Thursday, December 5, 2024

Whistleblower Rights for Healthcare Employees: Fight Fraud and Reap Rewards

 

Healthcare employees play a critical role not just in patient care, but in ensuring that the medical system operates ethically and legally. If you’ve been asked to falsify records, submit false claims, or participate in unethical practices involving government-funded programs like Medicare or Medicaid, you have the right to take action against your employer—and potentially receive a financial reward for doing so.


The False Claims Act (FCA): A Legal Path to Hold Employers Accountable

The False Claims Act (FCA) is a federal law that allows employees to report fraud against the government. Under the FCA, employees can file lawsuits directly against their employers for fraudulent claims submitted to the government. These lawsuits, known as qui tam actions, allow whistleblowers to hold their employers accountable for illegal actions, even if the government chooses not to intervene in the case.


How You Can Benefit as a Whistleblower

Employees who successfully file a qui tam lawsuit under the FCA are entitled to a percentage of the government’s recovery, regardless of whether the government intervenes in the case.

  • Government Intervenes: Whistleblowers (known as relators) can receive 15–25% of the total recovery.
  • Government Does Not Intervene: If you proceed on your own, you can receive 25–30% of the recovery for taking on the case.

Given that healthcare fraud cases often involve millions of dollars, the potential rewards for whistleblowers are substantial.


Examples of Fraud That Employees Can Report

You may have a claim if your employer has:

  • Falsified Patient Records: Documenting false diagnoses, treatments, or hospice eligibility to qualify for Medicare/Medicaid payments.
  • Submitted False Claims: Billing for services not provided or procedures that were unnecessary.
  • Engaged in Kickback Schemes: Accepting or offering bribes in exchange for referrals or using specific services/products.
  • Avoided Repaying the Government: Failing to refund overpayments or improperly retaining funds owed to Medicare/Medicaid.

Your Protections as a Whistleblower

The FCA not only rewards whistleblowers, but it also protects you from retaliation. Employers are prohibited from firing, demoting, harassing, or taking any adverse action against employees who report fraud or refuse to participate in illegal activities. If you experience retaliation, you may be entitled to:

  • Reinstatement to Your Job
  • Double Back Pay with Interest
  • Compensation for Emotional Distress and Legal Fees

Steps to Take If You Witness Fraud

  1. Document the Fraud:

    • Collect evidence, including emails, instructions, or records showing fraudulent practices.
    • Keep this information confidential and secure.
  2. Consult an Attorney:

    • Speak with an attorney experienced in False Claims Act cases to understand your options.
    • They can help you file a qui tam lawsuit while protecting your rights.
  3. File a Qui Tam Lawsuit:

    • Your attorney will file the complaint under seal in federal court and submit evidence to the Department of Justice (DOJ).
    • Even if the government does not take over the case, you can pursue it independently and still receive a portion of the recovery.

Why Filing a Claim Matters

Fraudulent practices not only waste taxpayer money but also harm patients and undermine trust in the healthcare system. By filing a lawsuit, you are not just protecting your professional integrity—you’re standing up for ethical care and helping to ensure that government programs like Medicare and Medicaid remain viable for those who truly need them.


Contact Us to Protect Your Rights and Pursue Justice

At The Vargas Law Office, we are here to support healthcare employees who have been asked to participate in or witness fraud. Filing a claim against your employer may seem daunting, but with the right legal team by your side, you can make a difference—and be rewarded for your courage.

Contact us today to learn more about your rights and options:

Your voice matters. Together, we can fight fraud, hold employers accountable, and protect the integrity of our healthcare system.




Wednesday, September 25, 2024

Landmark Case for Equal Opportunity

 Taking the Fight to the Fifth Circuit Court of Appeals: A Landmark Case for Equal Opportunity

At The Vargas Law Office, we are committed to fighting for justice—especially when the odds seem stacked against us. We are currently representing Jose G. Rodriguez Jr., along with several of his colleagues, in a critical employment discrimination case against the U.S. Department of Transportation (DOT). Our clients, all hardworking Border Inspectors, have faced years of systemic discrimination that has blocked their rightful opportunities for promotion and career advancement.

The Case So Far

Recently, the district court dismissed our case, siding with the federal government’s arguments. The court’s decision was a major setback, but not entirely unexpected. Suing a federal entity is always challenging, and government agencies often have the upper hand in defending these kinds of cases. However, this isn’t the end of the road—it’s only the beginning of the next chapter.

Before we could even amend the pleadings to add more plaintiffs and strengthen the case further, the judge issued a ruling dismissing our claims Case No. 7:23-cv-00450. This decision was based largely on procedural grounds, but it failed to fully account for the systemic issues our clients face as Border Inspectors—issues that affect a predominantly Hispanic workforce. We believe the judge’s ruling missed critical aspects of our case, and we are confident that our arguments deserve a fresh hearing.

Why We’re Taking This to the Fifth Circuit

We knew going into this case that fighting for justice in a discrimination lawsuit against a federal agency was never going to be easy. However, we are undeterred. We firmly believe that the Fifth Circuit Court of Appeals will take a broader, more thorough view of our claims. We are hopeful that the appellate court will reverse the district court's dismissal and at the very least, allow us to amend our pleadings and give us the chance to fully argue our case.

The core of this case isn’t just about one individual’s struggle—it’s about the systemic barriers that have unfairly prevented a group of dedicated Border Inspectors from advancing in their careers, simply because they belong to a predominantly Hispanic group stationed along the U.S.-Mexico border.

What’s Next?

Our legal team is now preparing to present this case to the Fifth Circuit Court of Appeals, where we will argue that the district court’s decision was premature and failed to address the deeper issues of racial and national origin discrimination. We will ask the appellate court to recognize that our clients deserve the opportunity to have their voices heard and their claims adjudicated on their merits.

While the fight is far from over, we are hopeful that justice will prevail. We stand firm in our belief that every employee, regardless of race or national origin, deserves a fair shot at career advancement—especially when their work goes above and beyond the expectations of their role.

Stay Updated

We will continue to keep you informed as this case progresses through the appeals process. We are honored to stand by our clients and fight for their right to equal treatment in the workplace.

At The Vargas Law Office, we are committed to taking on tough cases like this because we believe that justice is worth fighting for, no matter how long it takes.

Stay tuned for more updates, and thank you for your continued support.



Tuesday, June 25, 2024

How to Start a Non-Profit with 501(c)(3) Status in Texas

Starting a non-profit organization can be a rewarding way to give back to the community, and obtaining 501(c)(3) status provides significant benefits, including tax exemptions. Here's a step-by-step guide to help you navigate the process of starting a non-profit in Texas and securing 501(c)(3) status.

Step 1: Define Your Mission and Vision

The first step in starting a non-profit is to clearly define your mission and vision. Your mission statement should succinctly explain the purpose of your organization and whom it serves. Your vision statement outlines what you hope to achieve in the long term.

Step 2: Choose a Business Name

Select a unique name for your non-profit that reflects its mission. Check the availability of your chosen name with the Texas Secretary of State and ensure it complies with state naming requirements.

Step 3: Form a Board of Directors

In Texas, you need at least three directors to form a non-profit. Choose individuals who are passionate about your cause and bring diverse skills and perspectives to the board.

Step 4: File a Certificate of Formation

File a Certificate of Formation (Form 202) with the Texas Secretary of State. This document includes essential details about your non-profit, such as its name, purpose, and registered agent.

Step 5: Create Bylaws and Hold an Initial Board Meeting

Draft bylaws that govern the operation of your non-profit. These should cover topics like board responsibilities, meeting procedures, and conflict of interest policies. Hold your initial board meeting to approve the bylaws and appoint officers.

Step 6: Apply for an Employer Identification Number (EIN)

Apply for an EIN from the IRS. This number is necessary for tax filings and opening a bank account.

Step 7: Apply for 501(c)(3) Status

File Form 1023 or Form 1023-EZ with the IRS to apply for 501(c)(3) tax-exempt status. The application requires detailed information about your non-profit's structure, governance, and activities.

Step 8: Register for State Tax Exemptions

Once you receive your 501(c)(3) determination letter from the IRS, apply for state tax exemptions with the Texas Comptroller of Public Accounts. This can include sales tax and franchise tax exemptions.

Step 9: Comply with Ongoing Reporting Requirements

Maintain compliance with federal and state regulations by filing annual reports and IRS Form 990. Keep accurate records of your financial activities and board meetings.

Conclusion

Starting a non-profit with 501(c)(3) status in Texas involves careful planning and adherence to legal requirements. By following these steps, you can establish a solid foundation for your organization and make a meaningful impact in your community. Consult with legal and financial professionals to ensure all aspects of your non-profit's formation and operation are in compliance with current laws and best practices.

Need expert help with forming your non-profit? Contact Big Dan at The Vargas Law Office today to ensure your non-profit is set up for success!





Friday, December 22, 2023

Understanding Workplace Injuries and Workers' Compensation in Texas: What You Need to Know

Workplace injuries can be a turning point in any employee's life. But when it comes to workers' compensation in Texas, things can get complicated, especially if your employer is not a subscriber to the Texas Department of Insurance (TDI) Workers' Compensation system. At Vargas Guerra, LLP, we often encounter confusion and misconceptions about this very issue, and it's crucial for both employees and employers to understand the legal landscape.

Texas Workers' Compensation: A Choice for Employers

In Texas, unlike many other states, employers have the option to opt out of the state-run workers' compensation system. These non-subscribing employers may set up their own injury compensation system or may have no system at all. However, this choice carries significant legal implications, especially when an employee is injured on the job.

The Implications of Not Subscribing to State Workers' Comp

For employers who aren't subscribers to the TDI system, the stakes are high in the event of a workplace injury. Contrary to a common misconception, non-subscribing employers do not enjoy immunity from being sued for on-the-job injuries. In fact, under Texas law, they lose some key defenses in personal injury claims, such as arguing that:

  • The injured worker’s negligence caused the injury.
  • The injury was caused by the negligence of a fellow employee.
  • The injured employee knew about the danger and voluntarily accepted it.

This can leave non-subscribing employers significantly more vulnerable in workplace injury lawsuits.

What This Means for Injured Workers

If you're an employee who's been injured at work and your employer is not a subscriber to the state's workers' compensation system, you may have the right to sue for damages. This could include compensation for medical expenses, lost wages, pain and suffering, and even punitive damages in some cases.

Seek Legal Assistance

Navigating the aftermath of a workplace injury can be challenging, particularly in Texas with its unique workers' compensation laws. If you find yourself or a loved one in such a situation, it's crucial to seek legal advice to understand your rights and options.

At Vargas Guerra, LLP, we're committed to guiding workers through these complex legal paths and advocating for their rights. If you have questions about a workplace injury, workers' compensation, or your employer's responsibilities under Texas law, contact us for a consultation.

Stay informed and stay protected. Know your rights in the event of a workplace injury, especially in the complex legal environment of Texas workers' compensation laws.

Contact Vargas Guerra, LLP



Wednesday, November 15, 2023

How VARGAS GUERRA, LLP Can Support Your Small Business

 Empowering Your Business Every Step of the Way

Small businesses are the backbone of our community, driving innovation and growth. At Vargas Guerra LLP, we understand the unique legal challenges you face. Our goal is to provide flexible, affordable legal solutions that grow with your business. Here's how we can help:


À La Carte Legal Services

Our à la carte legal services are designed to meet your specific needs without the overhead of a full-time legal department. You can choose from a range of services, each tailored to the particular challenges and opportunities small businesses encounter.


Our À La Carte Offerings Include:

Contract Drafting and Review: From vendor agreements to employee contracts, ensuring that your agreements protect your interests.

Compliance Audits: Navigating the complexities of state and federal regulations can be challenging. We offer comprehensive audits to ensure your business is compliant.

Intellectual Property Advice: Protecting your brand and innovations is crucial. We provide guidance on trademarks, copyrights, and patents.

Employment Law Consultation: We help you navigate hiring practices, employee handbooks, and dispute resolution.

Business Formation and Structuring: Whether you’re starting up or restructuring, we offer advice on the best legal structure for your business.

Legal Insurance Plans

For ongoing support, consider our legal insurance plans. For a fixed monthly or annual fee, you gain access to legal advice and services. This can include contract reviews, legal consultations, and certain types of legal representation.


Monthly Seminars

Knowledge is power, especially when it comes to legal matters. That's why we host monthly seminars on topics relevant to small businesses. These sessions provide valuable insights into legal best practices and the latest changes in the law.


Upcoming Seminar Topics:

Navigating Small Business Taxes

Employment Law Updates

Digital Marketing and the Law

Understanding Commercial Leases

Why Choose Vargas Guerra LLP?

Tailored Solutions: Our services are customized to meet the unique needs of your business.

Cost-Effective: With our à la carte services and legal insurance plans, you get top-tier legal services without breaking the bank.

Expertise You Can Trust: Our team has a wealth of experience in business law, ensuring that your business receives competent and reliable advice.

Proactive Approach: We believe in preventing legal issues before they arise, saving you time and resources.

At Vargas Guerra LLP, we’re more than just your attorneys; we're your partners in business growth. Let us handle the legalities, so you can focus on what you do best – running your business.

Contact us today to learn more about how we can support your business's legal needs.



Wednesday, April 5, 2023

The Deprivation of Texas citizens Constitutional Rights in Employment Law

The rights of the citizens/employees of this great State of Texas under the Texas Constitution are under attack.  As an attorney, I took an oath to protect the Constitution of the United States and the Constitution of Texas.  It is our duty to uphold the law and to advocate for our clients while also upholding the principles of the Texas Constitution.  The Texas Constitution is the supreme law of the land and we have a responsibility to ensure that statutes are not in conflict with it.

In the Employment arena, we have witnessed an all-out attack on your right to a jury trial via Arbitration Clauses.  These arbitration clauses are buried in the onboarding documents employees are required to sign when they are getting hired for a job.  Many times they are not given the opportunity to review these documents.  In others, the document is just written in legalese, and even if read, the employee would not understand what he or she is signing off on, or what rights they are waiving. 

Generally, once an arbitration agreement is signed by the employee, he or she will be waiving the following rights: 

·         Right to File a Lawsuit

·         Right to a Trial by Jury

·         Right to Participate in a Class Action

·         Right to Appeal the arbitrator’s decision

·         Right to Free Access to Legal System

·         Right to Impartial Justice

Although the Texas Supreme Court has upheld these arbitration agreements waiving a Jury Trial, it held that “waivers of constitutional rights not only must be voluntary but must be knowing, intelligent acts done with sufficient awareness of the relevant circumstances and likely consequences. 

A lot of the arbitration agreements I have come across do not meet this standard.  That is why I am advocating for the citizens of Texas to take back their right to a jury trial.  Henceforth, I will contest every arbitration clause that falls short of this standard.  Employees must be made aware of the rights they are waiving in order to make an informed decision to enter such an agreement.  They also must be aware of the costs of the arbitration or who will be responsible for the costs. 

Article 1, Section 15 of the Bill of Rights of the Texas Constitution reads as follows:  

Sec. 15.  RIGHT OF TRIAL BY JURY.  The right of trial by jury shall remain inviolate.  The Legislature shall pass such laws as may be needed to regulate the same and to maintain its purity and efficiency.  Provided, that the Legislature may provide for the temporary commitment, for observation and/or treatment, of mentally ill persons not charged with a criminal offense, for a period of time not to exceed ninety (90) days, by order of the County Court without the necessity of a trial by jury. 

 

Although the Texas Legislature passed a statute making Arbitration Agreements valid, it came short of maintaining the purity and efficiency of the Right to a Jury Trial.

Another major issue that I see with Arbitration agreements is that a lot of them allocate the costs of arbitration equally between the Employer and Employee.  If the employee is a low-wage earner as most of them are, then the employee is basically been robbed of any recourse if they have been wronged, due to their inability to bear the high cost of arbitration.  In the legal system, they would at least be able to file a lawsuit in forma pauperis and demand a jury trial, at very little expense if any. 

The right to access the legal system "in forma pauperis" means that individuals who are unable to afford the costs associated with bringing a legal claim should not be prevented from doing so solely because of their financial situation. This right is protected by the Constitution and ensures that all individuals have access to the courts, regardless of their financial resources.

However, when employees sign an arbitration agreement, they are generally waiving their right to access the court system and agreeing to resolve any disputes through arbitration. This means that if an employee is unable to afford the costs associated with the arbitration, they may be effectively barred from pursuing their legal claims.

Additionally, the costs of arbitration can be significant and may include fees for the arbitrator, administrative fees, and other costs associated with the process. These costs can be prohibitive for many individuals, particularly low-income workers or those with limited financial resources.

Article 1 Section 13 of the Bill of Rights of The Texas Constitution reads as follows: 

Sec. 13.  EXCESSIVE BAIL OR FINES; CRUEL OR UNUSUAL PUNISHMENT; OPEN COURTS; REMEDY BY DUE COURSE OF LAW.  Excessive bail shall not be required, nor excessive fines imposed, nor cruel or unusual punishment inflicted.  All courts shall be open, and every person for an injury done him, in his lands, goods, person or reputation, shall have remedy by due course of law.

In addition, the Texas Rules of Civil Procedure provide for a method by which indigent litigants prove their indigency by filing a “Statement of Inability to Afford Payment of Court Costs.”

In general, the right to access the legal system "in forma pauperis" is an important protection for individuals who may not have the means to pursue legal claims. When employees sign an arbitration agreement, they are generally waiving this right and agreeing to pursue their claims through arbitration, which can limit their ability to seek justice and hold employers accountable for any unlawful actions.

The third major issue we need to consider is that The Texas Constitution guarantees the right to appeal in certain circumstances. Article 5, Section 6 of the Texas Constitution establishes the appellate court system in Texas and provides for the right of appeal in cases where a party has been convicted of a crime or where there is a final judgment in a civil case. This section also provides for the creation of intermediate appellate courts and a supreme court to hear appeals from lower courts.

However, the right to appeal in the context of arbitration agreements is generally governed by the terms of the agreement itself. As mentioned earlier, when parties agree to resolve disputes through arbitration, they are generally waiving their right to appeal the decision of the arbitrator, and instead agreeing to abide by the final and binding decision of the arbitrator.

Therefore, while the Texas Constitution guarantees the right to appeal in certain contexts, this right may be limited or waived entirely in the context of arbitration agreements.

Lastly, and possibly the most important issue with arbitration agreements is Impartiality.  Impartiality is a crucial aspect of the legal system and refers to the quality of being unbiased and fair. Judges, arbitrators, and other legal professionals are expected to approach each case with an open mind, free from personal biases or preconceptions, and to make decisions based solely on the evidence and the law.

In the context of arbitration agreements, impartiality is particularly important, as the arbitrator is effectively serving as both judge and jury in the case. If the arbitrator is not impartial, or if there is the appearance of bias, it can undermine the integrity of the arbitration process and may lead to unfair outcomes.

One potential challenge to impartiality in the arbitration context is the fact that the employer is paying the fees associated with an arbitration proceeding and thus creates a conflict of interest. Because the employer is effectively funding the arbitration process, the arbitrator may be inclined to rule in favor of the employer in order to maintain their business relationship with the employer.

In contrast, judges in the court system are paid by the state, and their salaries are not directly tied to the outcome of individual cases. This helps to ensure that judges are able to make impartial decisions based solely on the facts and the law, without being influenced by financial considerations.

In contrast, the fact that employers pay the arbitrators directly creates a conflict of interest that cannot be remedied.  This is one of the reasons why some critics of arbitration argue that the process is inherently biased in favor of the employer and that it may be difficult for employees to obtain a fair outcome in an arbitration proceeding.

Overall, ensuring impartiality in the arbitration context is critical to ensuring that the process is fair and just for all parties involved, and this cannot be done when employers are paying the arbitrators. 

 

 


Saturday, February 4, 2023

Employment Law: Americans with Disabilities Act

The Americans with Disabilities Act (ADA) is a federal law that was enacted in 1990 to protect the rights of individuals with disabilities. The purpose of the ADA is to provide equal opportunities and protections for individuals with disabilities in all aspects of life, including the workplace. It is important for employees to understand their rights under the ADA and how it affects them.

Here are some of the key provisions of the ADA that employees should be aware of:

  1. Employers are prohibited from discriminating against individuals with disabilities in all aspects of employment, including hiring, promotion, termination, and any other employment decisions.

  2. Employers must provide reasonable accommodations to individuals with disabilities, such as modifying work schedules or providing assistive technology, unless doing so would impose an undue hardship on the employer.

  3. The ADA requires employers to provide an accessible workplace and make reasonable modifications to policies, practices, and procedures in order to allow employees with disabilities to perform their job duties.

  4. The ADA applies to employers with 15 or more employees and prohibits retaliation against employees who assert their rights under the ADA.

  5. Employees with disabilities have the right to request reasonable accommodations from their employer, and employers are required to engage in an interactive process with the employee to determine the appropriate accommodation.

It is important for employees to understand that the ADA provides them with a number of protections and rights, and that they should not hesitate to ask their employer for reasonable accommodations if they need them. Additionally, employees should be aware that they have the right to file a complaint with the Equal Employment Opportunity Commission (EEOC) if they believe that their rights under the ADA have been violated.

In conclusion, the ADA is an important law that provides protections and rights for individuals with disabilities in the workplace. By understanding their rights under the ADA, employees can ensure that they are able to work in an environment that is free from discrimination and provides equal opportunities for all.