WEBVTT

00:00:00.163 --> 00:00:02.538
Financial pressure after a whistleblower report

00:00:02.538 --> 00:00:04.518
can raise a retaliation question.

00:00:04.518 --> 00:00:06.497
It does not prove retaliation.

00:00:06.497 --> 00:00:08.081
Build a four-link record.

00:00:08.081 --> 00:00:09.268
First: protected activity.

00:00:09.268 --> 00:00:12.832
What was reported, under which law, and by whom?

00:00:12.832 --> 00:00:13.623
Second: knowledge.

00:00:13.623 --> 00:00:17.186
Who received it, when, and what routing record exists?

00:00:17.186 --> 00:00:18.374
Third: adverse action.

00:00:18.374 --> 00:00:20.354
Document billing delays, denied claims,

00:00:20.354 --> 00:00:23.125
referral changes, audit demands, and stated reasons.

00:00:23.125 --> 00:00:23.916
Fourth: connection.

00:00:23.916 --> 00:00:25.500
Compare timing, decisionmakers, policies,

00:00:25.500 --> 00:00:27.875
similarly situated providers, and legitimate explanations.

00:00:27.875 --> 00:00:29.458
Preserve authorizations, remittance advice,

00:00:29.458 --> 00:00:31.833
referral logs, tickets, emails, and originals.

00:00:31.833 --> 00:00:33.813
False Claims Act protection covers

00:00:33.813 --> 00:00:35.792
qualifying employees, contractors, or agents;

00:00:35.792 --> 00:00:38.563
other laws use different elements and deadlines.

00:00:38.563 --> 00:00:40.939
A complaint is not a finding.

00:00:40.939 --> 00:00:42.523
Timing is not causation.

00:00:42.523 --> 00:00:46.878
A payment dispute or lost referral is not proof of fraud.

00:00:46.878 --> 00:00:49.253
Read the source-linked record at david-medeiros.com.