.
Montopoli, Brian. “Obama Signs Sweeping Financial Reform Into Law.” CBSNews. 21 July 2010. http://www.cbsnews.com/8301-503544_162-20011201-503544.html Salmanson Goldshaw, P.C. as per PR Newswire. PR Newswire. “Federal Jury Finds Cornell University’s Medical College Committed Fraud.” 29 July 2010. http://www.prnewswire.com/news-releases/federal-jury-finds-cornell-universitys-medical-college-committed-fraud-99538899.html.
Savage, David. “Financial reform law includes big cash incentives for whistle-blowers.” Los Angeles Times. 23 July 2010.http://www.latimes.com/business/la-fi-reform-whistleblower-20100723,0,6099636.story.
United States Department of Health & Human Services. News Release. “Justice Department Announces Largest Health Care Fraud Settlement in its History.” 2 September 2009. http://www.hhs.gov/news/press/2009pres/09/20090902a.html.
United States Department of Justice. “Largest Health Care Fraud Case In U.S. History Settled HCA Investigation News Record Total of $1.7 Billion.” 26 June 2003. http://www.justice.gov/opa/pr/2003/June/03_civ_386.htm.
United States Department of Labor. “Whistleblower Protections.” http://www.dol.gov/compliance/laws/comp-whistleblower.htm.

This article is brought to you by the QTT, the epicenter for whistleblowers and people interested in the False Claims Act, Qui Tam Provisions, and Medicare and Medicaid fraud. To discuss a potential case, please call Eric Young at 1 (800) 590-4116.

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15Jul/100

FCA Warming

This post was written by Josh

This is not a good climate in which to be committing fraud against the government.  A new article notes that the FCA is on fire, concluding that

[u]nprecedented government spending, recent amendments to the FCA, increased fraud enforcement budgets and priorities, skyrocketing FCA recoveries, state legislative and enforcement activities, and the sheer volume of ongoing government investigations and pending qui tam actions suggest that the FCA will remain the fastest growing area of federal litigation.

One of the most important factors contributing to FCA mania is lawmakers' obsession with tweaking the Act. The FCA has already been amended twice in the first six months of 2010, and Congress is hankering to amend the FCA once again.

Congress passed the Fraud Enforcement Recovery Act ("FERA'') in May 2009. FERA made some of the most significant amendments to the FCA in 20 years.  FERA already expanded protections for agents or contractors who blow the whistle. The latest version of the Financial Reform Bill would expand the scope of protected whistleblower conduct to include not only "efforts to stop 1 or more violations"  but also lawful behavior "in furtherance of an action'' under the FCA.

Massive outlays of federal dollars combined with Congress's FCA infatuation guarantee that these types of cases will stay hot. 2010 may well be the year of titanic clashes over the FCA, so grab a front row seat as the dollars fly!

This article is brought to you by the QTT, the epicenter for whistleblowers and people interested in the False Claims Act, Qui Tam Provisions, and Medicare and Medicaid fraud. To discuss a potential case, please call Eric Young at 1 (800) 590-4116.

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