LITIGATION
SUPPORT
Daniel M. Martino, the founder of the company, possesses
extensive trial experience in the Federal
Court System. The firm can assist attorneys and their clients in
a variety of ways. The company will provide objective
investigative assistance in the Preliminary, Discovery and Trial
phases of your case when deemed appropriate. This assistance may
include reviewing evidence, conducting analysis of records,
developing investigative leads and conducting the appropriate
investigation to include locating witnesses, interviewing and
preparing witness statements. The company assists clients in
evaluating damage assessments, conduct risk analysis and provide
investigative assistance as the legal process proceeds.
Recognizing the seriousness and sensitive nature of litigation,
the firm strives to handle relationships with our clients
appropriately and with the utmost confidence.
Prior to accepting an investigative or consulting engagement,
an internal conflict check is conducted of the parties involved
in the litigation. The firm will only accept a case if it is
unaware of a case conflict or in a matter where no conflict
exists. In the event of an identifiable conflict, the firm may
have to remove itself from the matter upon consultation with the
client.
QUI TAM LITIGATION SUPPORT
A Qui Tam is a provision of the Federal False Claims Act that allows
private individuals to file a lawsuit in the name of the United States
Government charging government contractors and others who receive or use
government funds. The provision primarily focuses on
procurement
and/or program fraud generally involving government contractors. Over the
past several years, there has been a dramatic increase in Qui Tam filings
originating from Relators also known as "Whistleblowers" alleging fraud.
These cases possess the potential of having a substantial monetary impact on
a business and can affect its ability to remain as a growing concern and
adversely affect investor confidence. In some instances, the monetary awards
available to the Relator and their legal representative in a successful Qui
Tam action can be very substantial exceeding several million dollars.
Generally, Qui Tam Relators are former employees or business associates of
the company allegedly engaged in a fraud against the Government. During the
past five years, the number of Qui Tams filed in connection with the health
care industry has increased substantially. Qui Tam litigation can be very
tedious, lengthy and in many cases, very expensive. Substantial penalties to
include but not limited to monetary damages can be awarded and Corporate
Integrity Agreements can be enforced against the wrongful party in the event
that the allegations are substantiated and proved and/or a settlement is
reached.
During the early stages of the preliminary investigation and
development the case, it is extremely important that the facts
and allegations be fully identified to indicate the existence of
real evidence relating to fraudulent acts or activities. The
firm can assist the client in reviewing the available evidence
and statements to determine the viability of a case and provide
appropriate assessments to assist the client in making their
decisions. In the event of litigation, it may be necessary to
conduct background checks of pertinent parties to the legal
action. Even where substantial evidence exists, the challenged
veracity of a witness can change the complexion of a case. In
cases where the Government intervenes and accepts the case, it
is extremely important that contact with the Government remain
intact by the Relator and/or his representative.
Companies named in a Qui Tam Filing accepted by the
Government can expect costly and protracted litigation in many
of these matters. A filing may require the company or alleged
party to conduct an appropriate investigation in determining
potential exposure in these matters in order to make decisions
in the best interests of the company.
SPECIAL INVESTIGATIVE UNIT ANALYSIS
In most states,
Insurance
companies are mandated to maintain Special Investigative Units (SIUs)
to address Fraud and Abuse. In connection with their risk
analysis programs and operations, it is the SIUs responsibility
to abide by the respective compliance program established for
the unit. The SIU is responsible for identifying
vulnerabilities, conduct appropriate investigations, and recover
losses whenever deemed appropriate. As a Former FBI Supervisory
Special Agent, Daniel M. Martino supervised the largest Health
Care Fraud Program in the FBI. Mr. Martino performed strategic
planning and conducted on-going analysis of operations to ensure
that goals and objectives were met in an efficient and effective
manner. During the course of his career, Mr. Martino
participated in the FBI Inspection Process and evaluated the
performance of other FBI offices.
Mr. Martino, as your Consultant, is available to perform
appropriate analysis to assist the SIU in its evaluation of
operations and improve efficiencies as needed. The firm is in a
position to provide clients with a tailored SIU Analysis Plan to
evaluate and improve performance.