About Kenney & McCafferty, P.C.

K&M has successfully represented whistleblowers who have uncovered fraud in various industries, including pharmaceutical, nursing home, hospice, hospital billing, and defense contracting. K&M only provides legal advice after having entered into an attorney-client relationship, which our blog specifically does not create. See our websites for more information on the attorney client relationship.

Friday, October 31, 2008

Can I Report My Ex-Boyfriend?

While you may want to claim a reward for reporting an ex-boyfriend's tax fraud to the IRS, realize that he might not make enough money to qualify you for the IRS reward program.

IRC Section 7623(b) sets out the criteria for claiming a reward. If reporting an individual, that individual must earn more than $200,000 per year in gross income. Regardless of whether one is reporting an individual or an entity, the amount in dispute must exceed $2,000,000. The amount in dispute includes taxes owed, penalties, and interest.

Anyone, with very few exceptions, can file a claim. Anyone.

If your ex-boyfriend's tax fraud meets the criteria, you can have your claim reviewed, and it is highly unlikely that the ex would ever learned who reported him. To top it all off, if the IRS recovers, the contributing whistleblower is eligible for a percentage.

While frivolous and perhaps improperly-motivated, claims should not be made, people should report IRS fraud when they learn of it, reward or not. We have to pay for the bail out somehow.

Thursday, October 23, 2008

The Versatility of the FCA

One of the most exciting aspects of the False Claims Act is its versatility. Because fraud can take several different forms, and because the government is involved in so many different ventures, the FCA's architects may the FCA adaptable to meet almost any situation involving government funds.

The three core liability provisions of the FCA impose liability for making a false claim, submitting one, or conspiring to get a false claim paid. Those liability provisions require proof three elements:

  1. the submission of a false claim to the United States,
  2. the falsity of the claim, and
  3. knowledge of the falsity of the claim.
Claims have been broadly defined to include "any request or demand, whether under a contract or otherwise, for money or property which is made to a contractor, grantee, or other recipient if the United States provided any portion of the money or property which is requested or demanded, or if the Government will reimburse such contractor, grantee, or other recipient for any portion of the money or property which is requested or demanded."

Given Congress's broad definition of the term "claim," the government has brought successful civil actions against a whole host of fraudsters, including:

ambulance companies

defense contractors

acute care hospitals

clinical laboratories

psychiatric hospitals

dentists and doctors

billing consultants

durable equipment manufacturers

research and other universities

home health agencies

nursing home providers

schools

local education agencies

mental retardation agencies

mental health agencies

county governments

and on and on and on.....

Probably, the FCA's versatility is one reason why the Act has been able return more than 200 billion dollars to the federal treasury since its reinvigoration in 1986.

Potential whistleblowers should focus on whether or not public money is involved with the fraud, rather than whether the possible defendant is included in the above list. Even easier, contact a qui tam attorney for a free assessment.

Monday, October 13, 2008

S Corporation Listed Tax Shelters

The IRS lists tax shelters it identifies as abusive and requires promoters of and participants in those tax shelters to follow special procedures so that the IRS can monitor their use.

Several listed shelters include S corporations. An S corporation allows for many of the benefits of partnership taxation but gives owners limited liability protection from creditors. S status combines the legal environment of C corporations with taxation similar to that of partnerships.

Two Potentially Abusive Tax Shelters involve S Corporation – Tax Exempt Entity transactions and ESOP-owned S Corporation abuses.

Transactions between S Corporations and tax exempt entities sometimes are structured to shift taxation away from the taxable S Corp shareholders to the exempt entity, solely for the purpose of avoiding or deferring the taxes.

ESOP stands for an Employee Stock Ownership Plan. Congress permits an ESOP to own an S Corp but only if the ESOP gives current employees a meaningful stake in the S Corp. The profits that the S Corp makes are not usually taxed until the ESOP makes distributions to the company’s employees upon retirement or when they leave the company. Sometimes, however, former owners or key employees may set up a subsidiary to drain value out of the ESOP via stock options. To prohibit circumvention of the intended purpose of the ESOP tax break, Congress has imposed a 50% excise tax on option holders in cases where the rank and file ESOP participants are deprived of S Corp profits.

Participants must register their participation in listed tax shelters, often described as Potentially Abusive Tax Shelters. The two described are on the list. Promoters must maintain lists of participants and provide them to the IRS upon request.

Monday, October 6, 2008

Dr. King Faces Trial for Health Care Fraud

Jury selection began this morning in the trial of Dr. William King, a Pennsylvania gynecologist charged with defrauding health care insurer Blue Cross.

The criminal indictment against Dr. King lists upcoding, false documentation, and ghost visits as the means and manner of the fraud. According to the Department of Justice, King enlisted his wife to improperly represent on bills that he had performed expensive services when he had not, a practice known as upcoding. The indictment states that patients would regularly come in to the medical office for routine birth control injections, but King would bill for complex consultations in order to obtain a higher reimbursement from the insurance carrier.

Also described in the indictment are "ghost visits." DOJ's indictment charges King with billing for patient visits that never occurred. The indictment states that the insurance carrier paid King approximately $1,020,494 for false claims. The criminal indictment alleges 72 counts of health care and mail fraud.